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冠心病是老年人的常见病、多发病,主要是因为冠状动脉粥样硬化使管腔狭窄或阻塞,导致心肌缺血、缺氧而引起的心脏病。冠心病发病多在40岁以上的男性,且以脑力劳动者居多,主要易患因素是高龄、高血压、高脂血症、吸烟和糖尿病。冠心病临床上表现为心前区剧烈疼痛、心律失常、心功能不全、心源性休克等症状。1988年美国健康统计中心公布美国1987年死亡人数及死因顺序,其中冠心病死亡占24．1％,居第一位。因心血管病致死者,72％发生在65岁以上,其中主要是冠心病。老年人各个系统呈退行性变化,多种疾病并存,使心血管疾病的预后较差。因此,了解老年人冠心病特点对于提高老年冠心病的诊疗水平有一定意义。
Coronary heart disease is a common disease of the elderly, frequently-occurring disease, mainly due to coronary atherosclerosis lumen narrowing or obstruction, resulting in myocardial ischemia, hypoxia caused by heart disease. Coronary heart disease incidence in men over the age of 40, and mostly mental workers, the main predisposing factors are elderly, hypertension, hyperlipidemia, smoking and diabetes. Coronary heart disease clinical manifestations of precordial pain, arrhythmia, cardiac insufficiency, cardiogenic shock and other symptoms. In 1988 the United States Center for Health Statistics announced the 1987 death toll and the order of the United States, of which coronary heart disease deaths accounted for 24.1%, ranking first. 72% of those who died of cardiovascular disease were over the age of 65, with coronary heart disease predominantly. Various systems of the elderly were degenerative changes, the coexistence of a variety of diseases, the prognosis of cardiovascular disease is poor. Therefore, to understand the characteristics of coronary heart disease in the elderly for improving the diagnosis and treatment of elderly patients with coronary heart disease have some significance.