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.