TY - JOUR
T1 - Age and sex differences in presentation of symptoms among patients with acute coronary disease
T2 - The REACT trial
AU - Goldberg, Robert
AU - Goff, David
AU - Cooper, Lawton
AU - Luepker, Russell
AU - Zapka, Jane
AU - Bittner, Vera
AU - Osganian, Stavroula
AU - Lessard, Darleen
AU - Cornell, Carol
AU - Meshack, Angela
AU - Mann, Clay
AU - Gilliland, Janice
AU - Feldman, Henry
PY - 2000/7/13
Y1 - 2000/7/13
N2 - Background: There are few data on possible age and sex differences in presentation of symptoms for patients with acute coronary disease. Objective: To investigate demographic differences in presentation of symptoms at the time of hospital presentation for acute myocardial infarction (AMI) and unstable angina. Methods: The medical records of patients who presented with chest pain and who also had diagnoses of AMI (n = 889) or unstable angina (n = 893) on discharge from 43 hospitals were reviewed as part of data collection activities of the Rapid Early Action for Coronary Treatment trial based in 10 pair-matched communities throughout the USA. Results: Dyspnea (49%), arm pain (48%), sweating (35%), and nausea (33%) were commonly reported by men and women of all ages in addition to the presenting complaint of chest pain. After we had controlled for various characteristics through regression modeling, older persons with AMI were significantly less likely than were younger persons to complain of arm pain and sweating, and men were significantly less likely to report vomiting than were women. Among persons with unstable angina, arm pain and sweating were reported significantly less often by elderly patients. Nausea and back, neck, and jaw pain were more common complaints of women. Conclusions: Results of this study suggest that there are differences between symptoms at presentation of men and women, and those in various age groups, hospitalized with acute coronary disease. Clinicians should be aware of these differences when diagnosing and managing patients suspected to have coronary heart disease. (C) 2000 Lippincott Williams and Wilkins.
AB - Background: There are few data on possible age and sex differences in presentation of symptoms for patients with acute coronary disease. Objective: To investigate demographic differences in presentation of symptoms at the time of hospital presentation for acute myocardial infarction (AMI) and unstable angina. Methods: The medical records of patients who presented with chest pain and who also had diagnoses of AMI (n = 889) or unstable angina (n = 893) on discharge from 43 hospitals were reviewed as part of data collection activities of the Rapid Early Action for Coronary Treatment trial based in 10 pair-matched communities throughout the USA. Results: Dyspnea (49%), arm pain (48%), sweating (35%), and nausea (33%) were commonly reported by men and women of all ages in addition to the presenting complaint of chest pain. After we had controlled for various characteristics through regression modeling, older persons with AMI were significantly less likely than were younger persons to complain of arm pain and sweating, and men were significantly less likely to report vomiting than were women. Among persons with unstable angina, arm pain and sweating were reported significantly less often by elderly patients. Nausea and back, neck, and jaw pain were more common complaints of women. Conclusions: Results of this study suggest that there are differences between symptoms at presentation of men and women, and those in various age groups, hospitalized with acute coronary disease. Clinicians should be aware of these differences when diagnosing and managing patients suspected to have coronary heart disease. (C) 2000 Lippincott Williams and Wilkins.
KW - Acute coronary disease
KW - Age
KW - Sex
KW - Symptoms
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U2 - 10.1097/00019501-200007000-00004
DO - 10.1097/00019501-200007000-00004
M3 - Article
C2 - 10895406
AN - SCOPUS:0033931320
SN - 0954-6928
VL - 11
SP - 399
EP - 407
JO - Coronary Artery Disease
JF - Coronary Artery Disease
IS - 5
ER -