Opioid administered prior to onset of myocardial infarction is associated with atypical symptoms of acute coronary ischemia in emergency calls
نویسندگان
چکیده
Abstract Background Acute identification and treatment of myocardial infarction (MI) is crucial for survival. MI symptom presentation typically characterized by chest pain. Regular use opioids to relief pain chronic diseases common. However, it has not been investigated whether opioid administered prior onset associated more with atypical ischemia compared non-opioid users. Purpose To investigate if therapy symptoms MI. Methods The study registry-based. defined as patients the ICD-10 discharge diagnoses I20.0 I21 primary diagnosis <24 hours after a call Capital Emergency Medical Services, including Number (1–1-2) Out-of-hours Service (OOHS). are control group without treatment. registered in calls from 2014 2018. Opioid includes prescribed picked up <30 days Results In total, 866 10,061 were included. median age was 72.0 vs 67.8 years, 50.5% 34.5% women, 61.0% 54.7% called (1–1-2), ischemic heart disease present 48.5% 34.3% type 2 diabetes 23.1% vs. 16.2%. Atypical most prevalent OOHS, women higher age. visualized Figure 1 2. Conclusion increased MI, especially dyspnea, This might challenge clinician early diagnose thereby delay acute lifesaving Funding Acknowledgement Type funding sources: Foundation. Main source(s): Danish Heart Foundation
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ژورنال
عنوان ژورنال: European Heart Journal
سال: 2022
ISSN: ['2634-3916']
DOI: https://doi.org/10.1093/eurheartj/ehac544.1477