Abstract: ObjectiveTo explore the clinical features of senile coronary heart disease.MethodsClinical data of 367 cases with senile coronary heart disease admitted from January 2001 to December 2004 were reviewed.ResultsOf the 367 cases with senile coronary heart disease, 42 were asymptomatic, 92 were angina pectoris, 56 were myocardial infarction, 66 were arrhythmia, 74 were angina pectoris or myocardial infarction with arrhythmia, 37 were angina pectoris or myocardial infarction with cardiac insufficiency. Of the 79 cases with myocardial infarction, 47 were myocardial infarction with Q wave, 32 were myocardial infarction without Q wave. Of the 140 cases with arrhythmia, many cases were varied arrhythmias, 51 were atrial flutter or atrial fibrillation, 37 were ventricular premature beat, 34 were atrial premature beat, 27 were intraventricular block, 12 were atrioventricular block, 8 were sick sinus syndrome.ConclusionThe clinical features of senile coronary heart disease manifested asymptomatic, atypical angina pectoris, arrhythmias, cardiac insufficiency, varied coronary heart disease, myocardial infarction are myocardial infarction without Q wave, etc.

Key words: coronary heart disease, elder, clinical feature