Women with myocardial infarction are less likely than men to experience chest symptoms
Women with myocardial infarction are less likely than men to experience chest symptoms
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DOI：
10.1080/14017430600913199
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发表时间：
2006-12-01
影响因子：
2.2
通讯作者：
Hole, Torstein
中科院分区：
文献类型：
--
作者：
Lovlien, Mona;Schei, Berit;Hole, Torstein
目标。目的：评估女性和男性在入院前对急性心肌梗死的经历和症状的理解方面的异同。设计。149名女性和384名男性在出院两周后回答了一份问卷。结果。男性比女性更有可能报告胸部症状。与男性相比，女性更有可能抱怨恶心、心悸、呼吸困难、晕厥、背部疼痛和肩关节之间的疼痛。无论性别，只有一半的患者将他们的症状解释为心脏病。早发的胸部症状、先前诊断的心绞痛、符合预期的症状、比预期更强烈的症状以及对症状的熟悉，都有助于男女之间的心脏归因。高胆固醇血症的诊断和开出的硝酸甘油只与男性的心脏属性有关。结论。与男性相比，女性不太可能出现胸部症状，而更有可能出现非典型症状。症状体验和患者对症状的期望影响男女之间的解释和归因。
Objectives. To assess similarities and differences between women and men regarding experience and interpretation of symptoms of acute myocardial infarction before hospital admission. Design. 149 women and 384 men responded to a questionnaire two weeks after hospital discharge. Results. Men were more likely than women to report chest symptoms. Women were more likely to complain of nausea, palpitations, dyspnoea, fainting, pain in the back and pain between the scapulas than men. Irrespective of sex only half the patients interpreted their symptoms as cardiac. Early onset of chest symptoms, previously diagnosed angina, symptoms in accordance with expectations, symptoms stronger than expected and familiarity with symptoms, all contributed to a cardiac attribution among both sexes. A diagnosis of hypercholesterolemia and prescribed nitroglycerin was related to a cardiac attribution among men only. Conclusion. Women were less likely to experience chest symptoms and more likely to experience atypical symptoms than men. Symptom experience and the patients' expectations of symptoms influenced interpretation and attribution among both sexes.