Acute Myocardial Infarction in the Elderly

  • Noble O. Fowler
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 76)


Who are the elderly? They are generally considered to be those beyond middle age—currently often defined as being between 40 and 60 years. Most medical writings on coronary artery disease consider the elderly to be those either beyond 65 years or beyond 70 years. Thus, for this writing, we shall use these same criteria in order to provide suitable literature citations.


Acute Myocardial Infarction Acute Infarction Coronary Arteriography Refractory Heart Failure Ventricular Septal Rupture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Hillis LD and Braunwald E. Medical progress. Myocardial ischemia. N Eng J Med 296:971–80, 1977.CrossRefGoogle Scholar
  2. 2.
    Applegate WB, Graves S, Collins T, et al. Acute myocardial infarction in elderly patients. South Med J 77:1127–1129, 1984.PubMedCrossRefGoogle Scholar
  3. 3.
    Fioretti P, Deckers JW, Brower RW, et al. Predischarge stress test after myocardial infarction in the old age: Results and prognostic value. Eur Heart J 5(Supp E):101–104, 1984.PubMedCrossRefGoogle Scholar
  4. 4.
    Kincaid DT and Botti RE. Acute myocardial infarction in the elderly. Chest 64:170–172, 1973.PubMedCrossRefGoogle Scholar
  5. 5.
    Glover MU, Kuber MT, Warren SE, and Vieweg WVR. Myocardial infarction before age 36: Risk factor and arteriographic analysis. Am J Cardiol 49:1600–1603, 1982.PubMedCrossRefGoogle Scholar
  6. 6.
    Rentrop KP. Thrombolytic therapy in patients with acute myocardial infarction. Circulation 71:627–631, 1985.PubMedCrossRefGoogle Scholar
  7. 7.
    Stokes J III and Dawber TR. The “silent coronary”: The frequency and clinical characteristics of unrecognized myocardial infarction in the Framingham study. Ann Intern Med 50:1359–1369, 1959.PubMedCrossRefGoogle Scholar
  8. 8.
    Pathy MS. Clinical presentation of myocardial infarction in the elderly. Brit Heart J 29:190–199, 1967.PubMedCrossRefGoogle Scholar
  9. 9.
    Rodstein M. The characteristics of nonfatal myocardial infarction in the aged. Arch Int Med 98:84–90, 1956.CrossRefGoogle Scholar
  10. 10.
    MacDonald JB. Presentation of acute myocardial infarction in the elderly—A review. Age and Ageing 13:196–200, 1984.PubMedCrossRefGoogle Scholar
  11. 11.
    Tinker GM. Clinical presentation of myocardial infarction in the elderly. Age and Ageing 10:237–240, 1981.PubMedCrossRefGoogle Scholar
  12. 12.
    Chaturvedi NC, Shivalingappa G, Shanks B, et al. Myocardial infarction in the elderly. Lancet 1:280–281, 1972.PubMedCrossRefGoogle Scholar
  13. 13.
    Williams BO, Begg TB, Semple T, and McGuinness JB. The elderly in a coronary unit. Br Med J 2:451–453, 1976.PubMedCrossRefGoogle Scholar
  14. 14.
    Peterson DR, Thompson DJ, and Chinn N. Ischemic heart disease prognosis. A community-wide assessment (1966–1969). JAMA 219:1423–1427, 1972.PubMedCrossRefGoogle Scholar
  15. 15.
    Kitchin AH and Milne JS. Longitudinal survey of ischaemic heart disease in randomly selected sample of older population. Brit Heart J 39:889–893, 1977.PubMedCrossRefGoogle Scholar
  16. 16.
    Green SJ, Ong LY, Reiser P. and Morrison JB. The role of early radionuclide ejection fraction in predicting early mortality after acute myocardial infarction in the elderly. Mt Sinai J Med 52:618–622, 1985.PubMedGoogle Scholar
  17. 17.
    Deckers JW, Fioretti P, Brower RW, et al. Ineligibility for predischarge exercise testing after myocardial infarction in the elderly: Implications for prognosis. Eur Heart J 5(Supp E):97–100, 1984.PubMedCrossRefGoogle Scholar
  18. 18.
    Akman D. Treatment of acute myocardial infarction in the elderly. Geriatrics 38:46–52, 1983.PubMedGoogle Scholar
  19. 19.
    Weintraub RM, Thurer RL, Wei J, and Aroesty JM. Repair of postinfarction ventricular septal defect in the elderly. Early and long-term results. J Thorac Cardiovasc Surg 85:191–196, 1983.PubMedGoogle Scholar
  20. 20.
    Berg R Jr, Kendall RW, Duvoisin GE, et al. Acute myocardial infarction. J Thorac CV Surg 70:432–439, 1975.Google Scholar
  21. 21.
    Phillips SJ, Kongtahworn C, Zeff RH, et al. Emergency coronary artery revascularization: A possible therapy for acute myocardial infarction. Circulation 60:241–246, 1979.PubMedCrossRefGoogle Scholar
  22. 22.
    Rentrop P, Blanke H, Karsch KR, et al. Selective intracoronary thrombolysis in acute myocardial infarction and unstable angina pectoris. Circulation 63:307–317, 1981.PubMedCrossRefGoogle Scholar
  23. 23.
    Ganz W, Buchbinder N, Marcus H, et al. Intracoronary thrombolysis in evolving myocardial infarction. Am Heart J 101:4–13, 1981.PubMedCrossRefGoogle Scholar
  24. 24.
    Yasuno M, Saito Y, Ishida M, et al. Effects of percutaneous transluminal coronary angioplasty: Intracoronary thrombolysis with urokinase in acute myocardial infarction. Am J Cardiol 53:1217–1220, 1984.PubMedCrossRefGoogle Scholar
  25. 25.
    Corbett JR, Dehmer GJ, Lewis SE, et al. The prognostic value of submaximal exercise testing with radionuclide ventriculography before hospital discharge in patients with recent myocardial infarction. Circulation 64:535–544, 1981.PubMedCrossRefGoogle Scholar
  26. 26.
    Mukharji J, Rude R, Gustafson N, et al. Late sudden death following myocardial infarction: Interdepeindence of risk factors. J Am Coll Cardiol 1:585, 1983.Google Scholar
  27. 27.
    Moss AJ, Bigger JT Jr, Case RB, et al. Risk stratification and prognostication after myocardial infarction. J Am Coll Cardiol 1:716, 1983.Google Scholar
  28. 28.
    Knapp WS, Douglas JS Jr, Craver JM, et al. Efficacy of coronary artery bypass grafting in elderly patients with coronary artery disease. Am J Cardiol 47:923–930, 1981.PubMedCrossRefGoogle Scholar
  29. 29.
    Frommer PL and Furberg C. Beta-blocking drugs in the prevention of sudden cardiac death. In J Morganroth and LN Horowitz (eds), Sudden Cardiac Death. Orlando: Grune & Stratton, 1985, pp 249–256.Google Scholar
  30. 30.
    Hutchison S and Campbell LM. Beta-blockers and the elderly. J Clin Hosp Pharm (review) 8:191–199, 1983.Google Scholar
  31. 31.
    Gundersen T, Abrahamsen AM, Kjekshus J, and Ronnevik PK. Timolol-related reduction in mortality and reinfarction in patients ages 65–75 years surviving acute myocardial infarction. Circulation 66:1179–1184, 1982.PubMedCrossRefGoogle Scholar
  32. 32.
    A double-blind trial to assess long-term oral anticoagulant therapy in elderly patients after myocardial infarction. Report of the Sixty Plus Reinfarction Study Research Group. Lancet 2:989–994, 1980.Google Scholar
  33. 33.
    Kannel WB and McGee DL. Modifiable risk factors for sudden coronary death. In J Morganroth and LN Horowitz (eds), Sudden Cardiac Death. Orlando: Grune & Stratton, 1985, pp 267–284.Google Scholar
  34. 34.
    Williams MA, Maresh CM, Aronow WS, et al. The value of early out-patient cardiac exercise programmes for the elderly in comparison with other selected age groups. Eur Heart J 5(Suppl E):113–115, 1984.PubMedCrossRefGoogle Scholar
  35. 35.
    Marron KR. Sexuality with aging. Geriatrics 37(9):135–136, 138, 1982.Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 1987

Authors and Affiliations

  • Noble O. Fowler

There are no affiliations available

Personalised recommendations