SYMPTOM PREDICTORS AND RISK FACTORS IN ACUTE CORONARY SYNDROMES

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NORUZ ZDEH R.; HEYDARI M.; FAGHIHZADEH S.

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Journal: Daneshvar Medicine: Basic and Clinical Research Journal Year:2006 | Volume:13 | Issue:62 Page(s): 57-62

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Title

SYMPTOM PREDICTORS AND RISK FACTORS IN ACUTE CORONARY SYNDROMES

Author(s)

NORUZ ZDEH R. | HEYDARI M. | FAGHIHZADEH S. | Issue Writer Certificate

Keywords

ACUTE CORONARY SYNDROMEQ3

RISK FACTORQ3

SYMPTOM PREDICTORSQ3

Abstract

Objective: Symptoms are important for appropriate triage and beginning of rapid treatment. Classification of patients referred to the emergency departments into high, low or moderate risk group involves accurate recognition of RISK FACTORs and SYMPTOM PREDICTORS.Method and Material: This survey is a descriptive analytic study to determine SYMPTOM PREDICTORS and ACS RISK FACTORs in patients hospitalized in eight selected hospitals in coronary care units (Tehran). 446 patients with unstable angina or acute myocardial infarction were randomly selected.Exclusion criteria were CVA history, joint degenerative disease, trauma, asthma, pulmonary infection and renal failure. Data collecting instruments were a questionnaire consisting of demographic variables, RISK FACTORs, baseline variables, electrocardiography changes, cardiac enzymes and also ACS symptoms checklist.Results: Results showed that menopause and diabetes are the only effective variables on report of typical symptoms. The mostly reported symptom among diabetic patients was diaphoresis and chest symptom was dominant in non-diabetic patients. Chest symptom was also most common in the menopause. Results showed that there was no significant difference between typical symptoms of ACS with sex (p=0.98). Further more, chest symptoms (sub sternum pain, left chest pain with pressure, heaviness, tightness/squeezing sense) were the most common complaints. Typical symptoms were similar in both younger (<65 year old) and older (>65 year old) patients. Syncope (24.4%) and chest symptom (10.3%) were most common in older and younger patients, respectively. Regression analysis showed that we can successfully predict disease by SYMPTOM PREDICTORS.Prediction probability was 45% in younger patients and 27% in older in presence of all typical symptoms.Conclusion: typical symptoms are strong predictors of ACS in younger patients. However, they are not strong predictors of ACS in women, since prediction probability was 64% for men and 27% for women.

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APA: Copy

NORUZ ZDEH, R., HEYDARI, M., & FAGHIHZADEH, S.. (2006). SYMPTOM PREDICTORS AND RISK FACTORS IN ACUTE CORONARY SYNDROMES. DANESHVAR MEDICINE, 13(62), 57-62. SID. https://sid.ir/paper/30961/en

Vancouver: Copy

NORUZ ZDEH R., HEYDARI M., FAGHIHZADEH S.. SYMPTOM PREDICTORS AND RISK FACTORS IN ACUTE CORONARY SYNDROMES. DANESHVAR MEDICINE[Internet]. 2006;13(62):57-62. Available from: https://sid.ir/paper/30961/en

IEEE: Copy

R. NORUZ ZDEH, M. HEYDARI, and S. FAGHIHZADEH, “SYMPTOM PREDICTORS AND RISK FACTORS IN ACUTE CORONARY SYNDROMES,” DANESHVAR MEDICINE, vol. 13, no. 62, pp. 57–62, 2006, [Online]. Available: https://sid.ir/paper/30961/en

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