Aim: In this study atypical presentations of AMI and in-hospital mortality and outcome were evaluated. Methods: The present study was conducted at Department of Geriatric Patna medical college and Hospital, Patna, Bihar, India for the period of 9 months. We studied 100 patients of AMI admitted in the CCU who fulfilled the inclusion criteria. Results: Of all the 100 patients diagnosed as having MI, 20 (20%) patients presented with atypical presentation to the hospital. The maximum incidence of AMI with atypical presentations was in the age group of 61-65 years followed by the age group 66-70 years. Presentation of dyspnoea (35%) was the most among the atypical symptom followed by vomiting 25%, excessive sweating 25% and the least incident with vertigo 5%. Among the other presentations syncope 16%, epigastric pain 10% and Palpitation 10%. Conclusion: The patients without chest pain represent a substantial segment of the MI population. Older patients presented with more atypical symptoms with breathlessness being the commonest atypical symptoms. Mortality was high among the patients who presented with atypical symptoms, increasing age, and who presented lately.

Aim: In this study atypical presentations of AMI and in-hospital mortality and outcome were evaluated. Methods: The present study was conducted at Department of Geriatric Patna medical college and Hospital, Patna, Bihar, India for the period of 9 months. We studied 100 patients of AMI admitted in the CCU who fulfilled the inclusion criteria. Results: Of all the 100 patients diagnosed as having MI, 20 (20%) patients presented with atypical presentation to the hospital. The maximum incidence of AMI with atypical presentations was in the age group of 61-65 years followed by the age group 66-70 years. Presentation of dyspnoea (35%) was the most among the atypical symptom followed by vomiting 25%, excessive sweating 25% and the least incident with vertigo 5%. Among the other presentations syncope 16%, epigastric pain 10% and Palpitation 10%. Conclusion: The patients without chest pain represent a substantial segment of the MI population. Older patients presented with more atypical symptoms with breathlessness being the commonest atypical symptoms. Mortality was high among the patients who presented with atypical symptoms, increasing age, and who presented lately.