Signs Suggestive of Acute Coronary Syndrome: When Is Intercourse Vital?
J Cardiovasc Nurs. 2017 Jul/Aug;32(Four):383-392
Authors: DeVon HA, Burke LA, Vuckovic KM, Haugland T, Eckhardt AL, Patmon F, Rosenfeld AG
BACKGROUND: Research have recognized intercourse variations in signs of acute coronary syndrome (ACS); nevertheless, retrospective designs, abstraction of signs from medical information, and variations in evaluation types make it troublesome to find out the medical significance of intercourse variations.
OBJECTIVE: The goal of this research is to find out the affect of intercourse on the incidence and misery of 13 signs for sufferers presenting to the emergency division for signs suggestive of ACS.
METHODS: A complete of 1064 sufferers admitted to five emergency departments with signs triggering a cardiac analysis have been enrolled. Demographic and medical variables, signs, comorbid situations, and useful standing have been measured.
RESULTS: The pattern was predominantly male (n = 664, 62.Four%), white (n = 739, 69.5%), and married (n = 497, 46.9%). Ladies have been considerably older than males (61.three ± 14.6 vs 59.5 ± 13.6 years). Most sufferers have been discharged with a non-ACS prognosis (n = 590, 55.5%). Ladies with ACS have been much less more likely to report chest ache as their chief criticism and to report extra nausea (odds ratio [OR], 1.56; confidence interval [CI], 1.00-2.42), shoulder ache (OR, 1.76; CI, 1.13-2.73), and higher again ache (OR, 2.92; CI, 1.81-Four.70). Ladies with ACS skilled extra signs (6.1 vs 5.5; P = .026) in contrast with males. Males with out ACS had much less symptom misery in contrast with ladies.
CONCLUSIONS: Ladies and men evaluated for ACS reported comparable charges of chest ache however differed on different traditional signs. These findings recommend that ladies and men ought to be endorsed that ACS shouldn’t be all the time accompanied by chest ache and a number of signs might happen concurrently.
PMID: 27281055 [PubMed – indexed for MEDLINE]