TY - GEN AU - Halil,M. TI - Elderly patient with delirium after myocardial infarction SN - 00279684 AV - WB115 PY - 2006/// PB - Natl med assoc, KW - Internal Medicine KW - Near East University Article KW - Yakın Doğu Üniversitesi Makale N2 - Delirium is a transient global disorder of cognition. Almost any medical illness or medication can cause delirium. Here, we report a 71-year-old male who presented to the emergency department with c sudden change in mental status, which later resolved. An electrocardiogram was consistent with acute myocardial infarction. The patient later developed symptoms of delirium, and halopericlol was administered. The symptoms did not resolve, and risperidone was initiated instead. The patient subsequently became hypotensive, and treatment was again changed to olanzapine. He returned to full consciousness with olanzapine treatment. When the potential hypotensive effects of haloperidol and risperidone ore taken into consideration, in patients with high cardiac risk, olanzapine may provide a better option for the treatment of delirium ER -