A cross-sectional descriptive study of elderly patients carried on in Baghdad. Direct interview was performed with all patients together with electrocardiographic examination. Pain in 32.7% of patients was constricting in nature, pricking pain in 28.7% of elderly. The pain was severe in 7% of patients and was mild in 43.6%of patients. Specific ischemic changes in electrocardiogram and type of pain was found significant (P-value 0.018) and severity of pain (Pvalue 0.043) but not significant with location of pain and its radiation (p- value 0.608, 0.248 respectively). Electrocardiogram not necessarily shows relevant findings in all patients. A comprehensive geriatric assessment with high clinical suspicion is required to improve patient care.
