Abstract
Approximately 70% patients with acute myocardial infarction (AMI) presented without ST-segment elevation on electrocardiogram. Patients with non-ST segment elevation myocardial infarction (NSTEMI) often presented with atypical symptoms, which may be related to pre-hospital delay and increased risk of mortality. However, up to date few studies reported detailed symptomatology of NSTEMI, particularly among Asian patients. The objective of this study was to describe and compare symptoms and presenting characteristics of NSTEMI vs. STEMI patients. We enrolled 21,994 patients diagnosed with AMI from China Acute Myocardial Infarction (CAMI) Registry between January 2013 and September 2014. Patients were divided into 2 groups according to ST-segment elevation: ST-segment elevation (STEMI) group and NSTEMI group. We extracted data on patients' characteristics and detailed symptomatology and compared these variables between two groups. Compared with patients with STEMI (N = 16,315), those with NSTEMI (N = 5679) were older, more often females and more often have comorbidities. Patients with NSTEMI were less likely to present with persistent chest pain (54.3% vs. 71.4%), diaphoresis (48.6% vs. 70.0%), radiation pain (26.4% vs. 33.8%), and...Continue Reading
References
Jun 24, 2000·JAMA : the Journal of the American Medical Association·J G CantoC I Kiefe
Aug 6, 2002·The American Journal of Cardiology·Philippe Gabriel StegUNKNOWN GRACE Investigators
Aug 11, 2004·Chest·David BriegerUNKNOWN GRACE Investigators
Feb 24, 2009·The American Journal of Cardiology·Robert J GoldbergJoel M Gore
Jun 22, 2010·Heart & Lung : the Journal of Critical Care·Cynthia Arslanian-Engoren, Milo Engoren
Dec 29, 2010·The American Journal of Medicine·David D McManusRobert J Goldberg
Jan 19, 2011·Journal of cardiology·Ayman El-MenyarUNKNOWN Gulf Registry of Acute Coronary Events (Gulf RACE) Investigators
Jul 28, 2011·The American Journal of Cardiology·Cosme García-GarcíaRoberto Elosua
Nov 11, 2011·The International Journal of Cardiovascular Imaging·Jianqiang XuHyeon-Cheol Gwon
Nov 18, 2011·The American Journal of Cardiology·Jae Yeong ChoUNKNOWN Korea Acute Myocardial Infarction Registry Investigators
Feb 24, 2012·JAMA : the Journal of the American Medical Association·John G CantoUNKNOWN NRMI Investigators
Mar 1, 2012·Korean Circulation Journal·Seon Young HwangMyung Ho Jeong
Sep 6, 2012·Circulation. Cardiovascular Quality and Outcomes·Keith A SommaLeslie A Saxon
Apr 10, 2013·The Journal of International Medical Research·Xueling Wang, Lily Lihwa Hsu
Sep 28, 2013·International Journal of Cardiology·Hyun-Woong ParkUNKNOWN KAMIR/KorMI Registry
Nov 1, 2016·Heart and Vessels·Hideki MiyachiMorimasa Takayama
May 18, 2016·American Heart Journal·Haiyan XuUNKNOWN CAMI Registry study group
Nov 20, 2016·Journal of cardiology·Masashi FujinoUNKNOWN J-MINUET Investigators
Sep 28, 2017·European Heart Journal. Quality of Care & Clinical Outcomes·Karthik MurugiahUNKNOWN China PEACE Collaborative Group
Mar 28, 2018·Journal of Epidemiology and Community Health·Pui Hing ChauJulie Zerwic
Citations
Oct 1, 2019·Chinese Medical Journal·Chen-Xi SongUNKNOWN CAMI Registry study group
Dec 1, 2019·BMC Cardiovascular Disorders·You ZhangChuanyu Gao
Nov 3, 2020·Journal of Cardiovascular Medicine·Marco FloriFederico Guerra
Oct 3, 2021·Open Heart·Tianna ZhouUNKNOWN China Patient-Centered Evaluative Assessment of Cardiac Events Collaborative Group
Dec 12, 2021·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·John R Blakeman, Marilyn A Prasun