Οι διαφορές των δύο φύλων στην εμφάνιση προκάρδιου άλγους σε οξύ στεφανιαίο σύνδρομο

Abstract

Introduction: Acute Coronary Syndrome (ACS) is one of the major causes of morbidity and mortality worldwide. Based on gender and other related symptoms, the variations in chest pain and spectrum of ACS have been a challenge for health professionals. Aim: To investigate gender differences in the presence of chest pain across patients with Acute Coronary Syndrome Methods: It is a systematic review study. The academic search was carried out from February 2015 to March 2015 and it was done in the electronic databases Pubmed, Cinahl and Biomed. Results: We found a total of 10 studies, dated from 2005 to 2014 which met the entry criteria. According to the results men were more likely to present with chest pain and typical symptoms, otherwise women were more likely to present with absence of chest pain and atypical symptoms. Men were more likely to present with STEMI and women were more likely to present with NSTEMI and Unstable Angina. Women were more likely to be older, have hypertension and diabetes mellitus, but they were less likely to smoke. Conclusion: The recognition of gender differences in the presence of chest pain and also the rest of the related symptoms of patients with Acute Coronary Syndrome are very important for immediate diagnosis and effective therapy.