Diagnostics of acute myocardial infarction in elderly patients

Bahrmann P, Heppner HJ, Bahrmann A, Christ M, Bertsch T, Sieber C (2011)

Publication Status: Published

Publication Type: Journal article

Publication year: 2011

Journal

Zeitschrift für Gerontologie und Geriatrie Springer Verlag (Germany)

Publisher: SPRINGER HEIDELBERG

Book Volume: 44

Pages Range: 166-171

Journal Issue: 3

DOI: 10.1007/s00391-011-0196-z

Abstract

The early diagnosis of an acute myocardial infarction (MI) is improved by the introduction of novel high-sensitivity troponin assays. These assays can measure low level myocardial injury not detectable by standard troponin assays. Especially in older patients who appear to have a higher basal troponin level, the results must always be judged in the context of the medical history, physical examination, electrocardiogram (ECG) and any further findings. Even small increases in high-sensitivity troponin indicate increased risk for death or MI during follow-up. In the case of MI an invasive strategy results in better survival rates compared with conservative therapy but at the expense of an increased risk of bleeding in elderly patients. This article provides an overview on the diagnosis of MI in elderly patients.

Authors with CRIS profile

Hans Jürgen Heppner Medizinische Fakultät Cornel Sieber Lehrstuhl für Innere Medizin (Geriatrie)

Involved external institutions

Klinikum Nürnberg DE Germany (DE) Universitätsklinikum Heidelberg DE Germany (DE)

How to cite

APA:

Bahrmann, P., Heppner, H.J., Bahrmann, A., Christ, M., Bertsch, T., & Sieber, C. (2011). Diagnostics of acute myocardial infarction in elderly patients. Zeitschrift für Gerontologie und Geriatrie, 44(3), 166-171. https://dx.doi.org/10.1007/s00391-011-0196-z

MLA:

Bahrmann, P., et al. "Diagnostics of acute myocardial infarction in elderly patients." Zeitschrift für Gerontologie und Geriatrie 44.3 (2011): 166-171.

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