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Clinical Manifestation of Acute Myocardial Infarction: Classified by Age and Gender
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Behzad Taghipour   , Erika Sivarajan Froelicher , AmirHossein Goudarzian , Yiong Huak Chan , Hamid Sharif Nia * , Ameneh Yaghoobzadeh , Ali Akbar Haghdoost |
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Abstract: (3696 Views) |
Background: The purpose of the study was to evaluate clinical manifestations of acute myocardial infarction as classified by age andgender. Methods: This cross sectional study was conducted in a coronary care unit of a regional urban medical center in northern Iran (Amol). Atotalof 366patientsdiagnosedwithacutemyocardialinfarctionwererecruitedfromJanuarytoJune2013. Patientdemographicinformation,pastmedicalhistory,andcurrentsymptomdatawerecollected. Results:Multivariatelogisticanalyseswereperformedtoidentifyriskpredictorsofmyocardialinfarctionpatientsclassifiedbyage andgender.Riskpredictorsforolderpatientsweredyspnea,OR=1.76(95% CI1.01,3.06),weaknessoddsratio=2.35(95% CI1.31,4.21), nausea odds ratio = 1.83 (95% CI 1.04, 3.20), vomiting odds ratio = 2.48 (95% CI 1.34, 4.57), fatigue odds ratio=1.87 (95% CI 1.02, 3.39), belching, odds ratio = 2.13 (95% CI 1.08, 4.20), and hiccups odds ratio = 2.81 (95% CI 1.25, 6.30). Sub group analysis in older women patientsidentifiedweaknessoddsratio=3.13(95% CI1.11,8.85),andbelchingoddsratio=34.70(95% CI3.86,312.2)asriskpredictors. Amongoldermenpatients,thepredominantsymptomsweresweatingoddsratio=3.74(95% CI1.06,13.2)andvomitingoddsratio =2.54(95% CI1.10,5.91). Conclusions:Thisstudyconcludesthatolderacutemyocardialinfractionpatientsweremorelikelytohavenon-specificsymptoms. Initial assessment for acute myocardial infarction should consider the possibility of non-specific clinical manifestations, such as weaknessandbelchinginolderwomen,andsweatingandvomitinginoldermen.
Keywords: MyocardialInfarction,Age,Gender,SignsandSymptoms |
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Full-Text [PDF 162 kb]
(3777 Downloads)
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Type of Study: Research |
Subject:
General
Received: 2019/06/23 | Accepted: 2019/06/23 | Published: 2019/06/23
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