Do patients with diabetes with new onset acute myocardial infarction present with different symptoms than non-diabetic patients?

• DOI: 10.3389/fcvm.2024.1324451
• Publication Date: 2024-01-15T04:19:03Z
• Authors: Timo Schmitz; Bastian Wein; Philip Raake; Margit Heier; Annette Peters; Jakob Linseisen; Christa Meisinger
• Keywords: Stroke

Background The objective of this study was to investigate the differences in presenting symptoms between patients with and without diabetes being diagnosed an acute myocardial infarction (AMI). Methods A total 5,900 a first-time AMI were included into analysis. All aged 25 84 years recorded by population-based Myocardial Infarction Registry Augsburg, Germany, 2010 2017. presence (yes/no) 12 typical during event assessed within scope face-to-face interview. Multivariable adjusted logistic regression models calculated analyze associations mellitus patients. Results Patients had significantly less frequent pain symptoms, including chest pain. Also, other like sweating, vomiting/nausea, dizziness/vertigo fear death/feeling annihilation occurred more likely non-diabetic only exception symptom shortness breath, which found often diabetes. In multivariable-adjusted models, however, observed effects attenuated. younger than 55 years, various mainly missing. Conclusions Type 2 is risk factor not for development AMI, but also associated adverse outcome after AMI. Atypical clinical presentation additionally complicates diagnostic process. It therefore essential physicians be aware atypical that diabetic report.