Key result
Women with acute coronary syndrome were more likely to present with atypical symptoms such as nausea and be diagnosed with non-ST-segment elevation myocardial infarction compared to men.
Why the study?
The study was conducted to determine gender differences in symptoms, treatment, and behaviors among individuals presenting with ACS.
Cross-Sectional (n=366)
No
Women with acute coronary syndrome present with more atypical symptoms and non-STEMI diagnoses than men, highlighting the need for gender-sensitive clinical evaluation to prevent delayed diagnosis and treatment.
Answers are grounded in this paper and cite their sources.
May warrant sex-specific symptom vigilance in ACS evaluation; extends observational sex differences but leaves clinical impact open.
Objective: This study was conducted to determine gender differences in symptoms, treatment, and behaviors in individuals presenting with acute coronary syndrome (ACS). Methods:The research was conducted as a comparative, cross-sectional study.The study was completed in 18 months with 366 conscious/orientated patients who were hospitalized in the cardiology intensive care unit of a university hospital, which is a regional hospital in a city, with the diagnosis of ACS and volunteered for the study.The data were collected with the questionnaire questions prepared when the condition of the patients was stable 24 hours after their admission to the intensive care unit.In the data analysis, the conformity of the data to the normal distribution was examined by applying the Shapiro-Wilk test, and number, percentage, chi-square, parametric and nonparametric tests was used.Results: In the study, it was determined that women had more comorbidities, showed asymptomatic symptoms, and were admitted to the hospital with the diagnosis of non-segment elevation myocardial infarction, while percutaneous intervention and angiography were more common treatment methods in men.It was determined that the diagnosis and some symptoms of women at hospital admission were different from those of men, and this difference was statistically significant.In addition, it was found that vital signs showed similar changes in both genders, the duration of admission to the hospital (30 minutes), transportation with their own vehicles at admission, and they did not consult anyone for symptoms.Their behaviors were similar, and there was no statistical significance. Conclusion:According to this study, it may be recommended that health professionals be sensitive to gender-specific differences in terms of ACS and provide an approach by considering these in treatment and care.
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Özlem Ceyhan (2023) conducted a cross-sectional in Acute Coronary Syndrome (n=366). Female sex vs. Male sex was evaluated on Presentation with atypical symptoms (e.g., nausea) (p=<0.001). Women with acute coronary syndrome were more likely to present with atypical symptoms such as nausea and be diagnosed with non-ST-segment elevation myocardial infarction compared to men.
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