A diferenciação da dor do infarto agudo do miocárdio entre pacientes diabéticos e não-diabéticos  <span class="so-article-trans-title" dir="auto"> Translated title: Diferenciación del dolor del infarto agudo de miocardio entre pacientes diabéticos y no diabéticos </span> <span class="so-article-trans-title" dir="auto"> Translated title: The difference in acute myocardial infarction pain between diabetic and non diabetic patients </span>

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Abstract

O estudo teve como objetivo comparar a dor do infarto agudo do miocárdio (IAM) entre pacientes diabéticos e não-diabéticos. Uma amostra de 80 pacientes com IAM, divididos em 2 grupos com e sem diabetes mellitus (DM), sendo 29% diabéticos e 71% não-diabéticos. Os pacientes com DM referiram ausência de dor (p<0,05) e atribuíram notas mais baixas para a dor (p<0,001), quando comparados aos pacientes sem DM. Houve diferença significante entre as médias da nota de dor entre os pacientes diabéticos e não-diabéticos (p<0,001). Conclui-se que pacientes diabéticos apresentaram diminuição ou mesmo ausência de dor durante o IAM, quando comparados aos indivíduos não-diabéticos.

Translated abstract

El objetivo de este estudio fue comparar el dolor del infarto agudo de miocardio (IAM) entre pacientes diabéticos y no diabéticos. La muestra la conformaron 80 pacientes con IAM divididos en dos grupos: con y sin diabetes mellitus (DM), siendo el 29% diabéticos y el 71% no diabéticos. Los pacientes con DM manifestaron ausencia de dolor (p<0,05) y atribuyeron notas más bajas para el dolor (p<0,001), al ser comparados con los pacientes sin DM. Se obtuvo una diferencia significativa entre las medias de la nota del dolor entre los pacientes diabéticos y no diabéticos (p<0,001). Se concluyó que en los pacientes diabéticos hubo disminución o ausencia de dolor durante el IAM, al ser comparados con los individuos no diabéticos.

Translated abstract

The goal of this study was to compare the acute myocardial infarction (AMI) pain between diabetic and non diabetic patients. A sample of 80 AMI patients was divided in two groups, with and without diabetes mellitus (DM), being 29% diabetic and 71% non diabetic patients. The patients with DM said they had no pain (p<0.05) and gave lower scores for pain when compared with patients without DM. There was a significant difference between average scores for pain among diabetic and non diabetic patients (p<0.001). In conclusion, the diabetic patients presented no pain or diminished pain when compared with patients without diabetes.

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Most cited references 16

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Acute myocardial infarction in the diabetic patient: pathophysiology, clinical course and prognosis.

Richard M. Jacoby, Richard W. Nesto (1992)

Although there have been significant advances in the care of many of the extrapancreatic manifestations of diabetes, acute myocardial infarction continues to be a major cause of morbidity and mortality in diabetic patients. Factors unique to diabetes increase atherosclerotic plaque formation and thrombosis, thereby contributing to myocardial infarction. Autonomic neuropathy may predispose to infarction and result in atypical presenting symptoms in the diabetic patient, making diagnosis difficult and delaying treatment. The clinical course of myocardial infarction is frequently complicated and carries a higher mortality rate in the diabetic than in the nondiabetic patient. Although the course and pathophysiology of myocardial infarction differ to some degree in diabetic patients from those in patients without diabetes, much more remains to be known to formulate more effective treatment strategies in this high risk subgroup.

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Silent myocardial ischemia and infarction: insights from the Framingham Study.

W Kannel (1986)

More than one in four myocardial infarctions that occurred over 30 years in the Framingham Study were detected only because of routine biennial electrocardiographic examinations. Of these, almost half were completely silent. The fraction of infarctions unrecognized was higher in women (35 per cent) than in men (28 per cent). Such infarcts were uncommon in persons with angina and recurrent infarctions. Unrecognized infarctions were as likely as recognized ones to result in eventual death, heart failure, or strokes. Thus, unrecognized infarctions are common and have as serious a prognosis as typically symptomatic infarctions.