女性急性心肌梗塞的早期预警症状
Jean C McSweeney1, Marisue Cody, Patricia O'Sullivan
1College of Nursing, University of Arkansas for Medical Sciences, 4301 W Markham St, Slot 529, Little Rock, AR 72205, USA. jcmcsweeney@uams.edu
Circulation
|November 5, 2003
概括
大多数女性在急性心肌梗塞 (AMI) 发生之前都会出现前兆症状,包括疲劳和睡眠障碍. 这些心脏病发作前的症状很常见,可能表明风险增加.
科学领域:
- 心脏病学 心脏病学
- 妇女健康 妇女健康
- 症状学研究 症状学研究
背景情况:
- 关于女性急性心肌梗塞 (AMI) 前的前兆症状的数据很少.
- 这项研究旨在详细描述女性在AMI前和期间经历的预发性和急性症状.
研究的目的:
- 描述被诊断患有AMI的妇女所经历的前兆和急性症状.
- 调查女性中前兆症状和急性症状之间的关系.
主要方法:
- 对515名被诊断患有AMI的妇女进行了一项调查,该调查是在出院后4-6个月进行的.
- 麦克斯威尼急性和前期心肌梗塞症状调查被用来收集有关症状,并发症和人口统计的数据.
- 症状的频率和强度被用来计算前性和急性得分.
主要成果:
- 95%的女性报告了前兆症状,最常见的是异常疲劳 (70.7%),睡眠障碍 (47.8%) 和呼吸短促 (42.1%).
- 只有29.7%的女性报告胸部不适,与典型的男性表现形成鲜明对比.
- 呼吸短促 (57.9%),虚弱 (54.8%) 和疲劳 (42.9%) 是最常见的急性症状;43%的人没有经历过急性胸痛.
- 生产症状得分与急性症状有显著的相关性,在控制风险因素后,占急性症状的33.2%.
结论:
- 大多数女性在AMI发生之前都会出现前兆症状.
- 需要进一步的研究来确定这些前兆症状是否可以预测未来的心脏事件.
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