Chest pain, dyspnea and other symptoms in patients with type 1 and 2 myocardial infarction. A literature review. [revisión]
Por: Sanchis Gomar, Fabián [Instituto de Investigación imas12].
Colaborador(es): Instituto de Investigación imas12.
Tipo de material: ArtículoEditor: International journal of cardiology, 2016Descripción: 215:20-2.Recursos en línea: Solicitar documento Resumen: Background: Some studies investigated the leading demographic and clinical characteristics of patient with type 2 myocardial infarction (MI), but a comprehensive analysis between type 1 and 2 MI patients is lacking. Therefore, we reviewed current evidence about the difference in clinical signs and symptoms at presentation in patients with type 1 and 2 MI. Materials and methods: We conducted an electronic search in Medline (with PubMed interface), Scopus and ISI Web of Science using the keywords "Type(-)2" or "Type II" and "myocardial infarction" and "chest pain" and "dyspnea" in "Title/Abstract/Keywords", with no language restriction, date limited from year 2007 to present, and study cohorts including more than 400 overall cases of MI. Results: Overall, 37 documents were identified, but 33 were excluded since thoughtful comparison between the frequency of chest pain, dyspnea and other symptoms between patients with type 1 and type 2 MI was unavailable. Therefore, 4 studies were finally selected for analysis. Despite significant heterogeneity, the frequency of chest pain was consistently higher in patients with type 1 than type 2 MI (85% vs. 61%; p<0.001), whereas that of dyspnea and other symptoms was approximately 60-70% lower in type 1 than in type 2 MI. The odds ratio of chest pain was 3.5 in type 1 compared to type 2 MI, whereas that of dyspnea and other symptoms was 0.27 and 0.39 in type 1 compared to type 2 MI, respectively. Conclusion: Our literature analysis suggests that "atypical" presentation may be more frequent in type 2 than in type 1 MI.Tipo de ítem | Ubicación actual | Signatura | Estado | Fecha de vencimiento |
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Revisión | PC17646 (Navegar estantería) | Disponible |
Formato Vancouver:
Lippi G, Sanchís Gomar F, Cervellin G. Chest pain, dyspnea and other symptoms in patients with type 1 and 2 myocardial infarction. A literature review. Int J Cardiol. 2016 Jul 15;215:20-2.
PMID: 27107538
Contiene 9 referencias
Background: Some studies investigated the leading demographic and clinical characteristics of patient with type 2 myocardial infarction (MI), but a comprehensive analysis between type 1 and 2 MI patients is lacking. Therefore, we reviewed current evidence about the difference in clinical signs and symptoms at presentation in patients with type 1 and 2 MI.
Materials and methods: We conducted an electronic search in Medline (with PubMed interface), Scopus and ISI Web of Science using the keywords "Type(-)2" or "Type II" and "myocardial infarction" and "chest pain" and "dyspnea" in "Title/Abstract/Keywords", with no language restriction, date limited from year 2007 to present, and study cohorts including more than 400 overall cases of MI.
Results: Overall, 37 documents were identified, but 33 were excluded since thoughtful comparison between the frequency of chest pain, dyspnea and other symptoms between patients with type 1 and type 2 MI was unavailable. Therefore, 4 studies were finally selected for analysis. Despite significant heterogeneity, the frequency of chest pain was consistently higher in patients with type 1 than type 2 MI (85% vs. 61%; p<0.001), whereas that of dyspnea and other symptoms was approximately 60-70% lower in type 1 than in type 2 MI. The odds ratio of chest pain was 3.5 in type 1 compared to type 2 MI, whereas that of dyspnea and other symptoms was 0.27 and 0.39 in type 1 compared to type 2 MI, respectively.
Conclusion: Our literature analysis suggests that "atypical" presentation may be more frequent in type 2 than in type 1 MI.
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