The association of diabetes and older age with the absence of chest pain during acute coronary syndromes

Western Journal of Nursing Research
Holli A DeVonKaren Larimer

Abstract

Cardiac autonomic neuropathy associated with diabetes can cause silent myocardial ischemia and may influence the way that patients perceive symptoms of acute coronary syndromes (ACS). The purpose of this study was to examine symptoms of ACS in patients with and without diabetes while controlling for length of time with diabetes. A convenience sample of 256 patients from two large medical centers in the Midwest participated. Patients with diabetes comprised 33.2% of the sample and reported significantly less chest pain and more unusual fatigue. Patients with diabetes of longer duration (10 or more years) reported more difficulty breathing than did patients with diabetes of shorter duration (fewer than 10 years). Older patients with the same diabetes status also reported less chest pain. For older patients and for patients with diabetes, lack of chest pain during ACS could delay treatment and is thus a concern.

References

May 15, 1991·The American Journal of Cardiology·A LangerP W Armstrong
Sep 30, 1993·The New England Journal of Medicine·UNKNOWN Diabetes Control and Complications Trial Research GroupC Siebert
Nov 1, 1995·Heart & Lung : the Journal of Critical Care·S J DempseyD K Moser
Apr 21, 1998·Heart & Lung : the Journal of Critical Care·J J Zerwic
Mar 31, 2000·American Heart Journal·S E SheiferN J Weissman
Apr 27, 2000·Research in Nursing & Health·J C McSweeney, P B Crane
Jun 24, 2000·JAMA : the Journal of the American Medical Association·J G CantoC I Kiefe
Oct 12, 2000·Archives of Internal Medicine·D MalekiL J Melton
Oct 11, 2001·The American Journal of Emergency Medicine·M FunkD Chyun
Dec 18, 2002·American Heart Journal·Viktor CulićNardi Silić
Mar 27, 2003·Nursing Research·Holli A DeVon, Julie Johnson Zerwic
May 24, 2003·Current Diabetes Reports·Mihaela C BlendeaJames R Sowers
Apr 17, 2004·Seminars in Neurology·Aaron I VinikTomris Erbas
Jul 28, 2004·Diabetes Care·Frans J Th WackersUNKNOWN Detection of Ischemia in Asymptomatic Diabetics Investigators
Oct 13, 2004·Clinical Science·Daniela Manzella, Giuseppe Paolisso
Mar 22, 2005·Research in Nursing & Health·Holli A DeVonJulie Johnson Zerwic
Dec 24, 2005·The New England Journal of Medicine·David M NathanUNKNOWN Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) Study Research
Aug 15, 2006·Journal of the American College of Cardiology·Todd D MillerFrans J T Wackers
Nov 15, 2006·The Diabetes Educator·Dorothy Dale Mayer, Anne Rosenfeld
Mar 17, 2007·International Urology and Nephrology·Ali Ferruh AkayMehmet Kamuran Bircan
Jun 28, 2007·JAMA : the Journal of the American Medical Association·UNKNOWN Writing Group for the SEARCH for Diabetes in Youth Study GroupBeth Waitzfelder

❮ Previous
Next ❯

Citations

Sep 17, 2011·European Heart Journal·Martha H MackayChristopher E Buller
May 18, 2013·Journal of Thrombosis and Thrombolysis·Navin BajajJames A Pippim
Jul 9, 2016·BMC Cardiovascular Disorders·Karin Hellström ÄngerudUNKNOWN SymTime Study Group
Jan 9, 2013·Psychotherapy and Psychosomatics·Laura SirriNicoletta Sonino
Apr 4, 2014·Journal of the American Heart Association·Holli A DevonMohamud Daya
May 3, 2011·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Prasama SangkachandMarjorie Funk
Oct 18, 2014·The Journal of Cardiovascular Nursing·Karin Hellström AngerudAsa Hörnsten
Nov 9, 2017·Emergency Nurse : the Journal of the RCN Accident and Emergency Nursing Association·Susan Sanders
Sep 22, 2018·BioResearch Open Access·Holli A DeVonJessica Zegre-Hemsey
Dec 24, 2015·The Journal of Cardiovascular Nursing·Polly W C Li, Doris S F Yu

❮ Previous
Next ❯

Related Concepts

Related Feeds

Autoimmune Diabetes & Tolerance

Patients with type I diabetes lack insulin-producing beta cells due to the loss of immunological tolerance and autoimmune disease. Discover the latest research on targeting tolerance to prevent diabetes.