AI Article Synopsis

  • This study aimed to identify differences in chest pain characteristics between patients with acute coronary syndrome (ACS) and those without at the Vietnam National Heart Institute.
  • The research found that factors like smoking and personal/family heart disease history increased the risk of experiencing ACS-related chest pain.
  • Patients without ACS typically reported milder and activity-triggered pain, while ACS-related pain was more severe, often occurring at rest and accompanied by other symptoms like sweating, suggesting the need for more awareness and educational resources on these chest pain differences.

Article Abstract

Objective: This study aimed to distinguish chest pain characteristics between patients with and without acute coronary syndrome (ACS) at Vietnam National Heart Institute.

Methods: A case-control study using a structured chest pain assessment questionnaire was performed to examine pain characteristics.

Results: Smoking, a history of heart attack, and a family history of cardiovascular disease were associated with increased ACS-related chest pain risk. Patients without ACS more frequently reported left or central chest pain, mild discomfort, pain triggered by activity, and relief with rest or nitroglycerin. ACS-related chest pain was more often characterized by pain radiating to the back, a sensation of tightness or severe discomfort, gradual intensity increase, occurrence at rest or with minimal exertion, and accompanying sweating. No significant sex differences were found in ACS-related chest pain symptoms.

Conclusions: Targeted assessment of chest pain features-such as pain radiation, pressure sensation, symptom escalation, duration, activity triggers, and relief factors-could improve public awareness and support the development of educational resources on ACS and non-ACS symptoms.

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Source
http://dx.doi.org/10.1177/03000605241300009DOI Listing

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