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首页> 外文期刊>Journal of Clinical Medicine and Research >A review of the types of presentation among positive angiographic acute coronary syndrome patients in Hospital Universiti Sains Malaysia
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A review of the types of presentation among positive angiographic acute coronary syndrome patients in Hospital Universiti Sains Malaysia

机译：马来西亚大学医院的血管造影急性冠状动脉综合征阳性患者的表现类型综述

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Atypical presentation of myocardial infarction is recognized as an important manifestation of coronary heart disease associated with unfavorable prognosis. Understanding the spectrum of clinical symptoms and presentations are essential to diagnose and deliver appropriate rapid treatment to patients in the emergency department. Hence, this study was carried out to identify the type of presentation of acute coronary syndrome (ACS) and its association with the risk factors related to the atypical presentation in population of study. Out of 260 patients, 25.8% had atypical presentation of ACS with the presentation of right sided chest pain (1.8%), burning chest pain (20.9%) and pricking chest pain (15%). The significant associated diseases were diabetes mellitus and past medical history of ischaemic heart disease (p<0.01) respectively. Other significant associated symptoms were epigastric pain (p<0.001), cough (p<0.01) and giddiness (p<0.01). As a conclusion, ACS with atypical presentations remains an important presentation in the Emergency Department. Despite the availability of advanced medical technology, a thorough history taking remains an important component of diagnosis for a better management and outcome of ACS.
机译：心肌梗死的非典型表现被认为是与不良预后相关的冠心病的重要表现。了解临床症状和表现的范围对于诊断急诊科的患者并为其提供适当的快速治疗至关重要。因此，本研究旨在确定急性冠状动脉综合征（ACS）的表现类型及其与与研究人群中非典型表现有关的危险因素的关联。在260例患者中，有25.8％的患者出现了ACS的非典型表现，包括右侧胸痛（1.8％），烧伤性胸痛（20.9％）和刺痛（15％）。显着相关疾病分别为糖尿病和缺血性心脏病的既往病史（p <0.01）。其他明显的相关症状是上腹痛（p <0.001），咳嗽（p <0.01）和头晕（p <0.01）。结论是，具有非典型表现的ACS仍然是急诊科的重要表现。尽管可以使用先进的医疗技术，但全面的病史记录仍然是诊断的重要组成部分，可以更好地管理ACS和改善结局。

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