Characterizing chest pain in patients with acute coronary syndrome at Vietnam National Heart Institute: a case-control study.

Autor:	Nguyen LA; Faculty of Nursing and Midwifery, Hanoi Medical University - Vietnam National Heart Institute, Bachmai Hospital., Pham NM; Department of Cardiology, Hanoi Medical University - Vietnam National Heart Institute, Bachmai Hospital., Pham MH; Department of Cardiology, Hanoi Medical University - Vietnam National Heart Institute, Bachmai Hospital., Thi HNN; Vietnam National Heart Institute, Bachmai Hospital., Thi HN; Vietnam National Heart Institute, Bachmai Hospital., Huu TN; Vietnam National Heart Institute, Bachmai Hospital.
Jazyk:	angličtina
Zdroj:	The Journal of international medical research [J Int Med Res] 2024 Nov; Vol. 52 (11), pp. 3000605241300009.
DOI:	10.1177/03000605241300009
Abstrakt:	Objective: This study aimed to distinguish chest pain characteristics between patients with and without acute coronary syndrome (ACS) at Vietnam National Heart Institute. Methods: A case-control study using a structured chest pain assessment questionnaire was performed to examine pain characteristics. Results: Smoking, a history of heart attack, and a family history of cardiovascular disease were associated with increased ACS-related chest pain risk. Patients without ACS more frequently reported left or central chest pain, mild discomfort, pain triggered by activity, and relief with rest or nitroglycerin. ACS-related chest pain was more often characterized by pain radiating to the back, a sensation of tightness or severe discomfort, gradual intensity increase, occurrence at rest or with minimal exertion, and accompanying sweating. No significant sex differences were found in ACS-related chest pain symptoms. Conclusions: Targeted assessment of chest pain features-such as pain radiation, pressure sensation, symptom escalation, duration, activity triggers, and relief factors-could improve public awareness and support the development of educational resources on ACS and non-ACS symptoms. Competing Interests: Declaration of conflicting interestThe authors declare that they have no competing interests.
Databáze:	MEDLINE
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