BACKGROUND: Few studies have examined the time between onset of myocardial infarction (MI) symptoms and arrival at hospital (prehospital delay time) and symptoms in men vs. women. AIMS: To describe prehospital delay time and symptoms in men vs. women with MI and to analyse trends over time and according to age. METHODS: The Northern Sweden MONICA myocardial infarction registry, 1989-2003, included 5,072 men and 1,470 women with a confirmed MI. RESULTS: Typical pain was present in 86% of the men and 81% of the women. The proportion with typical symptoms decreased over time for men and increased for women. Typical symptoms were more common among younger persons than older persons. Insufficiently reported symptoms was unchanged in men over time and decreased among women. Up to the age of 65, no gender differences were seen in the prehospital delay. In the oldest age group (65-74 years) time to hospital was longer than among the younger groups, especially among women. CONCLUSION: There were no major gender differences in prehospital delay or type of symptoms. However, over time the proportion with typical symptoms decreased in men and increased in women. Older patients had longer prehospital delay and less typical symptoms.
BACKGROUND: Few studies have examined the time between onset of myocardial infarction (MI) symptoms and arrival at hospital (prehospital delay time) and symptoms in men vs. women. AIMS: To describe prehospital delay time and symptoms in men vs. women with MI and to analyse trends over time and according to age. METHODS: The Northern Sweden MONICA myocardial infarction registry, 1989-2003, included 5,072 men and 1,470 women with a confirmed MI. RESULTS: Typical pain was present in 86% of the men and 81% of the women. The proportion with typical symptoms decreased over time for men and increased for women. Typical symptoms were more common among younger persons than older persons. Insufficiently reported symptoms was unchanged in men over time and decreased among women. Up to the age of 65, no gender differences were seen in the prehospital delay. In the oldest age group (65-74 years) time to hospital was longer than among the younger groups, especially among women. CONCLUSION: There were no major gender differences in prehospital delay or type of symptoms. However, over time the proportion with typical symptoms decreased in men and increased in women. Older patients had longer prehospital delay and less typical symptoms.
Authors: Gregory M Ouellet; Mary Geda; Terrence E Murphy; Sui Tsang; Mary E Tinetti; Sarwat I Chaudhry Journal: J Am Geriatr Soc Date: 2017-10-18 Impact factor: 5.562
Authors: Hoa L Nguyen; Joel M Gore; Jane S Saczynski; Jorge Yarzebski; George Reed; Frederick A Spencer; Robert J Goldberg Journal: Circ Cardiovasc Qual Outcomes Date: 2010-10-19
Authors: Serene I Chen; Yongfei Wang; Rachel Dreyer; Kelly M Strait; Erica S Spatz; Xiao Xu; Kim G Smolderen; Nihar R Desai; Nancy P Lorenze; Judith H Lichtman; John A Spertus; Gail D'Onofrio; Héctor Bueno; Frederick A Masoudi; Harlan M Krumholz Journal: Am J Cardiol Date: 2015-10-09 Impact factor: 2.778
Authors: Sharon McKinley; Kathleen Dracup; Debra K Moser; Barbara Riegel; Lynn V Doering; Hendrika Meischke; Leanne M Aitken; Tom Buckley; Andrea Marshall; Michele Pelter Journal: Int J Nurs Stud Date: 2009-02-24 Impact factor: 5.837