Asunto(s)
Viscosidad Sanguínea/efectos de los fármacos , Grasas de la Dieta , Adulto , Angina de Pecho/metabolismo , Colesterol , Femenino , Hematócrito , Humanos , Hipertensión/metabolismo , Claudicación Intermitente/metabolismo , Lípidos , Masculino , Persona de Mediana Edad , Infarto del Miocardio/metabolismo , Triglicéridos/sangreAsunto(s)
Proteínas Sanguíneas , Viscosidad Sanguínea , Fibrinógeno , Hematócrito , Femenino , Humanos , MasculinoAsunto(s)
Arteriosclerosis/terapia , Anciano , Arteriosclerosis/tratamiento farmacológico , Arteriosclerosis/etiología , Arteriosclerosis/prevención & control , Ensayos Clínicos como Asunto , Clofibrato/uso terapéutico , Enfermedad Coronaria/etiología , Dietoterapia , Grasas de la Dieta , Estrógenos/efectos adversos , Estudios de Evaluación como Asunto , Femenino , Humanos , Hipertensión/terapia , Arteriosclerosis Intracraneal , Masculino , Persona de Mediana Edad , Obesidad , Esfuerzo Físico , Placebos , Fumar , Estrés PsicológicoAsunto(s)
Arteriosclerosis/tratamiento farmacológico , Clofibrato/uso terapéutico , Claudicación Intermitente/tratamiento farmacológico , Enfermedades Vasculares/tratamiento farmacológico , Adulto , Anciano , Colesterol/sangre , Humanos , Persona de Mediana Edad , Infarto del Miocardio/prevención & control , Triglicéridos/sangreRESUMEN
The admission electrocardiogram (ECG) was studied in 898 patients admitted to a coronary care unit over two years. The diagnosis made from this tracing was compared with that made at the end of the patient's stay. About half the cases of recent myocardial infarct were diagnosed from the admission ECG, but accuracy rose to 83% with serial ECG's in the unit. The ECG is important but not entirely reliable in the early detection of acute myocardial infarction, which should be largely a clinical diagnosis.
Asunto(s)
Electrocardiografía , Infarto del Miocardio/diagnóstico , Unidades de Cuidados Coronarios , Femenino , Humanos , Masculino , Infarto del Miocardio/mortalidad , Estudios Prospectivos , Factores de TiempoRESUMEN
The clinical features of myocardial infarction were compared in 104 patients over the age of 70 and 399 younger patients admitted to a coronary care unit. Absence of an age bar at 70 years has increased the number of admission to the unit by 24%, and the number of patients with proved infarcts by 26%. Severe complications are more common and mortality is doubled in the elderly. Although immediate management of primary ventricular fibrillation is as successful in older as in younger patients, treatment of the elderly with less dramatic conditions is less successful. The elderly survivors tend to spend longer in the coronary unit and subsequently in the general medical ward.