Impact of Gender Differences in Elderly Patients with Acute Myocardial Infarction

설수영,; 정명호,; 이승헌,; 손석준,; 조재영,; 김민철,; 심두선,; 홍영준,; 박형욱,; 김주한,; 안영근,; 조정관,; 박종춘,

doi:10.3904/kjm.2019.94.1.96

Cited by 4 publications

(3 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The treatment-seeking time of MI patients, from initial symptom recognition to hospital visit, was on average 13 hours for men and 20 hours for women, who displayed more passive behavior and attitudes toward symptoms than men [5]. Regarding MI symptoms, men complained of typical symptoms including chest pain and chills, whereas women complained of atypical symptoms like pain in the back, jaw, and neck, upper abdominal discomfort, dyspnea, fatigue, and loss of appetite [5][6][7]. In particular, Korean MI patients mistook the cause of their pain as 'indigestion or gastrointestinal problems' instead of the heart [5].…”

Section: Resultsmentioning

confidence: 99%

Factors affecting awareness of myocardial infarction symptoms among the general public

Park

2020

Epidemiol Health

View full text Add to dashboard Cite

OBJECTIVES We aimed to determine the level of awareness of myocardial infarction (MI) symptoms among the general public in Korea and identify factors affecting awareness of MI symptoms using data from the 2017 Korea Community Health Survey (KCHS). METHODS This is a cross-sectional study using KCHS data. Based on five questions about MI symptoms, participants were divided into an awareness group (replied ‘yes’ to all five questions) and an unawareness group (replied ‘no’ or ‘not sure’ to at least one of five questions) for analysis. RESULTS Of a total of 228,281 participants, 42.4% were aware of MI symptoms. There was a high level of awareness of chest pain and shortness of breath, but a low level of awareness of gastrointestinal symptoms and pain in the arm, shoulder, jaw, neck, and back. While women had a higher level of overall awareness relative to men, they showed a lower level of awareness regarding chest pain and discomfort. The factors affecting awareness of MI symptoms were gender, age, education level, occupation, smoking, drinking, physical inactivity, and cardiovascular disease risk factors. CONCLUSIONS In order to enhance awareness of MI symptoms among the general population, appropriate education and promotion efforts must be implemented based on gender, age, education level, and occupation. Moreover, active efforts by the government, educational institutions, and medical institutions are necessary to improve awareness of both typical and atypical MI symptoms. Furthermore, health policies to promote reduced smoking and drinking and increased physical activity, as well as continuous monitoring and management of individuals with cardiovascular disease risk factors, are required.

show abstract

Section: Resultsmentioning

confidence: 99%

Factors affecting awareness of myocardial infarction symptoms among the general public

Park

2020

Epidemiol Health

View full text Add to dashboard Cite

show abstract

“…In addition, old age was found to be the independent predictor of mortality, while a preceding study found that old age was a major predictor of mortality in patients with AMI [33]. In particular, the mortality rate in patients with AMI aged ≥ 75 years was found to be higher in males than in females [34].…”

Section: S111mentioning

confidence: 82%

Sex differences in long-term clinical outcomes of acute myocardial infarction according to the presence of diabetes mellitus

Kim

Jeong

Ahn

et al. 2021

Korean J Intern Med

Self Cite

View full text Add to dashboard Cite

Background/Aims: This study compared long-term clinical outcomes between male and female acute myocardial infarction (AMI) patients with and without diabetes mellitus (DM). Methods: From November 2011 to December 2015, 13,104 patients with AMI were enrolled in the Korea Acute Myocardial Infarction Registry National Institutes of Health (KAMIR-NIH) (4,458 diabetic patients and 8,646 non-diabetic patients). Propensity score matching (PSM) was used to reduce bias due to confounding variables. Following PSM, 2,046 diabetic patients, 1,023 males (69.8 ± 9.4 years) and 1,023 females (69.9 ± 9.4 years); and 3,412 non-diabetic patients, 1,706 males (70.0 ± 10.4 years) and 1,706 females (70.4 ± 10.8 years) were analyzed. Clinical outcomes were compared between male and female patients with and without diabetes over a 3-year clinical follow-up. Results: In diabetic patients, mortality (21.1% vs. 21.5%, p = 0.813) and major adverse cardiac events (MACE) (30.6% vs. 31.4%, p = 0.698) were not significantly different between males and females. However, mortality (15.8% vs. 12.0%, p = 0.002) and MACE (20.8% vs. 15.6%, p < 0.001) were significantly higher in male non-diabetic patients than in female non-diabetic patients. The predictors of mortality for both males and females in the diabetic and non-diabetic groups were old age, heart failure, renal dysfunction, anemia, and no percutaneous coronary intervention. Conclusions:The long-term clinical outcomes in AMI patients with DM did not significantly differ by sex. However, the mortality and MACE in non-diabetic male patients were higher than those in females.

show abstract

“…Examination of the incidence of ischemic heart disease (IHD) showed that among adult patients over the age of 30, men were 2.38 times more likely to develop IHD than women [ 37 ]. According to a study on elderly patients over the age of 75 with acute myocardial infarction [ 38 ], there was no significant difference in hospital-acquired complication or mortality rate by sex. However, sex was identified as an independent factor that predicted one-year major cardiac adverse events, and men had worse prognoses than women (HR 1.37, 95% CI: 1.14–1.65).…”

Section: Discussionmentioning

confidence: 99%

Effects of Handgrip Strength on 10-Year Cardiovascular Risk among the Korean Middle-Aged Population: The Korea National Health and Nutrition Examination Survey 2014

Shim

Yoo

2020

Healthcare

View full text Add to dashboard Cite

Handgrip strength is a simple, inexpensive health status indicator and can be used to assess mortality rate and cardiovascular disease (CVD) risk. This study used data from the Sixth Korea National Health and Nutrition Examination Survey (2014) to determine the effective use of handgrip strength to predict CVD risk. We analyzed data from 2427 adults aged from 40 to 64 years without CVD at baseline. Relative handgrip strength was calculated as the sum of the maximal absolute handgrip strength of both hands divided by body mass index, and the 10-year risk of CVD was calculated using the Framingham risk score. We performed logistic regression analysis to assess the association between handgrip strength and 10-year CVD risk. Results showed that CVD risk increased with age (95% CI: 1.19–1.33, p < 0.001). Men were 38.05 times more likely to develop CVD than women (95% CI: 15.80–91.58, p < 0.001). Every increase by 1 in handgrip strength reduced the 10-year CVD risk by 1.76 times (95% CI: 1.58–3.71, p < 0.001), and when waist-to-height ratio was <0.50, the CVD risk decreased by 3.3 times (95% CI: 0.16–0.56, p < 0.001). Developing specific modifications and improving lifestyle habits that could lead to increased handgrip strength and reduced obesity, which could prevent CVD, is recommended.

show abstract

Impact of Gender Differences in Elderly Patients with Acute Myocardial Infarction

Cited by 4 publications

References 28 publications

Factors affecting awareness of myocardial infarction symptoms among the general public

Factors affecting awareness of myocardial infarction symptoms among the general public

Sex differences in long-term clinical outcomes of acute myocardial infarction according to the presence of diabetes mellitus

Effects of Handgrip Strength on 10-Year Cardiovascular Risk among the Korean Middle-Aged Population: The Korea National Health and Nutrition Examination Survey 2014

Contact Info

Product

Resources

About