What patient is most likely to have atypical symptoms?

What patient is most likely to have atypical symptoms?

Many previous studies supported that women were more likely to have atypical symptoms but those studies were conducted for all age group (1, 2, 6, 7). Women, in this study, were distributed more than double in older group ≥70 yr compared to younger group (23.0% vs. 51.1%).

Who is most likely to show atypical signs of a heart attack?

Atypical presentation of MI is most commonly seen in individuals older than 75 years and in women. Patients who present with atypical symptoms often experience delays in treatment, which can lead to additional complications and poor health outcomes.

What percentage of patients with chest pain have ACS?

Of the patients who are admitted to hospital, on average only 25% (range 12.2–59.1%) have a final diagnosis of an ACS. Another 25% of patients will be discharged with the diagnosis of angina pectoris (3.5–6.6%) or with another non-ischaemic cardiac problem (10–19%).

What groups of patients are more likely to have an atypical presentation of an acute coronary syndrome?

The atypical symptoms tend to occur more commonly among those who are older, female, diabetic (possibly due to autonomic neuropathy), hypertensive, and with prior heart failure. They were reported in 5.7% and 12.3% of patients with unstable angina and NSTEMI, respectively [2].

What are atypical symptoms?

Classic symptoms other than pain and discomfort include shortness of breath, nausea, diaphoresis, and sometimes light-headedness. Identified atypical symptoms include fatigue, weakness, numbness or tingling in the upper extremities, palpitations, indigestion, loss of appetite, and confusion.

What is the difference between typical and atypical symptoms?

Atypical pain is frequently defined as epigastric or back pain or pain that is described as burning, stabbing, or characteristic of indigestion. Typical symptoms usually include chest, arm, or jaw pain described as dull, heavy, tight, or crushing.

What are typical atypical symptoms?

Identified atypical symptoms include fatigue, weakness, numbness or tingling in the upper extremities, palpitations, indigestion, loss of appetite, and confusion.

What is typical and atypical chest pain?

Typical (classic) angina chest pain consists of (1) Substernal chest pain or discomfort that is (2) Provoked by exertion or emotional stress and (3) relieved by rest or nitroglycerine (or both). Atypical (probable) angina chest pain applies when 2 out of 3 criteria of classic angina are present.

What is considered a typical symptom indicative of ACS?

Chest pain or discomfort, which may involve pressure, tightness or fullness. Pain or discomfort in one or both arms, the jaw, neck, back or stomach. Shortness of breath. Feeling dizzy or lightheaded.

What is the most common atypical symptom of ACS in elderly patients?

Older adults with ACS present atypically (shortness of breath, nausea, weakness), and can cause delays in care.

What are typical and atypical symptoms?