Objective To investigate the clinical management of elderly patients with acute myocardial infarction complications of treatment methods and principles.Methods A retrospective analysis of our hospital with acute myocardial infarction,age group 52 cases were elderly patients over the age of 60,the control group,52 cases of non-elderly patients hospitalized for the same period.Analysis of clinical data and complications of two groups of co-existence of disease conditions,comparative analysis of two groups of patients with acute myocardial infarction in patients with clinical efficacy.Results The age group was effective,efficient,and mortality were 73.1%,17.3% and 9.6%,significantly less efficient than the control group,86.5%,significantly higher mortality,higher than the 14.1% efficient,were significant statistical difference.Two groups patients with complications and the incidence and prevalence than the composition is also a significant difference(P < 0.05).Conclusion positive control with caution in patients with complications of acute myocardial infarction has important clinical significance. Key words: Acute myocardial infarction; Elderly; Clinical analysis