Do patients with non-ST-elevation myocardial infarction without chest pain suffer a poor prognosis?

Chien, Ding-Kuo; Lee, Shih Yi; Hung, Chung‐Lieh; Sun, Fang; Lin, Mau Roung; Chang, Wen Han

doi:10.1016/j.tjog.2019.09.010

Cited by 5 publications

(17 citation statements)

References 23 publications

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“…cardiac exercise measure for young and middle-aged patients with AMI. It follows the principle of gradual and orderly progress to help patients quickly restore cardiac function, so that they can return to society as soon as possible, and take care of their family and societal responsibilities (15,16). The present findings demonstrated that young and middle-aged patients with AMI in the observation group had significantly higher functional exercise compliance than the control group.…”

Section: Discussionmentioning

confidence: 48%

Observation of the effect of a 7-day gradual early functional exercise program in middle-aged and young patients with acute myocardial infarction after percutaneous coronary intervention

Yang¹,

Sun²,

Feng³

et al. 2021

Ann Palliat Med

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Background: Acute myocardial infarction (AMI) is characterized by a critical condition, rapid progression, and a high fatality rate. Percutaneous coronary intervention (PCI) is the treatment of choice for AMI. The purpose of this study was to investigate the efficacy of a 7-day gradual early functional exercise program after PCI in young and middle-aged patients with AMI.Methods: A total of 106 young and middle-aged patients with AMI at the Affiliated Hospital of Jiangnan University from May 2018 to May 2019 were selected and divided into 2 groups according to the random number table method (n=53 per group). Both groups were treated with PCI, and the control group then received routine functional exercises after surgery, whilst the observation group received a 7-day gradual early functional exercise program after surgery. Functional exercise compliance, daily life ability before and after intervention, changes in quality of life, and postoperative complications after 1 year were compared between the 2 groups. Results:The functional exercise compliance of the observation group was significantly higher than that of the control group (P<0.05). The daily living ability of the observation group was also significantly better than that of the control group after the intervention (P<0.05). The physical activity, emotional response, diet, adverse drug reactions, and anxiety medication scores of the observation group after the intervention were lower than those of the control group (P<0.05). Furthermore, the postoperative complications and total complication rate after 1 year in the observation group was lower than the control group (P<0.05). Conclusions:The application of a 7-day gradual early functional exercise program in young and middleaged patients with AMI after PCI can improve functional exercise compliance, daily life ability, quality of life, and reduce the incidence of complications.

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Section: Discussionmentioning

confidence: 48%

Observation of the effect of a 7-day gradual early functional exercise program in middle-aged and young patients with acute myocardial infarction after percutaneous coronary intervention

Yang¹,

Sun²,

Feng³

et al. 2021

Ann Palliat Med

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“…3,29,33 A similar pattern was found for long-term mortality where the 1-year mortality was estimated to 4-17% and 15-23% in MI patients with and without chest pain. 3,28,30 Overall, previous findings indicate that the mortality risk is two to three times higher among non-chest pain MI patients compared to chest pain patients.…”

Section: Symptom Presentation Of Myocardial Infarction and Associated...mentioning

confidence: 89%

“…MI patients presenting without chest pain can experience symptoms including dyspnea, weakness, fatigue, abdominal pain, back pain, vomiting, nausea, syncope, dizziness, diaphoresis and cold sweat, anxiety, jaw or neck pain, and malaise. 2,5,9,[26][27][28] The literature suggests that the prevalence of MI patients presenting without chest pain is between 8% and 44% depending on the selection of MI patients. 1,2,4,[29][30][31][32][33] Previous studies have indicated that symptom presentation varies according to type of MI, where absence of chest pain have been found more common for NSTEMI, where 23% to 44% presented without chest pain, 4,28,30 whereas symptom presentation without chest pain among STEMI patients is somewhat less common (13% and 27%).…”

Section: Symptom Presentation Of Myocardial Infarction and Associated...mentioning

confidence: 99%

“…2,5,9,[26][27][28] The literature suggests that the prevalence of MI patients presenting without chest pain is between 8% and 44% depending on the selection of MI patients. 1,2,4,[29][30][31][32][33] Previous studies have indicated that symptom presentation varies according to type of MI, where absence of chest pain have been found more common for NSTEMI, where 23% to 44% presented without chest pain, 4,28,30 whereas symptom presentation without chest pain among STEMI patients is somewhat less common (13% and 27%). 4,29,31 Advancement in treatment during the past decades has contributed to a considerable reduction in mortality after MI.…”

Section: Symptom Presentation Of Myocardial Infarction and Associated...mentioning

confidence: 99%

“…Comorbidities including type 2 diabetes, and in some studies hypertension and heart failure, seems to be more common among MI patients presenting without chest pain. 1,4,28,32,37 Additionally, elderly and females have been found to be more likely to present without chest pain. 3,28,37,38 On the other hand, some patient characteristics have been found to be more common among MI patients with chest pain.…”

Section: Differences In Patient Characteristicsmentioning

confidence: 99%

See 2 more Smart Citations

Initial symptoms of myocardial infarction – Consequences and methodological approach

Møller¹

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Survival after acute myocardial infarction (MI) has been improving for decades, but mortality among MI patients who present without chest pain remains high. MI patients presenting without chest pain are more likely to have long treatment delays. Delays can occur because of misrecognition during the first medical contact, as vague or unspecific symptoms can be misinterpreted as benign. Further, non-chest pain MI patients tend to wait longer before seeking help, and when they do, they are more likely to contact general practitioners, medical helplines, or out-of-hours services, instead of calling the emergency number. We currently lack knowledge of what happens during the first medical contact and whether possible prehospital misrecognition contributes to treatment delay and, ultimately, the increased mortality observed among non-chest pain MI patients. As a result, it remains unclear if improved prehospital management of MI patients presenting without chest pain would in fact lead to better outcomes.

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Association Between Acute Myocardial Infarction Symptoms and Short- and Long-term Mortality After the Event

Schmitz,

Harmel,

Raake

et al. 2024

Canadian Journal of Cardiology

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Do patients with non-ST-elevation myocardial infarction without chest pain suffer a poor prognosis?

Cited by 5 publications

References 23 publications

Observation of the effect of a 7-day gradual early functional exercise program in middle-aged and young patients with acute myocardial infarction after percutaneous coronary intervention

Observation of the effect of a 7-day gradual early functional exercise program in middle-aged and young patients with acute myocardial infarction after percutaneous coronary intervention

Initial symptoms of myocardial infarction – Consequences and methodological approach

Association Between Acute Myocardial Infarction Symptoms and Short- and Long-term Mortality After the Event

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