目的:本研究旨在评估缺血性心脏病患者经典和非经典疼痛部位的患病率,强调识别和不忽视非经典症状的重要性。
方法:这项横断面研究纳入了100名被诊断为冠状动脉疾病(CAD)的患者,他们被叙利亚的两家主要医院收治。经典疼痛被确定为位于心前区的疼痛,有或没有辐射到颈部,下巴,左肩或左臂。记录患者的人口统计学和既往病史,以调查与非经典疼痛的任何潜在关联。
结果:62%的患者经历了非经典疼痛,而12%没有心前区疼痛。对于那些没有心前疼痛的人,最常见的疼痛部位是左胸部(66.7%).非经典疼痛与吸烟显著相关,72.2%的吸烟者经历非经典疼痛,而35.7%的非吸烟者(p=0.001)。此外,以前患有心脏病的患者更有可能患有非经典疼痛(71.7%),与无心脏病史的患者相比(51.1%)(p=0.03)。其他因素,如年龄,性别,和糖尿病没有统计学意义。
结论:非经典疼痛很常见,影响了62%的人,主要在右肩,右臂,和回来。这种类型的疼痛可能与吸烟和先前的心脏病有关。误诊冠状动脉疾病会有严重的后果,因为具有非经典症状的患者可能会错过重要的院前手术,如心电图。
OBJECTIVE: This study aims to assess the prevalence of both
classic and non-
classic pain sites in patients with ischemic heart disease, emphasizing the importance of recognizing and not disregarding non-
classic symptoms.
METHODS: This cross-sectional study included 100 patients diagnosed with coronary artery disease (CAD) who were admitted to two major hospitals in Syria. classic pain was identified as pain located in the precordial area, with or without radiation to the neck, jaw, left shoulder or arm. Patients\' demographics and previous medical history were documented to investigate any potential associations with non-classic pain.
RESULTS: 62% of the patients experienced non-
classic pain, while 12% had no precordial pain. For those without precordial pain, the most common pain site was the left chest (66.7%). Non-
classic pain was significantly associated with smoking, with 72.2% of smokers experiencing non-
classic pain compared to 35.7% non-smokers (p = 0.001). Additionally, patients with previous heart disease were more likely to have non-
classic pain (71.7%), compared with patients with no history of heart disease (51.1%) (p = 0.03). Other factors such as age, sex, and diabetes were not statistically significant.
CONCLUSIONS: Non-classic pain is common, affecting 62% of individuals, primarily in the right shoulder, right arm, and back. This type of pain could be associated with smoking and prior heart disease. Misdiagnosing coronary artery disease can have serious consequences, as patients with non-classic symptoms may miss important pre-hospital procedures like ECG.