Heart Attack Query

[barry1010]

Just curious. Is it true that an 80 year old man is unlikely to have a heart attack if he doesn't have a history of heart problems? More likely to get a heart attack in your 50s/60s?

[Sqad]

Yes.....I would say so.
If you had no history of heart disease in your 80's then you are less likely to have a heart attack than someone who has a history of heart disease.
Seems obvious, so have I understood your question correctly?

[Peter Pedant]

yes I woulda thought so too
BUT
how do you tell
Death cert causes ? 80 y o have a life expectancy of around 5 y
and what do they die from? do they just sort of stop, and when you shake them, they sort of fall off the chair

More likely to be silent- present as heart failure secondary to an infact, and better mortality - sort of more spare blood vessels ( anastomoses but who wants a technical word on AB for chrissakes).

[Peter Pedant]

1980 - ah those were the days ! Plymouth was planning to limit the age of entry to a cardiac care unit to 75 ( upper limit silly, dont let in)

and I said "by definition your mortality will go up compared to all comers"
pourquoi? - over 75s tend to survive their infarcts as they are smaller compared to younger patients, so exclude them and your mortality will rise for no reason other than statistics

and it was one of the first times, on lookers looked at me as tho I were a complete ALIEN

[rowanwitch]

From epidemiology of myocardial infarction
Joshua Chadwick Jayaraj, Karapet Davatyan, S.S. Subramanian and Jemmi Priya published 2018. "According to 2014, based on the self-reported national survey of the UK, the prevalence of MI was reported as 640,000 in men and 275,000 in women; this represents about 915,000 people that have suffered an MI in the UK. In 2013, the prevalence of MI in men was about three times higher than for women in the UK [16]. As shown in Figure 2, the prevalence of age-specific MI extends from 0.06% of men

[rowanwitch]

The rest of my answer didn't show, I give up I took ages typing it as well!!!

[rowanwitch]

Just the figures.
Men. 55-64. 3.85%
65-74. 7.05%
75+. 12.68%

[pixie374]

My experience is, that is very true. Although, everyone ultimately dies from heart failure!

[Atheist]

Rowan; If you type it in Word and then copy it into AB, you won't lose all your work.

[Peter Pedant]

oo-er mrs! rowan is right:

Patients older than 70 account for a third to a half of patients with acute myocardial infarction admitted to hospital,1 and 80% of deaths due to acute myocardial infarction occur in those aged over 65 years, 60% of them in people aged 75 or more.

I dont know what we were diagnosing in plymouth 50 y ago, but it clearly wasnt myocardial infarction

[Peter Pedant]

Although, everyone ultimately dies from heart failure!

no that is 'mode of death'. - Heart stops
DC advice, and they are looking for a more proximate cause of death

[Peter Pedant]

I was thinking of this
https://www.jstor.org/stable/25415428

eek! 1971 and states that the under 65s were dying like flies

how times change

[pixie374]

I know..

[nicebloke1]

However, you can still suffer a lot of heartache.Especially if you keep reading PP posts.:0))

[Peter Pedant]

Hi nicey !
very few people read my posts - which is why I put in off-the-wall sly little asides. Fewer understand them, and virtually no one comments ( rationally, 'foo and 'meh' dont count)

From PM thirties - - "very little is important and virtually nothing is very important" - but it was Stanley Baldwin

[nicebloke1]

:>))))) ^^

[TheChair]

"very few people read my posts". I've always thought, PP, that they're among the few that are actually worth reading.

[jno]

I read them. But I am few in number and few in importance.

[ImLostAgain]

I read all PP's posts and enjoy all of them (mostly).