B. Taghipour, E. Froelicher, A. Goudarzian, Y. Chan, H. Nia, Ameneh Yaghoobzadeh, A. Haghdoost
{"title":"急性心肌梗死的临床表现:按年龄和性别分类","authors":"B. Taghipour, E. Froelicher, A. Goudarzian, Y. Chan, H. Nia, Ameneh Yaghoobzadeh, A. Haghdoost","doi":"10.5812/ccn.68676","DOIUrl":null,"url":null,"abstract":"Background: The purpose of the study was to evaluate clinical manifestations of acute myocardial infarction as classified by age and gender. Methods: This cross sectional study was conducted in a coronary care unit of a regional urban medical center in northern Iran (Amol). A total of 366 patients diagnosed with acute myocardial infarction were recruited from January to June 2013. Patient demographic information, past medical history, and current symptom data were collected. Results: Multivariatelogisticanalyseswereperformedtoidentifyriskpredictorsof myocardialinfarctionpatientsclassifiedbyage 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 patients identified weakness odds ratio = 3.13 (95% CI 1.11, 8.85), and belching odds ratio = 34.70 (95% CI 3.86, 312.2) as risk predictors. Among older men patients, the predominant symptoms were sweating odds ratio = 3.74 (95% CI 1.06, 13.2) and vomiting odds ratio = 2.54 (95% CI 1.10, 5.91). Conclusions: Thisstudyconcludesthatolderacutemyocardialinfractionpatientsweremorelikelytohavenon-specificsymptoms. Initial assessment for acute myocardial infarction should consider the possibility of non-specific clinical manifestations, such as weakness and belching in older women, and sweating and vomiting in older men. with statistical significance set at P < 0.05. Differences between the 2 age-groups on demographical and clinical details were assessed using Chi-square tests with odds ratios (95% Confidence Interval) presented. A logistic regression was performed on the clinical symptoms and pain sites comparing the age groups adjusting for demographics and type of myocardial infraction.","PeriodicalId":91413,"journal":{"name":"The Canadian journal of critical care nursing","volume":"4 1","pages":"1-9"},"PeriodicalIF":0.0000,"publicationDate":"2018-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":"{\"title\":\"Clinical Manifestation of Acute Myocardial Infarction: Classified by Age and Gender\",\"authors\":\"B. Taghipour, E. Froelicher, A. Goudarzian, Y. Chan, H. Nia, Ameneh Yaghoobzadeh, A. Haghdoost\",\"doi\":\"10.5812/ccn.68676\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: The purpose of the study was to evaluate clinical manifestations of acute myocardial infarction as classified by age and gender. Methods: This cross sectional study was conducted in a coronary care unit of a regional urban medical center in northern Iran (Amol). A total of 366 patients diagnosed with acute myocardial infarction were recruited from January to June 2013. Patient demographic information, past medical history, and current symptom data were collected. Results: Multivariatelogisticanalyseswereperformedtoidentifyriskpredictorsof myocardialinfarctionpatientsclassifiedbyage 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 patients identified weakness odds ratio = 3.13 (95% CI 1.11, 8.85), and belching odds ratio = 34.70 (95% CI 3.86, 312.2) as risk predictors. Among older men patients, the predominant symptoms were sweating odds ratio = 3.74 (95% CI 1.06, 13.2) and vomiting odds ratio = 2.54 (95% CI 1.10, 5.91). Conclusions: Thisstudyconcludesthatolderacutemyocardialinfractionpatientsweremorelikelytohavenon-specificsymptoms. Initial assessment for acute myocardial infarction should consider the possibility of non-specific clinical manifestations, such as weakness and belching in older women, and sweating and vomiting in older men. with statistical significance set at P < 0.05. Differences between the 2 age-groups on demographical and clinical details were assessed using Chi-square tests with odds ratios (95% Confidence Interval) presented. A logistic regression was performed on the clinical symptoms and pain sites comparing the age groups adjusting for demographics and type of myocardial infraction.\",\"PeriodicalId\":91413,\"journal\":{\"name\":\"The Canadian journal of critical care nursing\",\"volume\":\"4 1\",\"pages\":\"1-9\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2018-07-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Canadian journal of critical care nursing\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5812/ccn.68676\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Canadian journal of critical care nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5812/ccn.68676","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 3
摘要
背景:本研究的目的是评价急性心肌梗死的临床表现，并根据年龄和性别进行分类。方法:这项横断面研究是在伊朗北部地区城市医疗中心(Amol)的冠状动脉护理单位进行的。2013年1月至6月共招募366例诊断为急性心肌梗死的患者。收集患者人口统计信息、既往病史和当前症状数据。结果:对心肌梗死患者按年龄和性别分类的风险预测因素进行了多变量logistic分析。老年患者的风险预测指标为:呼吸困难，OR=1.76(95% CI1.01,3.06)，虚弱比=2.35(95% CI1.31,4.21)，恶心优势比= 1.83 (95% CI 1.04, 3.20)，呕吐优势比= 2.48 (95% CI 1.34, 4.57)，疲劳优势比=1.87 (95% CI 1.02, 3.39)，打嗝，优势比= 2.13 (95% CI 1.08, 4.20)，打嗝优势比= 2.81 (95% CI 1.25, 6.30)。老年女性患者的亚组分析发现虚弱的优势比= 3.13 (95% CI 1.11, 8.85)，打嗝的优势比= 34.70 (95% CI 3.86, 312.2)是风险预测因素。在老年男性患者中，主要症状为出汗优势比= 3.74 (95% CI 1.06, 13.2)和呕吐优势比= 2.54 (95% CI 1.10, 5.91)。结论:Thisstudyconcludesthatolderacutemyocardialinfractionpatientsweremorelikelytohavenon-specificsymptoms。对急性心肌梗死的初步评估应考虑非特异性临床表现的可能性，如老年女性虚弱和打嗝，老年男性出汗和呕吐。差异均有统计学意义，P < 0.05。采用卡方检验评估两个年龄组在人口学和临床细节上的差异，并给出比值比(95%置信区间)。对临床症状和疼痛部位进行逻辑回归，比较各组调整人口统计学和心肌梗死类型。
Clinical Manifestation of Acute Myocardial Infarction: Classified by Age and Gender
Background: The purpose of the study was to evaluate clinical manifestations of acute myocardial infarction as classified by age and gender. Methods: This cross sectional study was conducted in a coronary care unit of a regional urban medical center in northern Iran (Amol). A total of 366 patients diagnosed with acute myocardial infarction were recruited from January to June 2013. Patient demographic information, past medical history, and current symptom data were collected. Results: Multivariatelogisticanalyseswereperformedtoidentifyriskpredictorsof myocardialinfarctionpatientsclassifiedbyage 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 patients identified weakness odds ratio = 3.13 (95% CI 1.11, 8.85), and belching odds ratio = 34.70 (95% CI 3.86, 312.2) as risk predictors. Among older men patients, the predominant symptoms were sweating odds ratio = 3.74 (95% CI 1.06, 13.2) and vomiting odds ratio = 2.54 (95% CI 1.10, 5.91). Conclusions: Thisstudyconcludesthatolderacutemyocardialinfractionpatientsweremorelikelytohavenon-specificsymptoms. Initial assessment for acute myocardial infarction should consider the possibility of non-specific clinical manifestations, such as weakness and belching in older women, and sweating and vomiting in older men. with statistical significance set at P < 0.05. Differences between the 2 age-groups on demographical and clinical details were assessed using Chi-square tests with odds ratios (95% Confidence Interval) presented. A logistic regression was performed on the clinical symptoms and pain sites comparing the age groups adjusting for demographics and type of myocardial infraction.
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