What are the signs and symptoms of myocardial infarction in older adults?
Symptoms may be described primarily as dyspnea, syncope, shoulder or back pain, weakness, fatigue (in women), acute confusion, epicardial discomfort and may be precipitated by concurrent illnesses [19].
What is the first symptom of myocardial ischemia?
Some people who have myocardial ischemia don’t have any signs or symptoms (silent ischemia). When they do occur, the most common is chest pressure or pain, typically on the left side of the body (angina pectoris).
What is the most common cause of myocardial ischemia?
Atherosclerosis is the most common cause of myocardial ischemia. Blood clot. The plaques that develop in atherosclerosis can rupture, causing a blood clot. The clot might block an artery and lead to sudden, severe myocardial ischemia, resulting in a heart attack.
What is a common complication of myocardial infarction in geriatric adults?
Table 2
| Complication | Group I Elderly with AMI (N = 107) | P value |
|---|---|---|
| Arrhythmia | 53 (49.53%) | 0.0061# |
| Recurrent MI | 10 (9.34%) | 0.09 |
| CVAb | 4 (3.74%) | 0.3749 |
| Bleeding complication | 5 (4.67%) | 0.2186 |
What does myocardial ischemia feel like?
The most common symptom of myocardial ischemia is angina (also called angina pectoris). This is chest pain (similar to indigestion or heartburn) that feels like: Chest discomfort. Heaviness.
Is myocardial infarction and ischemia the same?
The term ischemia means that blood flow to a tissue has decreased, which results in hypoxia, or insufficient oxygen in that tissue, whereas infarction goes one step further and means that blood flow has been completely cut off, resulting in necrosis, or cellular death.
Is myocardial ischemia reversible?
Generally, if the patients received timely and accurate diagnosis and treatment, the ischemia can be reversed and a favorable prognosis could be expected. Otherwise, reversible myocardial ischemia may develop into myocardial infarction, which is irreversible and the prognosis may be poor.
How do you fix myocardial ischemia?
The goal of myocardial ischemia treatment is to improve blood flow to the heart muscle….Medications to treat myocardial ischemia include:
- Aspirin.
- Nitrates.
- Beta blockers.
- Calcium channel blockers.
- Cholesterol-lowering medications.
- Angiotensin-converting enzyme (ACE) inhibitors.
- Ranolazine (Ranexa).