Symptoms and delay times during myocardial infarction in 694 patients with and without diabetes; an explorative cross-sectional study
Background: In myocardial infarction (MI) a short pre-hospital delay, prompt diagnosis and timely reperfusion treatment can improve the prognosis. Despite the importance of timely care seeking, many patients with MI symptoms delay seeking medical care. Previous research is inconclusive about differe...
Published in: | BMC Cardiovascular Disorders |
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Linköpings universitet, Avdelningen för omvårdnad
2016
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Online Access: | http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-130841 https://doi.org/10.1186/s12872-016-0282-7 |
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ftlinkoepinguniv:oai:DiVA.org:liu-130841 2023-05-15T17:45:01+02:00 Symptoms and delay times during myocardial infarction in 694 patients with and without diabetes; an explorative cross-sectional study Hellström Angerud, Karin Thylén, Ingela Lawesson, Sofia Eliasson, Mats Näslund, Ulf Brulin, Christine 2016 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-130841 https://doi.org/10.1186/s12872-016-0282-7 eng eng Linköpings universitet, Avdelningen för omvårdnad Linköpings universitet, Medicinska fakulteten Region Östergötland, Kardiologiska kliniken US Linköpings universitet, Avdelningen för kardiovaskulär medicin Umeå University, Sweden BIOMED CENTRAL LTD BMC Cardiovascular Disorders, 1471-2261, 2016, 16:108, http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-130841 doi:10.1186/s12872-016-0282-7 PMID 27386934 ISI:000380228500001 info:eu-repo/semantics/openAccess Myocardial infarction Diabetes mellitus Symptoms Patient delay Cardiac and Cardiovascular Systems Kardiologi Article in journal info:eu-repo/semantics/article text 2016 ftlinkoepinguniv https://doi.org/10.1186/s12872-016-0282-7 2022-05-01T08:12:50Z Background: In myocardial infarction (MI) a short pre-hospital delay, prompt diagnosis and timely reperfusion treatment can improve the prognosis. Despite the importance of timely care seeking, many patients with MI symptoms delay seeking medical care. Previous research is inconclusive about differences in symptom presentation and pre-hospital delay between patients with and without diabetes during MI. The aim of this study was to describe symptoms and patient delay during MI in patients with and without diabetes. Methods: Swedish cross-sectional multicentre survey study enrolling MI patients in 5 centres within 24 h from admittance. Results: Chest pain was common in patients both with and without diabetes and did not differ after adjustment for age and sex. Patients with diabetes had higher risk for shoulder pain/discomfort, shortness of breath, and tiredness, but lower risk for cold sweat. The three most common symptoms reported by patients with diabetes were chest pain, pain in arms/hands and tiredness. In patients without diabetes the most common symptoms were chest pain, cold sweat and pain in arms/hands. Median patient delay time was 2 h, 24 min for patients with diabetes and 1 h, 15 min for patients without diabetes (p = 0.024). Conclusion: Chest pain was common both in patients with and without diabetes. There were more similarities than differences in MI symptoms between patients with and without diabetes but patients with diabetes had considerably longer delay. This knowledge is important not only for health care personnel meeting patients with suspected MI, but also for the education of people with diabetes. Funding Agencies|Swedish Heart and Lung Foundation; Swedish Diabetes Foundation; County Councils of Vasterbotten; Heart Foundation of Northern Sweden Article in Journal/Newspaper Northern Sweden LIU - Linköping University: Publications (DiVA) BMC Cardiovascular Disorders 16 1 |
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LIU - Linköping University: Publications (DiVA) |
op_collection_id |
ftlinkoepinguniv |
language |
English |
topic |
Myocardial infarction Diabetes mellitus Symptoms Patient delay Cardiac and Cardiovascular Systems Kardiologi |
spellingShingle |
Myocardial infarction Diabetes mellitus Symptoms Patient delay Cardiac and Cardiovascular Systems Kardiologi Hellström Angerud, Karin Thylén, Ingela Lawesson, Sofia Eliasson, Mats Näslund, Ulf Brulin, Christine Symptoms and delay times during myocardial infarction in 694 patients with and without diabetes; an explorative cross-sectional study |
topic_facet |
Myocardial infarction Diabetes mellitus Symptoms Patient delay Cardiac and Cardiovascular Systems Kardiologi |
description |
Background: In myocardial infarction (MI) a short pre-hospital delay, prompt diagnosis and timely reperfusion treatment can improve the prognosis. Despite the importance of timely care seeking, many patients with MI symptoms delay seeking medical care. Previous research is inconclusive about differences in symptom presentation and pre-hospital delay between patients with and without diabetes during MI. The aim of this study was to describe symptoms and patient delay during MI in patients with and without diabetes. Methods: Swedish cross-sectional multicentre survey study enrolling MI patients in 5 centres within 24 h from admittance. Results: Chest pain was common in patients both with and without diabetes and did not differ after adjustment for age and sex. Patients with diabetes had higher risk for shoulder pain/discomfort, shortness of breath, and tiredness, but lower risk for cold sweat. The three most common symptoms reported by patients with diabetes were chest pain, pain in arms/hands and tiredness. In patients without diabetes the most common symptoms were chest pain, cold sweat and pain in arms/hands. Median patient delay time was 2 h, 24 min for patients with diabetes and 1 h, 15 min for patients without diabetes (p = 0.024). Conclusion: Chest pain was common both in patients with and without diabetes. There were more similarities than differences in MI symptoms between patients with and without diabetes but patients with diabetes had considerably longer delay. This knowledge is important not only for health care personnel meeting patients with suspected MI, but also for the education of people with diabetes. Funding Agencies|Swedish Heart and Lung Foundation; Swedish Diabetes Foundation; County Councils of Vasterbotten; Heart Foundation of Northern Sweden |
format |
Article in Journal/Newspaper |
author |
Hellström Angerud, Karin Thylén, Ingela Lawesson, Sofia Eliasson, Mats Näslund, Ulf Brulin, Christine |
author_facet |
Hellström Angerud, Karin Thylén, Ingela Lawesson, Sofia Eliasson, Mats Näslund, Ulf Brulin, Christine |
author_sort |
Hellström Angerud, Karin |
title |
Symptoms and delay times during myocardial infarction in 694 patients with and without diabetes; an explorative cross-sectional study |
title_short |
Symptoms and delay times during myocardial infarction in 694 patients with and without diabetes; an explorative cross-sectional study |
title_full |
Symptoms and delay times during myocardial infarction in 694 patients with and without diabetes; an explorative cross-sectional study |
title_fullStr |
Symptoms and delay times during myocardial infarction in 694 patients with and without diabetes; an explorative cross-sectional study |
title_full_unstemmed |
Symptoms and delay times during myocardial infarction in 694 patients with and without diabetes; an explorative cross-sectional study |
title_sort |
symptoms and delay times during myocardial infarction in 694 patients with and without diabetes; an explorative cross-sectional study |
publisher |
Linköpings universitet, Avdelningen för omvårdnad |
publishDate |
2016 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-130841 https://doi.org/10.1186/s12872-016-0282-7 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
BMC Cardiovascular Disorders, 1471-2261, 2016, 16:108, http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-130841 doi:10.1186/s12872-016-0282-7 PMID 27386934 ISI:000380228500001 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1186/s12872-016-0282-7 |
container_title |
BMC Cardiovascular Disorders |
container_volume |
16 |
container_issue |
1 |
_version_ |
1766147721967697920 |