%0 Journal Article
%T An assessment of initial symptoms in patients admitted to the ER of a tertiary healthcare institution and diagnosed with acute myocardial infarction
%A Ahmet Mamur
%A H£¿seyin Balcioglu
%A Ilhami Unluoglu
%A Mehmet Kayhan
%A Nurdan Acar
%A Ugur Bilge
%J -
%D 2017
%X Aim: The aim of this study is to identify the initial symptoms in patients that are admitted to the emergency room (ER) and diagnosed with acute myocardial infarction.
Material and Method: This study was conducted retrospectively based on the medical records of patients aged 18 and over, who were admitted between 1 January and 31 December 2014 to the ER. For the purpose of this study, the researchers recorded the age, gender, initial symptom/symptoms as well as laboratory results including CK-MB, myoglobin and troponin t values of the patients aged 18 and over admitted to the ER and diagnosed with acute myocardial infarction.
Results: This study was conducted with a total of 285 patients whose distribution by gender was as follows: 59 (20.70%) women and 226 (79.30%) men. The average age of patients was 64.03 ¡À 12.05 years. The most common symptom in patients was chest pain (58.90%). Among 285 patients, the number of patients diagnosed with non-ST segment elevation myocardial infarction (NSTEMI) was 64 (22.50%), and the number of patients diagnosed with ST segment elevation myocardial infarction (STMI) was 221 (77.50%). The most common comorbidities were hypertension (203 patients, 71.20%), atherosclerotic cardiovascular disease (ASCD) (198 patients, 69.50%), hyperlipidemia (163 patients, 57.20%), and diabetes mellitus (DM) (103 patients, 36.10%). Coronary angiography was done in 254 (89.10%) out of 285 patients, and no blockage was not detected in 27 (10.60%) patients. Seen in 161 (63.40%) patients, one blocked artery was the most common blockage.
Conclusion: The symptomatology of myocardial infarction is quite extensive. It should thus be kept in mind that patients with myocardial infarction may present to hospital with atypical symptoms. Patients¡¯ knowledge of particularly atypical MI symptoms is below the average. Enhancing knowledge of atypical symptoms is important especially for avoiding delays in patients¡¯ presentation to the hospital
%K Myocardial infarction
%K ER
%K Initial symptom
%U https://www.alliedacademies.org/articles/an-assessment-of-initial-symptoms-in-patients-admitted-to-the-er-of-a-tertiary-healthcare-institution-and-diagnosed-with-acute-myo.html