Patients with diabetes are not more likely to have atypical symptoms when seeking care of a first myocardial infarction. An analysis of 4028 patients in the Northern Sweden MONICA Study
Article first published online: 19 JUN 2012
© 2011 The Authors. Diabetic Medicine © 2011 Diabetes UK
Volume 29, Issue 7, pages e82–e87, July 2012
How to Cite
Ängerud, K. H., Brulin, C., Näslund, U. and Eliasson, M. (2012), Patients with diabetes are not more likely to have atypical symptoms when seeking care of a first myocardial infarction. An analysis of 4028 patients in the Northern Sweden MONICA Study. Diabetic Medicine, 29: e82–e87. doi: 10.1111/j.1464-5491.2011.03561.x
- Issue published online: 19 JUN 2012
- Article first published online: 19 JUN 2012
- Accepted manuscript online: 28 DEC 2011 04:40AM EST
- Accepted 17 December 2011
- diabetes mellitus;
- myocardial infarction;
- sex differences;
Diabet. Med. 29, e82–e87 (2012)
Aim To describe symptoms of a first myocardial infarction in men and women with and without diabetes.
Methods We conducted a population-based study of 4028 people aged 25–74 years, with first myocardial infarction registered in the Northern Sweden Multinational MONItoring of trends and determinants in CArdiovascular disease (MONICA) myocardial infarction registry between 2000 and 2006. Symptoms were classified as typical or atypical according to the World Health Organization MONICA manual.
Results Among patients with diabetes, 90.1% reported typical symptoms of myocardial infarction; the corresponding proportion among patients without diabetes was 91.5%. In the diabetes group, 88.8% of women and 90.8% of men had typical symptoms of myocardial infarction. No differences were found in symptoms of myocardial infarction between women with and without diabetes or between men with and without diabetes. Atypical symptoms were more prevalent in the older age groups (> 65 years) than in the younger age groups (< 65 years). The increases were approximately equal among men and women, with and without diabetes. Diabetes was not an independent predictor for having atypical symptoms of myocardial infarction.
Conclusions Typical symptoms of myocardial infarction were equally prevalent in patients with and without diabetes and there were no sex differences in symptoms among persons with diabetes. Diabetes was not a predictor of atypical symptoms.