Symptoms of coronary heart disease in the elderly

Coronary heart disease in the elderly is actually a disease that is often found in old age. If it is serious, it will threaten the physical health of the elderly. In daily life, it is often manifested as chest tightness, and is also accompanied by nausea, vomiting and other phenomena, which will seriously affect the lives of the elderly. Therefore, it is necessary to pay attention to timely treatment. So what are the symptoms of coronary heart disease in the elderly? Let's take a detailed look below.

Coronary heart disease in the elderly is actually a disease that threatens the health of the elderly. If you do not pay attention to active treatment, it may even lead to more harm. Therefore, for the health of the elderly, treatment in daily life is absolutely inevitable. This is also what must be done to ensure their health.

1. The symptoms of angina pectoris in elderly patients with coronary heart disease are often atypical. Typical angina compressive pain is rare. Many patients experience dull pain and tightness behind the sternum, or only experience shortness of breath, chest tightness, fatigue, palpitations and other symptoms. This may be related to the elderly's dull pain perception, or it may be masked or confused by the symptoms of concurrent diseases in the elderly.

2. The location of pain during angina attacks in the elderly may not be typical. For example, some people may experience upper abdominal discomfort, upper abdominal pain, or esophageal obstruction or burning sensation, and be diagnosed with gastritis, esophagitis or cholecystitis; it may also manifest as pain in radiating areas, such as left shoulder and left arm pain, numbness, toothache, tightness in the jaw or neck, headache, etc.

3. The clinical symptoms of acute myocardial infarction in the elderly may be atypical. It has been reported that 20-30% of patients have atypical symptoms. Some patients often present with dyspnea, left heart failure, pulmonary edema as the first symptoms, or present with unexplained hypotension and arrhythmia. Some patients also present with sudden coma, syncope, convulsions and other symptoms of cerebrovascular disease as the main manifestations. Some patients (such as inferior wall myocardial infarction) present with upper abdominal pain, nausea, vomiting, and suspected gastrointestinal diseases. Some elderly people experience painless myocardial infarction, which may be because their coronary artery lesions are mostly found in small branches rather than main branches, resulting in blockage of the heart's afferent nerves or decreased sensitivity to pain. Elderly people are more likely to have diabetes, which can affect the sensory nerves and is also one of the causes of painless myocardial infarction. In addition, the elderly often have cerebral arteriosclerosis, incomplete blood supply to the brain and dull sensation, so they may not feel pain when a myocardial infarction occurs. In addition, the accompanying diseases of myocardial infarction in the elderly make its symptoms more complicated and atypical. For example, patients often have chronic bronchitis, pneumonia or emphysema, and cough, wheeze and chest tightness, which may lead to the neglect of the diagnosis of myocardial infarction.

The above are some symptoms of coronary heart disease in the elderly. If I ignore these symptoms, I will easily miss the best time for treatment and the disease will become more serious. I hope everyone can pay attention to it and scientifically prevent and treat these diseases.