Diferença na sintomatologia e no tempo de procura por assistência médica entre homens e mulheres com IAMCSST

Abstract

Background: It is speculated that the Acute Myocardial Infarction with ST Elevation manifests itself differently in females, with higher prevalence of atypical manifestations. This fact could undermine the recognition of the disease, delaying the search for a medical service. Objectives: To investigate differences between the presenting symptoms and the search time for help after its inception, in both sexes. Methods: This is a cohort study carried out between May 2013 to April 2015. We used the VICTIM record from data from two public and three private hospitals in the state of Sergipe. 471 patients were included, of whom 173 women and 298 men admitted with a diagnosis of STEMI. Results: Women were older (64.5 ± 13.2 vs 60.6 ± 11.7 years, p = 0.003), and with more risk factors. The typical anginal pain was distributed equivalently between genders. Other symptoms presented in a similar way, except nausea / vomiting (61% vs 49%, p = 0.01) and fatigue / asthenia (54% vs 42%, p = 0.009), more prevalent among women. There was no gender difference in search times. The presence or absence of typical angina had no influence on the call interval. Conclusions: There was found a significant difference in the manifestation of typical angina between the sexes. Also, have similar symptoms, except for nausea / vomiting and fatigue / asthenia. There was no difference in time to seek medical service, although it has been checked up on both sexes, which could imply a worse prognosis.