{"id":"https://openalex.org/W1998444113","doi":"https://doi.org/10.1093/ageing/16.4.239","title":"ACUTE MYOCARDIAL INFARCTION: DIAGNOSTIC DIFFICULTIES AND OUTCOME IN ADVANCED OLD AGE","display_name":"ACUTE MYOCARDIAL INFARCTION: DIAGNOSTIC DIFFICULTIES AND OUTCOME IN ADVANCED OLD AGE","publication_year":1987,"publication_date":"1987-01-01","ids":{"openalex":"https://openalex.org/W1998444113","doi":"https://doi.org/10.1093/ageing/16.4.239","mag":"1998444113","pmid":"https://pubmed.ncbi.nlm.nih.gov/3630847"},"language":"en","primary_location":{"id":"doi:10.1093/ageing/16.4.239","doi":"https://doi.org/10.1093/ageing/16.4.239","is_oa":false,"landing_page_url":"https://doi.org/10.1093/ageing/16.4.239","pdf_url":null,"source":{"id":"https://openalex.org/S31768639","display_name":"Age and Ageing","issn_l":"0002-0729","issn":["0002-0729","1468-2834"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Age and Ageing","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"J. J. DAYA","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801117755","display_name":"Cardiff Royal Infirmary","ror":"https://ror.org/04742vj55","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1299209451","https://openalex.org/I2801117755","https://openalex.org/I4210144625"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"J. J. DAYA","raw_affiliation_strings":["University Department of Geriatric Medicine, Cardiff Royal Infirmary Newport Road, Cardiff CF2 1SZ"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Department of Geriatric Medicine, Cardiff Royal Infirmary Newport Road, Cardiff CF2 1SZ","institution_ids":["https://openalex.org/I2801117755"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046992877","display_name":"Antony J. Bayer","orcid":"https://orcid.org/0000-0002-7514-248X","observed_orcids":["https://orcid.org/0000-0002-7514-248X"]},"institutions":[{"id":"https://openalex.org/I2801117755","display_name":"Cardiff Royal Infirmary","ror":"https://ror.org/04742vj55","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1299209451","https://openalex.org/I2801117755","https://openalex.org/I4210144625"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"A. J. BAYER","raw_affiliation_strings":["University Department of Geriatric Medicine, Cardiff Royal Infirmary Newport Road, Cardiff CF2 1SZ"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Department of Geriatric Medicine, Cardiff Royal Infirmary Newport Road, Cardiff CF2 1SZ","institution_ids":["https://openalex.org/I2801117755"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103411086","display_name":"Manivannan Pathy","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801117755","display_name":"Cardiff Royal Infirmary","ror":"https://ror.org/04742vj55","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1299209451","https://openalex.org/I2801117755","https://openalex.org/I4210144625"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"M. S. J. PATHY","raw_affiliation_strings":["University Department of Geriatric Medicine, Cardiff Royal Infirmary Newport Road, Cardiff CF2 1SZ"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Department of Geriatric Medicine, Cardiff Royal Infirmary Newport Road, Cardiff CF2 1SZ","institution_ids":["https://openalex.org/I2801117755"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5110062396","display_name":"J. S. Chadha","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J. S. CHADHA","raw_affiliation_strings":["St Tydfll's Hospital Merthyr Tydfil, Mid Glam. CF47 OSJ"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"St Tydfll's Hospital Merthyr Tydfil, Mid Glam. CF47 OSJ","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5046992877"],"corresponding_institution_ids":["https://openalex.org/I2801117755"],"apc_list":{"value":2805,"currency":"GBP","value_usd":3699},"apc_paid":null,"fwci":1.4484,"has_fulltext":false,"cited_by_count":22,"citation_normalized_percentile":{"value":0.81158539,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":94},"biblio":{"volume":"16","issue":"4","first_page":"239","last_page":"243"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10372","display_name":"Cardiac Imaging and Diagnostics","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11638","display_name":"Cardiac tumors and thrombi","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-myocardial-infarction","display_name":"acute myocardial infarction","score":1.0},{"id":"https://openalex.org/keywords/very-elderly-patients","display_name":"very elderly patients","score":0.9120000004768372},{"id":"https://openalex.org/keywords/advanced-old-age","display_name":"advanced old age","score":0.7289999723434448},{"id":"https://openalex.org/keywords/diagnostic-challenges","display_name":"diagnostic challenges","score":0.7630000114440918},{"id":"https://openalex.org/keywords/atypical-presentation","display_name":"atypical presentation","score":0.7609999775886536},{"id":"https://openalex.org/keywords/electrocardiographic-changes","display_name":"electrocardiographic changes","score":0.8579999804496765},{"id":"https://openalex.org/keywords/cardiac-enzymes","display_name":"cardiac enzymes","score":0.9869999885559082},{"id":"https://openalex.org/keywords/in-hospital-mortality","display_name":"in-hospital mortality","score":0.9089999794960022},{"id":"https://openalex.org/keywords/infarct-size","display_name":"infarct size","score":0.7390000224113464},{"id":"https://openalex.org/keywords/heart-failure","display_name":"heart failure","score":0.9340000152587891},{"id":"https://openalex.org/keywords/prognosis","display_name":"prognosis","score":0.41200000047683716},{"id":"https://openalex.org/keywords/index-of-suspicion","display_name":"index of suspicion","score":0.4819999933242798}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9791260361671448},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.7912678122520447},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.6561883091926575},{"id":"https://openalex.org/C2778704086","wikidata":"https://www.wikidata.org/wiki/Q693058","display_name":"Chest pain","level":2,"score":0.49104762077331543},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.4901629388332367},{"id":"https://openalex.org/C2777798775","wikidata":"https://www.wikidata.org/wiki/Q207550","display_name":"Infarction","level":3,"score":0.41660958528518677},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.41459327936172485},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3523297607898712},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3220568895339966},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004562","descriptor_name":"Electrocardiography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009203","descriptor_name":"Myocardial Infarction","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D009203","descriptor_name":"Myocardial Infarction","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D011379","descriptor_name":"Prognosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1093/ageing/16.4.239","doi":"https://doi.org/10.1093/ageing/16.4.239","is_oa":false,"landing_page_url":"https://doi.org/10.1093/ageing/16.4.239","pdf_url":null,"source":{"id":"https://openalex.org/S31768639","display_name":"Age and Ageing","issn_l":"0002-0729","issn":["0002-0729","1468-2834"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Age and Ageing","raw_type":"journal-article"},{"id":"pmid:3630847","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/3630847","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Age and ageing","raw_type":"Journal Article"},{"id":"pmh:oai:CiteSeerX.psu:10.1.1.1032.9833","doi":null,"is_oa":false,"landing_page_url":"http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.1032.9833","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"http://ageing.oxfordjournals.org/content/16/4/239.full.pdf","raw_type":"text"},{"id":"pmh:oai:https://orca.cardiff.ac.uk:50007","doi":null,"is_oa":false,"landing_page_url":"https://orca.cardiff.ac.uk/id/eprint/50007/","pdf_url":null,"source":{"id":"https://openalex.org/S4306401195","display_name":"ORCA Online Research @Cardiff (Cardiff University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I79510175","host_organization_name":"Cardiff University","host_organization_lineage":["https://openalex.org/I79510175"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7100186718","https://openalex.org/W166406981","https://openalex.org/W2938407825","https://openalex.org/W2431346012","https://openalex.org/W2950948255","https://openalex.org/W2364143203","https://openalex.org/W2037174699","https://openalex.org/W2382285780","https://openalex.org/W2352952909","https://openalex.org/W2112274196"],"abstract_inverted_index":{"The":[0,35],"diagnostic":[1,36],"features":[2],"and":[3,22,44,56,70,102,140],"outcome":[4],"of":[5,29,38,99,121,123],"acute":[6],"myocardial":[7,124],"infarction":[8,125],"in":[9,26,50,57,78,93,115,126],"100":[10],"very":[11,53,129],"elderly":[12,31,54,82,130],"(aged":[13,32],"85":[14],"years":[15],"or":[16],"more)":[17],"hospitalized":[18],"patients":[19,55,83,131],"are":[20],"reviewed":[21],"compared":[23],"with":[24],"those":[25],"a":[27,85],"group":[28],"younger":[30,108],"65-84":[33],"years).":[34],"triad":[37],"chest":[39],"pain,":[40],"sequential":[41],"ECG":[42,72],"changes":[43,73],"raised":[45],"cardiac":[46,100],"enzymes":[47],"was":[48,61,113],"present":[49],"only":[51],"24":[52],"27":[58],"the":[59,89,107],"diagnosis":[60],"not":[62,75],"initially":[63],"suspected.":[64],"Presenting":[65],"symptoms":[66],"were":[67],"often":[68],"atypical":[69],"characteristic":[71],"could":[74],"be":[76],"demonstrated":[77],"25":[79],"patients.":[80,109],"Very":[81],"had":[84],"higher":[86,119],"mortality":[87,112],"during":[88],"first":[90],"few":[91],"days":[92],"hospital,":[94],"despite":[95],"no":[96],"greater":[97],"incidence":[98],"failure":[101],"similar":[103,114],"infarct":[104],"size":[105],"to":[106,134],"Subsequent":[110],"in-hospital":[111],"both":[116],"groups.":[117],"A":[118],"index":[120],"suspicion":[122],"acutely":[127],"ill":[128],"should":[132],"lead":[133],"earlier":[135],"diagnosis,":[136],"more":[137],"appropriate":[138],"management":[139],"may":[141],"improve":[142],"immediate":[143],"prognosis.":[144]},"counts_by_year":[{"year":2023,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2013,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
