|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Clinical significance of diabetes on symptom and patient delay among patients with acute myocardial infarction——an analysis from China Acute Myocardial Infarction(CAMI) registry显示文摘Background Diabetes is frequently associated with poor prognosis among acute myocardial infarction(AMI)patients.Patients with these comorbidities often have atypical symptoms and subsequent delay in treatment.Few studies have reported detailed AMI symptoms in patients with diabetes.This study compared AMI symptoms and presentation characteristics between diabetics and non-diabetics.Methods We included patients from the China AMI registry diagnosed with AMI between January 2013 and September 2014.Baseline characteristics,symptomology,and delay in treatment were compared between diabetics and non-diabetics.Multivariable logistic regression analysis was used to explore independent predictors of atypical symptoms.Results A total of 4450(20.2%)patients had diabetes.They were older,more often women,higher in body mass index,and more likely to have non-ST segment elevation myocardial infarction.Fewer diabetic patients presented with persistent precordial chest pain(63.1%vs.68%,P<0.0001),diaphoresis(60.1%vs.65.6%,P<0.0001),fatigue(16.7%vs.18.3%,P=0.0123),and incontinence(0.4%vs.0.7%,P=0.0093).Time to hospital presentation was longer among patients with diabetes than those without.In multivariable analysis,diabetes was identified as an independent predictor of atypical symptoms(OR:1.112,95%CI:1.034?1.196).Conclusions Our study is the first large-scale study providing evidence that diabetics are less likely to present with typical chest pain and more likely to experience treatment delay when suffering from an AMI.Our results may increase clinician awareness of recognizing AMI patients rapidly to reduce diagnosis and treatment delay,particularly in the context of diabetes. | Rui FU Si-Dong LI Chen-Xi SONG Jing-Ang YANG Hai-Yan XU Xiao-Jin GAO Yi XU Jian-Ping ZENG Jun-Nong LI Ke-Fei DOU Yue-Jin YANG on behalf of the CAMI Registry study group Beijing,China | 2019 | Journal of Geriatric Cardiology2019，16，5： | 21 |
| 2 | Angiographic characteristics and in-hospital mortality among patients with ST-segment elevation myocardial infarction presenting without typical chest pain: an analysis of China Acute Myocardial Infarction registry显示文摘Background:Patients with ST-segment elevation myocardial infarction(STEMI)who present without typical chest pain are associated with a poor outcome.However,whether angiographic characteristics are related to a higher risk of mortality in this population is unclear.This study aimed to investigate whether the higher mortality risk in patients with STEMI without chest pain could be explained by their'high-risk'angiographic characteristics.Methods:We used data of 12,145 patients with STEMI who was registered in China Acute Myocardial Infarction registry from January 2013 to September 2014.We compared the infarct-related artery(IRA),thrombolysis in myocardial infarction(TIMI)flow grade in the IRA,and other angiographic characteristics between patients without and those with chest pain.Multivariable logistic regression model was used to identify independent risk factor of in-hospital mortality.Results:The 2922(24.1%)patients with STEMI presented without typical chest pain.These patients had a higher TIMI flow grade(mean TIMI flow grade:1.00 vs.0.94,P=0.02)and a lower rate of IRA disease of the left anterior descending artery(44.6%vs.51.2%,χ^2=35.63,P<0.01)than did those with typical chest pain.Patients without chest pain were older,more likely to have diabetes,longer time to hospital and higher Killip classification,and less likely to receive optimal medication treatment and primary percutaneous coronary intervention and higher In-hospital mortality(3.3%vs.2.2%,χ^2=10.57,P<0.01).After adjusting for multi-variables,presentation without chest pain was still an independent predictor of in-hospital death among patients with STEMI(adjusted odds ratio:1.36,95%confidence interval:1.02–1.83).Conclusions:Presentation without chest pain is common and associated with a higher in-hospital mortality risk in patients with acute myocardial infarction.Our results indicate that their poor prognosis is associated with baseline patient characteristics and delayed treatment,but not angiographic lesion characteristics.Clinical trial registration:NCT01874691,http://gffzzd3f38a9638994581soqpfpqupxnk06cf9.ffgz.tsg.suse.edu.cn. | Chen-Xi Song Rui Fu Jin-Gang Yang Hai-Yan Xu Xiao-Jin Gao Chun-Yue Wang Yang Zheng Shao-Bin Jia Ke-Fei Dou Yue-Jin Yang on behalf of the CAMI Registry study group | 2019 | Chinese Medical Journal2019，，19： | 11 |
| 3 | Drug addiction显示文摘 | Cami J Farre M | 2003 | N Engl J Med2003，349，10： | 1 |
| 4 | Stimulation of extracellular signal-regulated kinases and proliferation in the human gastric cancer cells KATO-Ⅲ by obestatin显示文摘 | Pazos Y Alvarez C J Camia J P Casanueva F F | 2007 | Growth Factors2007，25，6： | 1 |
| 5 | Drug Addiction显示文摘 | CAMI J FARRE M | 2003 | N Engl J Med2003，349，10： | 1 |
| 6 | Drug Addiction显示文摘 | Cami J Farre M | 2003 | N Engl J Med2003，349，10： | 1 |
| 7 | Protective effects of C-phycocyanin against kainic acid-induced neuronal damage in rat hippocampus显示文摘 | RIMBAU V CAMIS A | 1999 | Neurosci Lett1999，276，2： | 1 |
| 8 | Drug addiction 显示文摘 | Cami J Farr6 M | 2003 | N Engl J Med2003，349，10： | 1 |
| 9 | Correlated color temperature as an explicit function of chromaticity coordinates显示文摘 | Mc Camy Calvin S | 1992 | Color Research&Application1992，17，2： | 1 |
| 10 | Electro- chemical determination of ferrocene diffusion coeffi- cient in liquid media under high CO2 pressure: Appli- cation to DMF-CO2 mixtures 显示文摘 | CHANFREAU S COGNET P CAMY S et M | 2007 | J Electroanalytical Chemistry2007，604，： | 1 |
| 11 | sfer and expression of Baccilus licheniformisalpha-amylase gene in Zymomonas mobilis 显示文摘 | Brestic-Goachet N Gunasekaran P Cami B | 1990 | Arch Microbiol1990，153，： | 1 |
| 12 | Obstructive sleep apnea显示文摘 | Caples SM Cami AS Somers VK | 2005 | Arm Intern Med2005，142，3： | 1 |
| 13 | Soil factors associated with infection by Collybia fusipes and decline of oaks显示文摘 | CAMY C DE VILLEBONNE D DELATOUR C | 2003 | For Path2003，33，： | 1 |
| 14 | Drug addiction显示文摘 | Cami J Farre hi | 2003 | N Eng J Med2003，349，9： | 1 |
| 15 | Knowledge Absorptive Capacity:New Insights for Its Conceptualization and Measurement显示文摘 | César Camisón Beatriz Forés | 2009 | Journal of Business Research2009，，4： | 1 |
| 16 | From integrated enterprises to regional clusters:the changing basic of competition显示文摘 | CAMIE A | 2000 | Computers in Industry2000，42，23： | 1 |
| 17 | Neuropsychological performance in opiate addict after rapid detoxification 显示文摘 | Guerra D Sole A Cami j | 1987 | Drug Alcohol Depend1987，20，3： | 1 |
| 18 | The Yersinia high-pathogenicity island is present in different members of the family Enterocoliticeae显示文摘 | Bach S de Almeida A Camie E | 2000 | FEMS Micriobiol Leet2000，183，2： | 1 |
| 19 | The ovalbumin gene regions:common features in the organisation of three genes expressed in chicken-oviduct under hormonal control显示文摘 | Royal A Garapin A C Cami B | 1979 | Nature1979，279，： | 1 |
| 20 | Techniques for analyzing dynamic random graph models of web-like netwroks:an overview显示文摘 | Deo N | 2008 | Networks2008，51，4： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员