Differences in symptoms and presentation delay times in myocardial infarction patients with and without diabetes: A cross-sectional study in Pakistan

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dc.contributor.authorAhmed, Sabaen_US
dc.contributor.authorKhan, Aribaen_US
dc.contributor.authorAli, Syed Ibaaden_US
dc.contributor.authorSaad, Mohammaden_US
dc.contributor.authorJawaid, Hafsaen_US
dc.contributor.authorIslam, Mahnooren_US
dc.contributor.authorSaiyed, Hanieyaen_US
dc.contributor.authorFatima, Saroshen_US
dc.contributor.authorKhan, Aimanen_US
dc.contributor.authorBasham, Maleeha A.en_US
dc.contributor.authorHussain, Syeda Asfiaen_US
dc.contributor.authorAkhtar, Maheenen_US
dc.contributor.authorKausar, Fatimaen_US
dc.contributor.authorHussain, Afshanen_US
dc.contributor.authorFatima, Kaneezen_US
dc.date.accessioned2020-01-02T06:41:11Z
dc.date.available2020-01-02T06:41:11Z
dc.date.issued2018-03
dc.description.abstractObjective A short pre-hospital delay, from the onset of symptoms to rapid initiation of reperfusion therapy, is a crucial factor in determining prognosis of myocardial infarction (MI). The purpose of this study was to evaluate symptoms and presentation delay times in MI patients with and without diabetes. Methods This cross-sectional study was conducted in 3 tertiary care hospitals of Pakistan over a period of 6 months. The study sample consisted of 280 consenting individuals diagnosed with ST-elevation MI (STEMI) or Non-ST elevation MI (NSTEMI), out of which 130 were diabetic and 150 were non-diabetic. Data was collected using a standardized questionnaire, investigating MI symptoms along with causes and duration of pre-hospital delay within 72 hours of admission. Results No significant difference was found in the intensity of chest pain between diabetics and non-diabetics. Atypical symptoms of MI such as anxiety (p < 0.001), cold sweats (p = 0.034) and epigastric pain (p = 0.017) were more frequently reported in diabetics. MI patients with diabetes had a significantly longer presentation delay time with 75% of the patients presenting after elapse of 3 h. Only a few patients reported to the hospital within an hour of onset of symptoms (n = 23, 8.2%), out of which majority were non-diabetics (n = 18). A majority of patients (n = 146, 52%) in both groups did not use emergency medical services. Conclusion This study provides an incentive for further research, aiming to reduce pre hospital delay along with investigating the effectiveness of emergency medical services.en_US
dc.identifier.affiliationsDow Medical College, Dow University of Health Sciences, Karachi, Pakistanen_US
dc.identifier.citationAhmed Saba, Khan Ariba, Ali Syed Ibaad, Saad Mohammad, Jawaid Hafsa, Islam Mahnoor, Saiyed Hanieya, Fatima Sarosh, Khan Aiman, Basham Maleeha A., Hussain Syeda Asfia, Akhtar Maheen, Kausar Fatima, Hussain Afshan, Fatima Kaneez. Differences in symptoms and presentation delay times in myocardial infarction patients with and without diabetes: A cross-sectional study in Pakistan. Indian Heart Journal. 2018 Mar; 70(2): 241-245en_US
dc.identifier.issn0019-4832
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/191776
dc.languageenen_US
dc.publisherCardiological Society of Indiaen_US
dc.relation.issuenumber2en_US
dc.relation.volume70en_US
dc.source.urihttps://doi.org/10.1016/j.ihj.2017.07.013en_US
dc.subjectDecision makingen_US
dc.subjectDiabetes mellitusen_US
dc.subjectMyocardial infarctionen_US
dc.subjectPakistanen_US
dc.subjectSymptomsen_US
dc.titleDifferences in symptoms and presentation delay times in myocardial infarction patients with and without diabetes: A cross-sectional study in Pakistanen_US
dc.typeJournal Articleen_US
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