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老年人冠心病心绞痛有不同的临床类型,预后和处理方式也有一定的区别,因此判断心绞痛属于哪种类型具有重要意义。老年人心绞痛特点总的来说是疼痛症状不典型或不明显,由于合并神经系统或其他肺、心疾病,心肌缺血也可以出现呼吸困难,昏厥,神志变化或胃肠反应等。因此,凡具有这些发作性质的症状特别是伴有血压、心率、心律变化的,应该想到心肌缺血的可能性。
Angina patients with coronary heart disease have different clinical types, prognosis and treatment also have some differences, so to determine which type of angina is of great significance. Elderly angina pectoris characteristics are generally atypical or insignificant pain symptoms, due to the merger of the nervous system or other lung, heart disease, myocardial ischemia can also occur dyspnea, fainting, mental changes or gastrointestinal reactions. Therefore, any symptoms that have these seizures, especially those associated with changes in blood pressure, heart rate, and heart rate, should account for the possibility of myocardial ischemia.