1st Challenge: summary of diagnostic challenges in elderly patients
Atypical presentation: less typical pain and more anginal equivalents (dyspnea, syncope, stroke, HF, etc.)
Greater severity: present with more HF and cardiogenic shock
Higher prevalence of morbimortality: reinfarction, stroke, more severe hemorrhage, and death
Lower effects of risk factors and greater importance of comorbidities
Non-specific EKG in 43% of elderly patients > 85 years old
Myocardial infarction (ACS-STE) should be strongly suspected in women, diabetes patients, and elderly patients with atypical symptoms
Due to frequent atypical presentation, elderly patients (> 75 years old) should be investigated for ACS-NSTE with a lower level of suspicion