Abstract

Study Objectives: An increasing proportion of elderly patients are presenting with non-typical clinical signs and symptoms of Acute Myocardial Infarction (AMI). The increased thrombolysis complications, along with the non-typical clinical presentations of the disease in the elderly, have made physicians reluctant to initiate thrombolytic therapy. Patients over seventy-five years of age are excluded from pre-hospital thrombolysis by the regional ambulance service. We conducted a two-year retrospective study to review patients over eighty years old with S-T Segment Elevation Myocardial Infraction (STEMI) who received thrombolytic therapy in our emergency department.

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