ST elevation acute myocardial infarction in young versus elderly: An observational study

Abstract

ABSTRACT Background: ST elevation acute myocardial infarction (AMI) is usually associated with marked morbidity and mortality, affecting both young and elderly populations. Aims: To compare the differences in clinical presentation, treatment, outcome, and comorbidity in elderly and young patients of ST elevation myocardial infarction (STEMI). Methods: A prospective study was conducted on 60 patients divided equally into two groups – above 60 years (Group A) and 60 years or below (Group B). The various parameters including clinical presentation, time of onset, type of AMI, medication, complications, and outcome were assessed. They were followed up for 1 month. Results: The proportion of males and females (M:F) was equal in Group A, and the M:F ratio was 2.75 in Group B. The mean duration of hospitalization was longer in elderly. Hypertension was the most common comorbid condition. About half of the elderly cohort had previous history of angina pectoris, and about one third had prior attacks of MI. Overall, a higher number of younger cohorts were thrombolyzed with streptokinase. Conclusion: Our study showed that there were noteworthy differences in clinical presentation, management, and outcome between elderly and young AMI patients. Early recognition of atypical features among elderly can lead to effective strategies and timely management.