缺血性心脏病(卞称本病)是冠心病的同义词,60周岁以上老年患者,在流行病学、诊断和治疗等方面均具特殊性,应予以特别关注。一、流行病学。本病是当前发达国家中最常见的心血管病,也是主要死亡原因之一。我国本病的患病率和死亡率也在逐年上升,老人更显,如35岁以上人群患病率为3～5％,而石家庄地区老年人群为11.19～18.58％;1949年,心血管病仅占北京地区死亡原因的6.83％,70年代升达50％。由于治疗的进展和冠心病监护室(ccu)的建立,发达国家本病病死率已显著 Ischemic heart disease (Bian said the disease) is a synonym for coronary heart disease, elderly patients over 60 years of age, in the epidemiology, diagnosis and treatment are particularities, should pay special attention. First, epidemiology. The disease is the most common cardiovascular disease in the developed countries, but also one of the major causes of death. The morbidity and mortality of this disease in our country are also rising year by year, the elderly are even more obvious. For example, the prevalence rate of the people above 35 years old is 3-5%, while the elderly population in Shijiazhuang is 11.19-18.88%. In 1949, Accounting for only 6. 83% of the causes of death in Beijing and 50% in the 1970s. Due to the progress of treatment and the establishment of coronary care unit (ccu), the mortality rate in developed countries has been significantly