Journal of Isfahan Medical School

Journal of Isfahan Medical School

The Relation between Clinical Presentation of Acute Myocardial Infarction and Gender in Patients Admitted to Educating Hospitals in Isfahan City, Iran

Document Type : Original Article (s)

Authors
Hamid Sanei 1
Elaheh Sanei 2
Azadeh Rahnama 2
Ali Kamal 2
1 Associate Professor, Department of Cardiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
10.22122/jims.v38i571.12985
Abstract
Background: Acute myocardial infarction is one of the most common causes of mortality, which is associated with various clinical manifestations, and in some cases leads to lack of timely identification. Therefore, the aim of this study was to determine the relationship between the clinical features of acute myocardial infarction and gender in patients admitted to educational hospitals in Isfahan City, Iran.Methods: This study was performed on 500 patients with acute myocardial infarction (142 women and 358 men). After obtaining patients' satisfaction and recording demographic data, clinical symptoms and complaints were recorded. Chi-square and t tests were used to compare the data.Findings: The age of heart attacks was lower in women than in men (P < 0.001). Smoking (P < 0.001) and addiction (P < 0.001) in men were more than women, while underlying diseases as risk factor for myocardial infarction were significantly higher in women (P < 0.001). At the time of myocardial infarction, there was no difference in incidence of chest pain as the key diagnostic manifestation of myocardial infarction between two sexes, but the nonspecific symptoms were higher in women than in men (P < 0.001).Conclusion: It seems that nonspecific symptoms, especially among women, should be taken seriously, and timely diagnostic and therapeutic measures should be performed for them.
Keywords
Infarction
Gender
Signs
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Journal of Isfahan Medical School
Volume 38, Issue 571 - Serial Number 571
March and April 2020
Pages 237-244

  • Receive Date 26 April 2020
  • Accept Date 06 April 2022