Chest pain symptoms differences between diabetes mellitus and non-diabetes mellitus patients with acute coronary syndrome: A pilot study
Chest pain is considered one of the crucial indicators in detecting acute coronary syndrome (ACS), and one of the most common complaints frequently found in hospitals. Atypical characteristics of chest pain have prevented patients from being aware of ACS. Chest pain symptoms have become ambiguous, p...
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Published in | Journal of public health research Vol. 10; no. 2; p. jphr.2021.2186 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
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Italy
PAGEPress Publications, Pavia, Italy
14.04.2021
SAGE Publishing |
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Abstract | Chest pain is considered one of the crucial indicators in detecting acute coronary syndrome (ACS), and one of the most common complaints frequently found in hospitals. Atypical characteristics of chest pain have prevented patients from being aware of ACS. Chest pain symptoms have become ambiguous, particularly for specific parameters, such as gender, diabetes mellitus (DM), or other clinical conditions. Therefore, it is critical for high-risk patients to have adequate knowledge of specific symptoms of ACS, which is frequently associated with late treatment or prehospital delay. Therefore, this study aims to identify the particular characteristics of chest pain symptoms in DM and non-DM patients with ACS.
This is a quantitative and non-experimental research, with the cross-sectional approach used to carry out the analytical observation at a general hospital from January-April 2019. Data were obtained from a total sample of 61 patients, comprising 33 ACS with DM and 28 ACS non-DM patients.
The result showed that the characteristic of patients with chest pain symptoms has a significant relation to DM and ACS. Therefore, non-DM patients with ACS are more likely to feel chest pain at moderate to a severe level, while ACS-DM patients are more likely to have low to moderate chest pain levels.
The significant differences in the characteristics of chest pain in DM and non-DM patients suffering from acute coronary syndrome are the points of location of chest pain radiating to the neck and quality of pain. |
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AbstractList | Background:
Chest pain is considered one of the crucial indicators in detecting acute coronary syndrome (ACS), and one of the most common complaints frequently found in hospitals. Atypical characteristics of chest pain have prevented patients from being aware of ACS. Chest pain symptoms have become ambiguous, particularly for specific parameters, such as gender, diabetes mellitus (DM), or other clinical conditions. Therefore, it is critical for high-risk patients to have adequate knowledge of specific symptoms of ACS, which is frequently associated with late treatment or
prehospital delay
. Therefore, this study aims to identify the particular characteristics of chest pain symptoms in DM and non-DM patients with ACS.
Design and Methods:
This is a quantitative and non-experimental research, with the cross-sectional approach used to carry out the analytical observation at a general hospital from January- April 2019. Data were obtained from a total sample of 61 patients, comprising 33 ACS with DM and 28 ACS non-DM patients.
Results:
The result showed that the characteristic of patients with chest pain symptoms has a significant relation to DM and ACS. Therefore, non-DM patients with ACS are more likely to feel chest pain at moderate to a severe level, while ACS-DM patients are more likely to have low to moderate chest pain levels.
Conclusion:
The significant differences in the characteristics of chest pain in DM and non-DM patients suffering from acute coronary syndrome are the points of location of chest pain radiating to the neck and quality of pain.
Significance for public health
There are lots of differences in the various chest pain symptoms experienced by diabetes mellitus and non-diabetes mellitus patients with the acute coronary syndrome. Therefore, this study aims to provide optimal nursing care to patients and educate them along with their family members on the various chest pain symptoms to avoid delay in seeking medical attention. Background Chest pain is considered one of the crucial indicators in detecting acute coronary syndrome (ACS), and one of the most common complaints frequently found in hospitals. Atypical characteristics of chest pain have prevented patients from being aware of ACS. Chest pain symptoms have become ambiguous, particularly for specific parameters, such as gender, diabetes mellitus (DM), or other clinical conditions. Therefore, it is critical for high-risk patients to have adequate knowledge of specific symptoms of ACS, which is frequently associated with late treatment or prehospital delay. Therefore, this study aims to identify the particular characteristics of chest pain symptoms in DM and non-DM patients with ACS. Design and methods This is a quantitative and non-experimental research, with the cross-sectional approach used to carry out the analytical observation at a general hospital from January- April 2019. Data were obtained from a total sample of 61 patients, comprising 33 ACS with DM and 28 ACS non-DM patients. Results The result showed that the characteristic of patients with chest pain symptoms has a significant relation to DM and ACS. Therefore, non-DM patients with ACS are more likely to feel chest pain at moderate to a severe level, while ACS-DM patients are more likely to have low to moderate chest pain levels. Conclusion The significant differences in the characteristics of chest pain in DM and non-DM patients suffering from acute coronary syndrome are the points of location of chest pain radiating to the neck and quality of pain. Background: Chest pain is considered one of the crucial indicators in detecting acute coronary syndrome (ACS), and one of the most common complaints frequently found in hospitals. Atypical characteristics of chest pain have prevented patients from being aware of ACS. Chest pain symptoms have become ambiguous, particularly for specific parameters, such as gender, diabetes mellitus (DM), or other clinical conditions. Therefore, it is critical for high-risk patients to have adequate knowledge of specific symptoms of ACS, which is frequently associated with late treatment or prehospital delay. Therefore, this study aims to identify the particular characteristics of chest pain symptoms in DM and non-DM patients with ACS. Design and Methods: This is a quantitative and non-experimental research, with the cross-sectional approach used to carry out the analytical observation at a general hospital from January-April 2019. Data were obtained from a total sample of 61 patients, comprising 33 ACS with DM and 28 ACS non-DM patients. Results: The result showed that the characteristic of patients with chest pain symptoms has a significant relation to DM and ACS. Therefore, non-DM patients with ACS are more likely to feel chest pain at moderate to a severe level, while ACS-DM patients are more likely to have low to moderate chest pain levels. Conclusion: The significant differences in the characteristics of chest pain in DM and non-DM patients suffering from acute coronary syndrome are the points of location of chest pain radiating to the neck and quality of pain. Chest pain is considered one of the crucial indicators in detecting acute coronary syndrome (ACS), and one of the most common complaints frequently found in hospitals. Atypical characteristics of chest pain have prevented patients from being aware of ACS. Chest pain symptoms have become ambiguous, particularly for specific parameters, such as gender, diabetes mellitus (DM), or other clinical conditions. Therefore, it is critical for high-risk patients to have adequate knowledge of specific symptoms of ACS, which is frequently associated with late treatment or prehospital delay. Therefore, this study aims to identify the particular characteristics of chest pain symptoms in DM and non-DM patients with ACS. This is a quantitative and non-experimental research, with the cross-sectional approach used to carry out the analytical observation at a general hospital from January-April 2019. Data were obtained from a total sample of 61 patients, comprising 33 ACS with DM and 28 ACS non-DM patients. The result showed that the characteristic of patients with chest pain symptoms has a significant relation to DM and ACS. Therefore, non-DM patients with ACS are more likely to feel chest pain at moderate to a severe level, while ACS-DM patients are more likely to have low to moderate chest pain levels. The significant differences in the characteristics of chest pain in DM and non-DM patients suffering from acute coronary syndrome are the points of location of chest pain radiating to the neck and quality of pain. |
Author | Sella, Yurike Olivia Rohman, Mohammad Saifur Apriliawan, Sony Manistamara, Halidah Lukitasari, Mifetika |
AuthorAffiliation | 3 Department of Cardiology and Vascular Medicine, Faculty of Medicine , Universitas Brawijaya , Malang 1 School of Nursing , Faculty of Medicine , Universitas Brawijaya , Malang 4 Saiful Anwar General Hospital , Malang, Indonesia 2 Cardiovascular Research Group, Faculty of Medicine , Universitas Brawijaya , Malang |
AuthorAffiliation_xml | – name: 1 School of Nursing , Faculty of Medicine , Universitas Brawijaya , Malang – name: 2 Cardiovascular Research Group, Faculty of Medicine , Universitas Brawijaya , Malang – name: 4 Saiful Anwar General Hospital , Malang, Indonesia – name: 3 Department of Cardiology and Vascular Medicine, Faculty of Medicine , Universitas Brawijaya , Malang |
Author_xml | – sequence: 1 givenname: Halidah surname: Manistamara fullname: Manistamara, Halidah email: mifetika.fk@ub.ac.id organization: Department of Nursing, Faculty of Medicine, Universitas Brawijaya, Malang. mifetika.fk@ub.ac.id – sequence: 2 givenname: Yurike Olivia surname: Sella fullname: Sella, Yurike Olivia email: mifetika.fk@ub.ac.id organization: Department of Nursing, Faculty of Medicine, Universitas Brawijaya, Malang. mifetika.fk@ub.ac.id – sequence: 3 givenname: Sony surname: Apriliawan fullname: Apriliawan, Sony email: mifetika.fk@ub.ac.id organization: Department of Nursing, Faculty of Medicine, Universitas Brawijaya, Malang. mifetika.fk@ub.ac.id – sequence: 4 givenname: Mifetika surname: Lukitasari fullname: Lukitasari, Mifetika email: mifetika.fk@ub.ac.id organization: Cardiovascular Research Group, Faculty of Medicine, Universitas Brawijaya, Malang. mifetika.fk@ub.ac.id – sequence: 5 givenname: Mohammad Saifur surname: Rohman fullname: Rohman, Mohammad Saifur email: mifetika.fk@ub.ac.id organization: Cardiovascular Research Group; Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya, Malang and Saiful Anwar General Hospital, Malang. mifetika.fk@ub.ac.id |
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Notes | Ethical Approval: This study was approved by the Ethics Committee of dr. Saiful Anwar Malang Hospital, Malang, Indonesia. Conflict of interest: The authors declare no conflict of interest. Contributions: All authors contributed equally to this article. HM, YOS, SA carried out the study, while ML served as a supervisor and reviewed the final article; MSR kindly and thoughtfully managed this study. Conference presentation: Part of this study was presented at the 1st International Nursing and Health Sciences Symposium, November 13th to 15th 2020, Brawijaya University, Malang, Indonesia. |
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Snippet | Chest pain is considered one of the crucial indicators in detecting acute coronary syndrome (ACS), and one of the most common complaints frequently found in... Background Chest pain is considered one of the crucial indicators in detecting acute coronary syndrome (ACS), and one of the most common complaints frequently... Background: Chest pain is considered one of the crucial indicators in detecting acute coronary syndrome (ACS), and one of the most common complaints frequently... Background: Chest pain is considered one of the crucial indicators in detecting acute coronary syndrome (ACS), and one of the most common complaints frequently... |
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SubjectTerms | acute coronary syndrome chest pain diabetes mellitus Symptoms characteristic |
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Title | Chest pain symptoms differences between diabetes mellitus and non-diabetes mellitus patients with acute coronary syndrome: A pilot study |
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