What is the clinical evidence from this study?

Study design: Observational. Population: Myocardial infarction (n=6542). Intervention: Female sex vs. Male sex. Primary outcome: Typical pain presentation.

What question did this study set out to answer?

To examine the differences in prehospital delay time and symptoms between men and women with myocardial infarction over a 15-year period.

December 4, 2007European Journal of Cardiovascular NursingOpen Access

Time Trends in Symptoms and Prehospital Delay Time in Women vs. Men with Myocardial Infarction Over a 15-Year Period. The Northern Sweden MONICA Study

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Key result

Women with myocardial infarction presented with typical pain in 81% of cases compared to 86% in men, with no major gender differences in prehospital delay up to age 65.

Why the study?

Are there gender differences in prehospital delay time and symptoms among patients presenting with myocardial infarction?

Population

6,542 patients with a confirmed myocardial infarction from the Northern Sweden MONICA myocardial infarction…

Design

Cohort

Authors

RIRose‐Marie IsakssonLinköping University LHLars HolmgrenKarolinska Institutet DLDan LundbladUmeå University

Discussion

Member takes

Implication

Similar MI symptoms and prehospital delay under age 65 should not alter triage; leaves open age-specific factors in older women.

Key Points

To examine the differences in prehospital delay time and symptoms between men and women with myocardial infarction over a 15-year period.
Utilized the Northern Sweden MONICA myocardial infarction registry from 1989 to 2003.
Included 5,072 men and 1,470 women with confirmed myocardial infarction.
Analyzed trends in symptoms and delay time across different age groups.
Typical pain was reported in 86% of men and 81% of women.
The proportion of men with typical symptoms decreased over time, while it increased for women.
No gender differences in prehospital delay were found in individuals under 65, but delays increased for older women.

Study Design

Type

Observational (n=6,542)

Structured PICO

Are there gender differences in prehospital delay time and symptoms among patients presenting with myocardial infarction?

Population

6,542 patients (22.5% female) with a confirmed myocardial infarction included in the Northern Sweden MONICA registry over a 15-year period.

Outcome

Prehospital delay time (time between onset of MI symptoms and arrival at hospital) and presentation of typical symptoms.patient reported

Main Result

Absolute Event Rate: 81% vs 86%

While overall gender differences in MI symptoms and prehospital delay are minimal, older women experience longer delays to hospital presentation.

Cite This Study

Isaksson et al. (2007) conducted an observational in Myocardial infarction (n=6,542). Female sex vs. Male sex was evaluated on Typical pain presentation. Women with myocardial infarction presented with typical pain in 81% of cases compared to 86% in men, with no major gender differences in prehospital delay up to age 65.

synapsesocial.com/papers/6a6f2bc78031ec7bb1dba125 https://doi.org/10.1016/j.ejcnurse.2007.09.001

Topics

Women and heart disease

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Time Trends in Symptoms and Prehospital Delay Time in Women vs. Men with Myocardial Infarction Over a 15-Year Period. The Northern Sweden MONICA Study

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Main Result

Cite This Study

Topics

Time Trends in Symptoms and Prehospital Delay Time in Women vs. Men with Myocardial Infarction Over a 15-Year Period. The Northern Sweden MONICA Study

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Main Result

Cite This Study

Also Consider

Topics

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