E. Taneva, V. Bogdanova, N. Shtereva

Morbidity and mortality from heart diseases are highly represented in geriatric-aged patients, but also they have supporting diseases. Acute coronary syndrome includes unstable angina and acute myocardial infarction with and without ST-elevation.

The aim of this study is to make a retrospective analysis of morbidity of emergency entered patients.

Methods and materials: The study is made for a period of 3 years (from 1998 to 2000). It includes 588 patients divided by age (from 60 to 75 years are 395; over 75 are 193) and sex (male-326 and female-262). Co-morbidity and mortality are investigated.

Results: Patients with 1 supporting disease are 6.33% from the total number, with 2 - are 23.12%, with 3 - 68.53% and with over 3 - 2.02%. The most frequent geriatric patients are with heart failure, followed by endocrinological diseases (type 2 diabetes, obesity, struma), neurological diseases (insultus,paresis) and chronic kidney diseases (pielonephritis, nephrolithiasis). The most co-morbidity frequency is the combination of hypertension, heart failure and type 2 diabetes. The mortality for 1998 is 8.81%, for 1999 - 7.74% and for 2000 - 13.41%. The mortality at the first 12 hours at the beginning of the acute coronary syndrome is 66.6%.

Conclusion: Geriatric patients suffer from many diseases and at the beginning of acute coronary syndrome they do multiorganal failure. The eldery patients are high risk contingent in Intensive coronary care unit.

Keywords (Optional): 
acute coronary syndrome