성인과 노인 관상동맥증후군 초발 환자의 임상적 특성 및 치료추구행위 비교 = Comparison of Clinical Manifestations and Treatment-Seeking Behavior in Younger and Older Patients with First-time Acute Coronary Syndrome

다국어 초록 (Multilingual Abstract)

Purpose: This study was conducted to examine and compare clinical manifestations and predicting factors for treatment-
seeking delay among patients <65 and ≥65 yr with first-time acute coronary syndrome (ACS). Methods: A total of
288 patients who were diagnosed with ACS were individually interviewed at C university hospital in G-city from November
2007 to December 2008. Results: Median pre-hospital delays for younger and older patients were 5 and 12 hr, respectively.
Younger patients were more likely to be current smokers, heavy drinkers, obese, stressed, and have an unhealthy
diet and family history, and to complain of chest pain, left shoulder and arm pain, perspiration, and nausea. Older patients
were more likely to have hypertension and diabetes, and to complain syncope and dyspnea. Logistic regression analyses
showed that after adjustment for age, gender and education, progressive onset of symptom and no attribution to cardiac
problem significantly predicted pre-hospital delay >3 hr in both younger and older patients. Low perceived health status
was a significant independent predictor in older patients only. Conclusion: Health care providers should be concerned
with different manifestations between younger and older adults, and educate people at risk for heart attack about symptoms
and actions to get immediate help.

다국어 초록 (Multilingual Abstract)

Purpose: This study was conducted to examine and compare clinical manifestations and predicting factors for treatment-
seeking delay among patients <65 and ≥65 yr with first-time acute coronary syndrome (ACS). Methods: A total of
288 patients who were diagnosed with ACS were individually interviewed at C university hospital in G-city from November
2007 to December 2008. Results: Median pre-hospital delays for younger and older patients were 5 and 12 hr, respectively.
Younger patients were more likely to be current smokers, heavy drinkers, obese, stressed, and have an unhealthy
diet and family history, and to complain of chest pain, left shoulder and arm pain, perspiration, and nausea. Older patients
were more likely to have hypertension and diabetes, and to complain syncope and dyspnea. Logistic regression analyses
showed that after adjustment for age, gender and education, progressive onset of symptom and no attribution to cardiac
problem significantly predicted pre-hospital delay >3 hr in both younger and older patients. Low perceived health status
was a significant independent predictor in older patients only. Conclusion: Health care providers should be concerned
with different manifestations between younger and older adults, and educate people at risk for heart attack about symptoms
and actions to get immediate help.

참고문헌 (Reference)

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