Critical Care Nursing

fa Clinical Manifestation of Acute Myocardial Infarction: Classiﬁed by Age and Gender عمومى General پژوهشي Research 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.<br> Keywords: MyocardialInfarction,Age,Gender,SignsandSymptoms 1 9 http://jccnursing.com/browse.php?a_code=A-10-1-7&slc_lang=fa&sid=1 Behzad Taghipour 10031947532846001759 10031947532846001759 No Erika Sivarajan Froelicher 10031947532846001760 10031947532846001760 No AmirHossein Goudarzian 10031947532846001761 10031947532846001761 No Yiong Huak Chan 10031947532846001762 10031947532846001762 No Hamid Sharif Nia 10031947532846001763 10031947532846001763 Yes Ameneh Yaghoobzadeh 10031947532846001764 10031947532846001764 No Ali Akbar Haghdoost 10031947532846001765 10031947532846001765 No