18Aug 2018

CHEST PAIN IN A SAMPLE OF IRAQI ELDERLY PATIENTS.

  • Internal medicine specialist, Elderly Clinic at Al-Yarmouk teaching hospital, Baghdad.
  • Elderly clinic, Al-Yarmouk Teaching Hospital.
Crossref Cited-by Linking logo

  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

Introduction: Recently there has been a sharp increase in the number of older persons worldwide. Chest pain in the geriatric population is one of the most common and life-threatening complaints. They are more likely to present with atypical symptoms and nonspecific physical findings, putting them at increased risk for misdiagnosis. Methodology: A 60 years and older patients with chest pain were recruited to participate in a cross-sectional study. An instrument was designed for the purpose of the work filled by direct interview method. Results: Constricting type of pain formed the highest rate 32.7%, it was moderate to severe in 58.4%, and 57.4% perceived the pain at the mid-central area of the chest. Electrocardiography changes showed significant relationship with ischemic heart diseases in 49.5% of the patients. Echo- cardiology study showed finding went with ischemic heart disease in only 23.8%, mainly in form of ischemic pattern (41.7%). Conclusion: Chest pain is one of the most frequent complaints in the elderly population presenting to hospital. Aging may cause the clinical picture of chest pain to show atypical presentation.

  1. Bente, H., Lis, W. and Elisabeth, O. (2007): The elderly patient's dignity. The core value of health. International Journal of Qualitative Studies on Health and Well-being., 2: 3,160-168.
  2. DOI: 10.1080/17482620701472447
  3. Brieger, D., Eagle, K.A., Goodman, S.G., Steg P.G., Budaj A., White K., Montalescot G. (2004): Acute coronary syndromes without chest pain, an underdiagnosed and undertreated high-risk group: insights from the Global Registry of Acute Coronary Events. Chest, 126: 461?9. [Abstract]
  4. Goch, A., Misiewicz, P., Rysz, J. and Banach, M. (2009): The clinical manifestation of myocardial infarction in elderly patients. Clin. Cardiol., 32 (6): e46?e51. DOI:10.1002/clc.20354
  5. Grabowski, D.C., O?Malley, A.J. and Barhydt, N.R. (2007): The costs and potential savings associated with nursing home hospitalizations. Health Aff., 26: 1753?61.
  6. Gurwitz, J.H., McLaughlin, T.J., Willison, D.J., Guadagnoli, E., Hauptman, P.J., Gao, X., et al. (1997): Delayed hospital presentation in patients who have had acute myocardial infarction. Ann Intern Med.126: 593?599. doi: 10.7326/0003-4819-126-8-199704150-00001
  7. Hafez, G., Bagchi, K. and Mahaini, R. (2000): Caring for the elderly: a report on the status of care for the elderly in the Eastern Mediterranean Region. EMHJ, 6(4): 636-643.
  8. Hung, C.L., Jia-Yin, H. C., Yeh, H. and Chang, W. (2010): Atypical chest pain in the elderly: prevalence, possible mechanisms, and prognosis. Internat J of Gerontology, 4(1): 1-8
  9. Kelly, B.S. (2007): Evaluation of the Elderly Patient with Acute Chest Pain. Clin Geriatr Med., 23: 327?349
  10. Kessler, C., Meredith, C., Williams, M.C., Moustoukas, J.N. and Pappas, C. (2013): Transitions of care for the geriatric patient in the emergency department. Clin Geriatr Med., 29: 49?69 http://dx.doi.org/10.1016/j.cger.2012.10.005
  11. Levine, M.E. (2013):? Modeling the rate of senescence: can estimated biological age predict mortality more accurately than chronological age? J Gerontol A Biol Sci Med Sci., 68(6): 667-674.
  12. doi: 10.1093/gerona/gls233
  13. Lionakis, N., Mendrinos, D., Sanidas. E., Favatas, G. and Georgopoulou, M. (2012): Hypertension in the elderly. World J Cardiol. 4(5): 135-147. doi:10.4330/wjc.v4.i5.135
  14. McKeown, R.E. (2009): The epidemiologic transition: changing patterns of mortality and population dynamics. Am J Lifestyle Med., 3(1 Suppl): 19S?26S. doi:10.1177/1559827609335350.
  15. Orimo, H., Ito, H., Suzuki, T., Araki, A., Hosoi, T. and Sawabe, M. (2006): Reviewing the definition of elderly. Geriatric Gerontal Int., 6: 149-158.
  16. Silva, L. B., Soares, S.M., Silva, P.B., Santos J.G., Miranda L.V., Santos RM. (2018): Assessment of the quality of primary care for the elderly according to the Chronic Care Model. Rev. Latino-Am. Enfermagem. 2018; 26: e2987. Access on July 2018. eerp.usp.br/rlae?????????? DOI: 10.1590/1518-8345.2331.2987
  17. Singh, S. and Bajorek, B. (2014): Defining ?elderly? in clinical practice guidelines for pharmacotherapy. Pharmacy Practice, 12(4): 489.
  18. World Health Organization (WHO). (2011): Global Health and Aging. National Institute on Aging. National Institutes of Health. NIH Publication no. 11-7737. October 2011.
  19. World health organization (WHO). (2018): Health situation and trend assessment (elderly population). South-East Area Report (SEAR) 2018. Available at:
  20. http://www.searo.who.int/entity/health_situation_trends/data/chi/elderly-population/en/
  21. Williams, M.A., Fleg, J.L., Ades, P.A., Chaitman, B.R., Miller, N.H., Mohiuddin, S.M., et al. (2002): Secondary prevention of coronary heart disease in the elderly (With emphasis on patients >75 years of age). An American heart association, scientific statement from the council on clinical cardiology subcommittee on exercise, cardiac rehabilitation, and prevention. 105: 1735-1743.
  22. Available at http://www.circulationaha.org
  23. DOI: 10.1161/01.CIR.0000013074.73995.6C

[Hussain N Sh, Ghaidan L Sh and Hussien Y A. (2018); CHEST PAIN IN A SAMPLE OF IRAQI ELDERLY PATIENTS. Int. J. of Adv. Res. 6 (Aug). 658-664] (ISSN 2320-5407). www.journalijar.com

Louai Shaalan Ghaidan
Internal medicine specialist, Elderly Clinic at Al-Yarmouk teaching hospital, Baghdad

DOI:

Article DOI: 10.21474/IJAR01/7565      
DOI URL: https://dx.doi.org/10.21474/IJAR01/7565

Download Full Paper

Download PDF No. of Downloads: 5 | No. of Views: 40