Meshack A F, Goff D C, Chan W, Ramsey D, Linares A, Reyna R, Pandey D
University of Texas-Houston Health Science Center School of Public Health, 77030, USA.
Am J Cardiol. 1998 Dec 1;82(11):1329-32. doi: 10.1016/s0002-9149(98)00636-5.
This study examines whether there are differences between Mexican Americans and non-Hispanic whites in reported symptoms of acute myocardial infarction (AMI). The symptoms experienced by patients identified in a community-based surveillance program were examined to determine whether between-group differences existed by ethnicity, gender, and diabetic status. Data were available regarding the symptoms of 589 patients, between the ages of 25 and 74 years, who were hospitalized and diagnosed as either having definite or possible AMI in special care units at 1 of 7 hospitals in Corpus Christi, Texas. The most frequently reported symptoms were chest pain (83.2%), chest pressure or discomfort (67.6%), sweating (64.2%), fatigue (62.6%), dyspnea (60.3%), and arm or jaw pain (58.2%). After adjusting for age, diabetes mellitus, and gender, and relative to non-Hispanic whites, Mexican Americans were more likely to report chest pain, upper back pain, and palpitations, and less likely to report arm or jaw pain. Likewise, relative to men, women were more likely to report fatigue, dyspnea, dizziness, upper back pain, palpitations, and cough, and were less likely to report chest pain. Significant differences were also observed when older patients' symptoms were compared with younger patients' symptoms.
本研究调查了墨西哥裔美国人和非西班牙裔白人在急性心肌梗死（AMI）报告症状方面是否存在差异。对在一项基于社区的监测项目中确定的患者所经历的症状进行了检查，以确定按种族、性别和糖尿病状态划分的组间差异是否存在。有589名年龄在25岁至74岁之间的患者的数据，这些患者在得克萨斯州科珀斯克里斯蒂市7家医院中的1家的特殊护理病房住院，被诊断为患有明确或可能的AMI。最常报告的症状是胸痛（83.2%）、胸部压迫感或不适（67.6%）、出汗（64.2%）、疲劳（62.6%）、呼吸困难（60.3%）以及手臂或颌部疼痛（58.2%）。在对年龄、糖尿病和性别进行调整后，与非西班牙裔白人相比，墨西哥裔美国人更有可能报告胸痛、上背部疼痛和心悸，而报告手臂或颌部疼痛的可能性较小。同样，与男性相比，女性更有可能报告疲劳、呼吸困难、头晕、上背部疼痛、心悸和咳嗽，而报告胸痛的可能性较小。在比较老年患者和年轻患者的症状时也观察到了显著差异。
