Risk factors associated with early symptoms of acute coronary syndrome in the elderly

AUTHORS

reza norouzadeh , *

How to Cite: norouzadeh R. Risk factors associated with early symptoms of acute coronary syndrome in the elderly, Med Surg Nurs J. 2012 ; 1(1):e87460.

ARTICLE INFORMATION

Medical - Surgical Nursing Journal: 1 (1); e87460
Published Online: July 25, 2012
Article Type: Abstract
Received: December 12, 2018
Accepted: January 31, 2012

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Abstract

Introduction & Objective : Acute coronary syndrome is health threatening and a major cause of mortality in elderly. Recognizing factors associated with symptoms of acute coronary syndrome are important in reduction of consequences of delayed diagnosis of symptoms. This study proposes to examine factors associated with early symptoms among elder with ACS. Material & Methods: This is a cross sectional study. The early symptoms of 446 patients with diagnosis of ACS were assessed eight hospitals at Tehran-Iran (2006). Symptoms categorized as typical and atypical symptoms. Correlation between demographic and risk factors with age group and early symptoms were assessed using the chi-square test. Multivariate logistic regression analyses were conducted to determine factors related to early symptoms acute coronary syndrome. Results: Elder (&ge65yr) and younger (&le65) have a statistically significant difference in chest symptoms, arm pain, jaw or neck pain and dyspnea (P<0.001). Palpitation was the most common reported symptom in patients over 65 years (38.19%) and less than 65 years (37.08%). Multivariate logistic regression showed that elder patients with a history of hypertension (P=0.002, OR=0.43), smoking (P= 0.019, OR=0.51), and obesity (P=0.011, OR=0.69) have less chance to experience the early symptoms compared to younger patients, respectively. Conclusion: Obesity, hypertension and smoking are risk factors which lower the initial symptoms of acute coronary syndrome in the elderly.Nurses and physicians should be careful attention in history taking of elderly suspected to acute coronary syndrome.

Keywords

Acute coronary syndrome early symptoms typical symptoms atypical symptoms

© 2012, Medical - Surgical Nursing Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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