2.50
Hdl Handle:
http://hdl.handle.net/10755/155535
Type:
Presentation
Title:
Impact of Diabetes on Symptoms of Acute Coronary Syndromes
Abstract:
Impact of Diabetes on Symptoms of Acute Coronary Syndromes
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:DeVon, Holli A., PhD, RN
P.I. Institution Name:Loyola University Chicago
Title:Associate Professor
Co-Authors:Sue M. Penckofer, PhD, RN
The global burden of diabetes is significant and increasing at epidemic rates in developed nations. The number afflicted has risen from 30 to 171 million in the past 20 years alone. Diabetes imparts a four-fold increased risk of cardiovascular disease and is associated with more complications and poorer outcomes following acute coronary syndromes (ACS). Patients with diabetes often experience cardiac autonomic neuropathy (CAN) manifested by painless myocardial ischemia. CAN may also impact the way patients perceive other symptoms of ACS. Purpose: The purpose of this study was to examine ACS symptom differences in patients with diabetes compared to those without diabetes. Methods: A descriptive cross-sectional design was utilized. A convenience sample of 112 women and 144 men from two large, urban, regional medical centers in the Midwest participated in the study. The Symptoms of Acute Coronary Syndromes Inventory was used to measure symptom type, location, quality, and severity of pain. Interviews were conducted in the patient?s room a minimum of 12 hours after admission. Results: Patients with diabetes comprised 33.2% of the sample and were more likely to have a history of heart disease (X2=11.62, p<.01) and coronary interventions (X2=8.16, p<.01) compared to those without diabetes. Patients with diabetes had significantly more risk factors including hypertension (X2=9.9, p<.01) and obesity (X2=6.0, p<.02). Patients with diabetes reported significantly less chest pain (X2=4.21, p=.04), less heat sensations (X2=4.33, p=.04), and more unusual fatigue (X2=6.9, p<.01). Discussion: Lack of chest pain in patients with diabetes is a serious concern since this is the hallmark symptom of ACS and is well known to the public. This could contribute to a delay in accessing emergency medical services or a decision to forgo care altogether if patients erroneously believe that their symptoms are caused by minor illness.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImpact of Diabetes on Symptoms of Acute Coronary Syndromesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155535-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Impact of Diabetes on Symptoms of Acute Coronary Syndromes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">DeVon, Holli A., PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Loyola University Chicago</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">hdevon@luc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Sue M. Penckofer, PhD, RN</td></tr><tr><td colspan="2" class="item-abstract">The global burden of diabetes is significant and increasing at epidemic rates in developed nations. The number afflicted has risen from 30 to 171 million in the past 20 years alone. Diabetes imparts a four-fold increased risk of cardiovascular disease and is associated with more complications and poorer outcomes following acute coronary syndromes (ACS). Patients with diabetes often experience cardiac autonomic neuropathy (CAN) manifested by painless myocardial ischemia. CAN may also impact the way patients perceive other symptoms of ACS. Purpose: The purpose of this study was to examine ACS symptom differences in patients with diabetes compared to those without diabetes. Methods: A descriptive cross-sectional design was utilized. A convenience sample of 112 women and 144 men from two large, urban, regional medical centers in the Midwest participated in the study. The Symptoms of Acute Coronary Syndromes Inventory was used to measure symptom type, location, quality, and severity of pain. Interviews were conducted in the patient?s room a minimum of 12 hours after admission. Results: Patients with diabetes comprised 33.2% of the sample and were more likely to have a history of heart disease (X2=11.62, p&lt;.01) and coronary interventions (X2=8.16, p&lt;.01) compared to those without diabetes. Patients with diabetes had significantly more risk factors including hypertension (X2=9.9, p&lt;.01) and obesity (X2=6.0, p&lt;.02). Patients with diabetes reported significantly less chest pain (X2=4.21, p=.04), less heat sensations (X2=4.33, p=.04), and more unusual fatigue (X2=6.9, p&lt;.01). Discussion: Lack of chest pain in patients with diabetes is a serious concern since this is the hallmark symptom of ACS and is well known to the public. This could contribute to a delay in accessing emergency medical services or a decision to forgo care altogether if patients erroneously believe that their symptoms are caused by minor illness.</td></tr></table>en_GB
dc.date.available2011-10-26T13:56:00Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:56:00Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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