总结本院36例老年人急性心肌梗塞,复习国内近年报道786例,共分析822例。初发症状有胸痛者512例(62.2％);无胸痛者310例(37.8％)。无胸痛者以胸闷气短(29.6％),心功能不全(19.4％)多见。梗塞以心肌前壁(包括前侧壁、前间壁)最多(52.9％),其次为下壁(32.9％)。并发症以心律失常(55.5％),心力衰竭(53.8％),休克(26.8％)多见。伴发病中以高血压多见(57.6％),病死率为32.6％,依次为心律失常、休克和心衰。讨论了有关问题。 Summary of 36 cases of acute myocardial infarction in our hospital, review of 786 cases reported in recent years, a total of 822 cases were analyzed. Initial symptoms were 512 cases of chest pain (62.2%); 310 cases without chest pain (37.8%). Chest painless patients with shortness of breath (29.6%), cardiac insufficiency (19.4%) more common. The anterior myocardial infarction (including the anterior wall, anterior wall) was the most (52.9%) in infarction, followed by the inferior wall (32.9%). Complications of arrhythmia (55.5%), heart failure (53.8%), shock (26.8%) more common. Accompanied with hypertension more common (57.6%), mortality was 32.6%, followed by arrhythmia, shock and heart failure. Discussed the issue.