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Sex differences in symptom presentation in acute myocardial infarction: a systematic review and meta-analysis.

机译:急性心肌梗死症状表现的性别差异:系统评价和荟萃分析。

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摘要

BACKGROUND: Recognition of sex differences in symptom presentation of acute myocardial infarction (AMI) is important for timely clinical diagnosis. This review examined whether women are equally as likely as men to present with chest pain. METHODS: We conducted a systematic review and meta-analysis of English language research articles published between 1990 and 2009. RESULTS: Meta-analysis showed women with AMI had lower odds and a lower rate of presenting with chest pain than men (odds ratio .63; 95% confidence interval, .59-.68; risk ratio .93; 95% confidence interval, .91-.95). Women were significantly more likely than men to present with fatigue, neck pain, syncope, nausea, right arm pain, dizziness, and jaw pain. CONCLUSION: Health campaigns on symptom presentation of AMI should continue to promote chest pain as the cardinal symptom of AMI, but also reflect a wider spectrum of possible symptoms and highlight potential differences in symptom presentation between men and women.
机译:背景:认识到急性心肌梗塞(AMI)症状表现中的性别差异对于及时进行临床诊断很重要。这项审查检查了女性出现胸痛的可能性是否与男性相同。方法:我们对1990年至2009年间发表的英语研究文章进行了系统的回顾和荟萃分析。结果:荟萃分析显示,患有AMI的女性比男性患病的几率更低,出现胸痛的几率更低(优势比.63 ; 95%的置信区间为.59-.68;风险比为0.93; 95%的置信区间为.91-.95)。女性比男性更容易出现疲劳,颈部疼痛,晕厥,恶心,右臂疼痛,头晕和下巴疼痛。结论:关于急性心肌梗死症状表现的健康运动应继续促进作为急性心肌梗死的主要症状的胸痛,但也应反映更广泛的可能症状,并强调男女症状表现的潜在差异。

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