Acute Myocardial Infarction in Older Adults

This article discusses the causes, symptoms, and treatment of acute myocardial infarction in older adults. It also includes research and methodology used to analyze the data. The risk of myocardial infarction is higher in older people than younger ones, and the main cause is coronary arterial blockage.

ACUTE MYOCARDIAL INFARACTION
IN OLDER PEOPLE

Table of Contents
INTRODUCTION...........................................................................................................................1
PRESENTATION OF ARGUMENT..............................................................................................1
RESEARCH AND METHADOLOGY...........................................................................................1
ANALYSIS AND CONCLUSION.................................................................................................1
REFERENCES ...............................................................................................................................2

INTRODUCTION
Myocardial infarction, as the name suggest, it is a phenomena in which death of muscular
tissue of heart due to the less blood and oxygen supply. Main cause of myocardial infarction is
imbalance in oxygen demand and supply. Less blood supply due to the narrowing of blood
vessels. In Generally, 35% myocardial infarction occur in the older people of 75 years or above
the 75 years and 11% myocardial infarction occur in older than 85 years of old people (Acute
myocardial infarction-cardiogenic shock in patients with prior coronary artery bypass grafting:
A 16-year national cohort analysis of temporal trends, management and outcomes 2020).
Basically ,ST segment elevation myocardial infarction less common in older people. How ever
this no. increase with the age. Shortness of breathing, shoulder or back pain, acute confusion and
weakness, these are the generalised symptoms of myocardial infarction in older people
(Vallabhajosyula, and et. al., 2020).
PRESENTATION OF ARGUMENT
Ischaemic heart failure diseases is the main reason behind the death of older women and
men, who died from the heart attack (Abdu, and et. al., 2019). It is observed that older people is
generally suffered from the coronary artery diseases in which lumens of blood vessels becomes
narrow and amount of blood and oxygen supply decreased with respect to its demand. According
to Royal flying doctor service international statistical classification and related health problems
report 2014-15 to 2016-17 for older people, it represent that 3.0% males, 1.5% females are
suffering from the acute myocardial infarction. According to Danish national wide registries
2008- 2015, it is observed that there are 26,539 patients from per 50,000, whose median age is 76
is discharged from acute myocardial infarction (Richter, and et. al., 2019). Older people are
generally less likely to recognise the symptoms of acute MI like sweating, centre chest pain,
nausea and so on. therefore, there are more chances of mortality and morbidity in case of older
people. For the treatment of acute myocardial infarction , nursing interventions like MONA
TEST should be done immediately. In the case of acute MI following management procedure is
done by nursing management like :
 Try to achieve a balance between oxygen demand and supply.
 Prevent those complication.
 Cardiac function of patient should be monitor continuously.
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 ECG should be monitor at regular interval.
RESEARCH AND METHADOLOGY
For interrupting and analysing the data research point is used. The major number of data which is
used to the report and research are go along with prospective data base. EMBASE, Cochrane
library, PubMed central and Upto Date are the some of the best database, which is used to collect
or pick up the data for research and the review article. Rather than this , there are millions of data
or article that help to interpret the information and data related to the research topic (Vejpongsa,
and et. al., 2019).
ANALYSIS AND CONCLUSION
On the basis of above discussion it is analysed that, myocardial infarction is leading cause
of death in older people than the younger one. In general, first acute myocardial infarction is 65.1
years old. Acute MI is generally more in older men then women. In every seconds there are
millions of new cases of acute myocardial infarction in older people are deducted in the world.
According to the above description it can be concluded that risk of myocardial infarction is more
higher in older people than the younger one and the main cause was coronary arterial blockage.
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REFERENCES
Books and Journals
Acute myocardial infarction-cardiogenic shock in patients with prior coronary artery bypass
grafting: A 16-year national cohort analysis of temporal trends, management and
outcomes 2020, [online] available through: <
https://www.sciencedirect.com/science/article/abs/pii/S0167527319359704 >
Abdu, F.A., and et. al., 2019. Myocardial infarction with non-obstructive coronary arteries
(MINOCA) in Chinese patients: Clinical features, treatment and 1 year follow-
up. International journal of cardiology, 287, pp.27-31.
Richter, B., and et. al., 2019. Blood urea nitrogen has additive value beyond estimated
glomerular filtration rate for prediction of long-term mortality in patients with acute
myocardial infarction. European Journal of Internal Medicine, 59, pp.84-90.
Vallabhajosyula, S., and et. al., 2020. Acute myocardial infarction-cardiogenic shock in patients
with prior coronary artery bypass grafting: A 16-year national cohort analysis of temporal
trends, management and outcomes. International Journal of Cardiology, 310, pp.9-15.
Vejpongsa, P., and et. al., 2019. Outcomes of acute myocardial infarction in patients with
influenza and other viral respiratory infections. The American journal of
medicine, 132(10), pp.1173-1181.
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