Using the McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey to Predict the Occurrence of Short-Term Coronary Heart Disease Events in Women.

Using the McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey to Predict the Occurrence of Short-Term Coronary Heart Disease Events in Women.
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DOI:
10.1016/j.whi.2017.07.002
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发表时间:
2017-11
期刊:
Women's health issues : official publication of the Jacobs Institute of Women's Health
影响因子:
--
通讯作者:
Beasley B
Beasley B
中科院分区:
其他
文献类型:
--
作者:
McSweeney JC;Cleves MA;Fischer EP;Pettey CM;Beasley B

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很少有仪器能够捕捉到预测短期心脏事件的症状。旨在检查 McSweeney 急性和前驱心肌梗死症状调查预测给药后三个月内急性心脏事件的能力,并确定与无已知冠心病的女性短期风险最相关的前驱症状。 McSweeney 急性和前驱心肌梗塞症状调查对 1097 名转诊至心脏病专家进行初步冠心病评估的女性进行了调查。使用逻辑回归模型单独和组合检查前驱症状,以确定最能预测三个月内事件的症状子集。五十一名女性曾发生过早期心脏事件。在双变量分析中,30 种前驱症状中有 4 种与 90 天内事件的发生显着相关。在调整后的分析中,报告手臂疼痛/不适和异常疲劳的女性比没有报告这两种情况的女性更有可能(OR = 4.67;95% CI = 2.08,10.48)发生心脏事件。麦克斯威尼急性和前驱心肌梗塞症状调查可能有助于预测没有已知冠心病的女性的短期冠心病事件。
Few instruments capture symptoms that predict cardiac events in the short-term. To examine the ability of the McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey to predict acute cardiac events within three months of administration and to identify the prodromal symptoms most associated with short-term risk in women without known coronary heart disease. The McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey was administered to 1097 women referred to a cardiologist for initial coronary heart disease evaluation. Logistic regression models were used to examine prodromal symptoms individually and in combination to identify the subset of symptoms most predictive of an event within three months. Fifty-one women had an early cardiac event. In bivariate analyses, four of 30 prodromal symptoms were significantly associated with event occurrence within 90 days. In adjusted analyses, women reporting arm pain/discomfort and unusual fatigue were more likely (OR=4.67; 95% CI=2.08, 10.48) to have a cardiac event than women reporting neither. The McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey may assist in predicting short-term coronary heart disease events in women without known coronary heart disease.
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