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Do patients with diabetes with new onset acute myocardial infarction present with different symptoms than non-diabetic patients?
Front. Cardiovasc. Med. 11:1324451 (2024)
BACKGROUND: The objective of this study was to investigate the differences in presenting symptoms between patients with and without diabetes being diagnosed with an acute myocardial infarction (AMI). METHODS: A total of 5,900 patients with a first-time AMI were included into the analysis. All patients aged between 25 and 84 years were recorded by the population-based Myocardial Infarction Registry in Augsburg, Germany, between 2010 and 2017. The presence (yes/no) of 12 AMI typical symptoms during the acute event was assessed within the scope of a face-to-face interview. Multivariable adjusted logistic regression models were calculated to analyze the associations between presenting symptoms and diabetes mellitus in AMI patients. RESULTS: Patients with diabetes had significantly less frequent typical pain symptoms, including typical chest pain. Also, other symptoms like sweating, vomiting/nausea, dizziness/vertigo and fear of death/feeling of annihilation occurred significantly more likely in non-diabetic patients. The only exception was the symptom of shortness of breath, which was found significantly more often in patients with diabetes. In multivariable-adjusted regression models, however, the observed effects were attenuated. In patients younger than 55 years, the associations between diabetes and various symptoms were mainly missing. CONCLUSIONS: Type 2 diabetes mellitus is a risk factor not only for the development of AMI, but is also associated with an adverse outcome after AMI. Atypical clinical presentation additionally complicates the diagnostic process. It is therefore essential for physicians to be aware of the more often atypical symptoms that diabetic AMI patients report.
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Publication type
Article: Journal article
Document type
Scientific Article
Keywords
Acute Symptoms ; Atypical Presentation ; Chest Pain ; Diabetes Mellitus ; Myocardial Infarction ; Shortness Of Breath; Long-term Mortality; Chest-pain; Emergency-department; Monica/kora; Age; Elevation; Insights; Registry; Angina; Sex
ISSN (print) / ISBN
2297-055X
e-ISSN
2297-055X
Quellenangaben
Volume: 11,
Article Number: 1324451
Publisher
Frontiers
Publishing Place
Lausanne
Non-patent literature
Publications
Reviewing status
Peer reviewed
Institute(s)
Institute of Epidemiology II (EPI2)
Grants
University Hospital of Augsburg, Germany
Faculty of Medicine, University of Augsburg
German Federal Ministry of Health
State of Bavaria
German Research Center for Environmental Health - German Federal Ministry of Education, Science, Research and Technology
Helmholtz Zentrum Munchen
Faculty of Medicine, University of Augsburg
German Federal Ministry of Health
State of Bavaria
German Research Center for Environmental Health - German Federal Ministry of Education, Science, Research and Technology
Helmholtz Zentrum Munchen