Citation

Mone P, Pansini A. Am. J. Med. Sci. 2020; ePub(ePub): ePub.

Affiliation

Assistenza Anziani, ASL Avellino, Avellino, Italy.

Copyright

(Copyright © 2020, Lippincott Williams and Wilkins)

DOI

10.1016/j.amjms.2020.03.021

PMID

32409104

Abstract

Women with acute myocardial infarction (AMI) have poorer clinical outcomes than men. Elderly women present high risk of developing frailty and frail women with AMI have a higher prevalence of functional impairments than men on presentation, including physical and cognitive impairment. The Mini-Mental State Examination is a simple test that evaluates global cognitive functions. Gait speed test is a fast, inexpensive, easy measure of physical capacity with documented predictive value for major clinical outcomes. Cognitive and physical decline are very common in frail women, and their prevalence increases with age. On the basis of existing literature, we may speculate that frail women with AMI should be studied with 5-m gait speed test and Mini-Mental State Examination before hospital discharge, for a better evaluation of physical status and global cognitive function.

Copyright © 2020 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.

Language: en

Keywords

Acute myocardial infarction; Cognitive decline; Frailty; Gait speed test