ArticleJournal of geriatric cardiology : JGC2019
Clinical significance of diabetes on symptom and patient delay among patients with acute myocardial infarction-an analysis from China Acute Myocardial Infarction (CAMI) registry.
Article in Journal of geriatric cardiology : JGC, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 29 citations in OpenAlex.
- Pathways of Care for Patients Who Undergo Primary Percutaneous Coronary Intervention for STEMI: A Review of "Reviews in cardiovascular medicine · 2026Review
- Factors Associated With Delayed Presentation for Myocardial Infarction Among Patients in Iraq.Cureus · 2026Article
- Cardiac troponin at the point of care in acute and chronic coronary syndromes.Diabetes, obesity & metabolism · 2025Review
- The effect of follow-up reexamination on the long-term prognosis of patients with acute coronary syndrome undergoing coronary angiography.BMC medicine · 2025Article
- Unveiling the Determinants of Prehospital Delay in Patients With Acute Myocardial Infarction: A Cross-Sectional Study.Nursing research and practice · 2025Article
- Impact of in-hospital oral beta-blockers initiation on long-term outcomes in ST-elevation myocardial infarction patients with cardiogenic shock.Frontiers in medicine · 2025Article
- Review
- Development and validation of a nomogram model for predicting the risk of pre-hospital delay in patients with acute myocardial infarction.World journal of cardiology · 2024Article
- Acute epigastric pain unveiling biventricular myocardial infarction: A case report.SAGE open medical case reports · 2024Article
- Time to presentation and mortality outcomes among patients with diabetes and acute myocardial infarction.The Korean journal of internal medicine · 2024Article
- The presentation delay and differences of symptoms manifestation in Myocardial Infarction patients with and without Diabetes: a cross-sectional study.Annals of medicine and surgery (2012) · 2023Article
- Observation of performance measures of STEMI in elderly after implementation of an updated protocol: results from a single center without coronary interventions.Journal of geriatric cardiology : JGC · 2022Article
- Prognosis Analysis of Delayed Call Time for Chest Pain in Patients With Acute ST-Segment Elevation Myocardial Infarction Undergoing Direct Percutaneous Coronary Intervention.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/HemostasisArticle
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11 authors at 1 institution in 1 country.
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Abstract
backgroundDiabetes is frequently associated with poor prognosis among acute myocardial infarction (AMI) patients. Patients with these comorbidities often have atypical symptoms and subsequent delay in treatment. Few studies have reported detailed AMI symptoms in patients with diabetes. This study compared AMI symptoms and presentation characteristics between diabetics and non-diabetics.
methodsWe included patients from the China AMI registry diagnosed with AMI between January 2013 and September 2014. Baseline characteristics, symptomology, and delay in treatment were compared between diabetics and non-diabetics. Multivariable logistic regression analysis was used to explore independent predictors of atypical symptoms.
resultsA total of 4450 (20.2%) patients had diabetes. They were older, more often women, higher in body mass index, and more likely to have non-ST segment elevation myocardial infarction. Fewer diabetic patients presented with persistent precordial chest pain (63.1%
conclusionsOur study is the first large-scale study providing evidence that diabetics are less likely to present with typical chest pain and more likely to experience treatment delay when suffering from an AMI. Our results may increase clinician awareness of recognizing AMI patients rapidly to reduce diagnosis and treatment delay, particularly in the context of diabetes.
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