Stable angina pectoris in the elderly

Stable angina pectoris in the elderly is a common clinical angina pectoris. It mainly produces myocardial ischemia due to the non compensatory increase of coronary blood flow during physical activity to meet the needs of myocardium. Paroxysmal chest pain was the main clinical manifestation. It usually happens suddenly, lasting for a few minutes to more than ten minutes, and it eases quickly after rest. The location and nature of angina pectoris in the elderly are not typical because of dull pain, labor or emotional excitement. Some patients may have no chest pain, but left or right arm pain, accompanied by numbness of fingers, or gastrointestinal symptoms such as shoulder or scapular pain, or epigastric pain. Sometimes they only show dyspnea, weakness or fatigue without chest pain.