Difference in Clinical Symptoms of Myocardial Infarction between Men and Women

Cardiovascular disease are the main causes of mortality among men and women so that the difference of acute myocardial infarction (MI) symptoms between men and women can affect on diagnosis and time of decision making for treatment and consequently on disease outcomes. Therefore, knowing different symptoms affects the prognostic of the disease according to the gender. This study conducted aimed to review the difference in clinical symptoms of myocardial infarction between men and women. In this cross-sectional study, 169 patients admitted to Cardiac Care Unit at Imam Reza Hospital in Amol diagnosed as acute MI in 2009. Collecting the data was conducted using a demographic data form and symptoms check list and acute myocardial infarction symptoms were evaluated through interview. The data also were analyzed using Software SPSS 16, descriptive statistical methods and odds ratio. Female gender increased the ratio of weakness to 2.76, vomiting to 1.96, fatigue to 2.47, and anxiety to 2.20 and hiccups to 2.27. Furthermore, female gender increased the ratio of pain associated with acute myocardial infarction in jaw to 3.49, neck to 2.78, throat to 3.24, and shoulder to 2.43 and the left scapula to 2.83. Atypical symptoms, particularly in females, may cause delay in referring of the patients and also delay in decision making for diagnosis and treatment by the medical team. Hence, staff and patients of ICUs need more special information about recognizing acute myocardial infarction symptoms, especially with regard to the gender.