Characteristic differences of chest pain in male and female patients with acute coronary syndrome: A pilot study

  • Yurike Olivia Sella Department of Nursing, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia.
  • Halidah Manistamara Department of Nursing, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia.
  • Sony Apriliawan Department of Nursing, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia.
  • Mifetika Lukitasari | mifetika.fk@ub.ac.id Department of Nursing, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia.
  • Mohammad Saifur Rohman Cardiovascular Research Group, Faculty of Medicine, Brawijaya University, Malang, Indonesia.

Abstract

Background: The typical sign or main symptom in acute coronary syndrome (ACS) patients is chest pain, which is an initial benchmark or early sign for diagnosis. Certain factors, such as gender differences, the presence of diabetes mellitus or other clinical conditions, may make the patient not realize they have ACS. Therefore, this study aims to identify the characteristics of chest pain symptoms in male and female patients with ACS.
Design and Methods: This is a non-experimental quantitative study, namely analytical observation using a cross-sectional approach within 4 months (January-April 2019). Furthermore, the samples were 53 ACS patients (28 male and 25 female).
Results: The chest pain characteristics that have a significant relationship with gender differences in ACS patients are shown based on the aspects of location, pain duration and quality. Male patients are more likely to feel pain at the left or middle chest, the duration is between <20 to >20 min with moderate pain quality, which tends to become severe, while females are more likely to feel pain at the chest which radiates to the neck and chin, the duration is usually >20 min, with mild to moderate pain quality.
Conclusions: The result showed a significant difference in chest pain characteristics in male and female patients with ACS. Regarding location, duration and quality of chest pain, male ACS patients mostly have more typical symptoms, while females’ symptoms are atypical.

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Published
2021-04-14
Ethics Approval
This study was approved by the Ethics Committee of dr. Saiful Anwar Malang General Hospital, Malang, Indonesia
Keywords:
Characteristics of symptoms, chest pain, acute coronary syndrome
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How to Cite
Sella, Y. O., Manistamara, H., Apriliawan, S., Lukitasari, M., & Rohman, M. S. (2021). Characteristic differences of chest pain in male and female patients with acute coronary syndrome: A pilot study. Journal of Public Health Research, 10(2). https://doi.org/10.4081/jphr.2021.2242