Characterizing chest pain in patients with acute coronary syndrome at Vietnam National Heart Institute: a case-control study

Objective This study aimed to distinguish chest pain characteristics between patients with and without acute coronary syndrome (ACS) at Vietnam National Heart Institute. Methods A case-control study using a structured chest pain assessment questionnaire was performed to examine pain characteristics....

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Main Authors: Lan Anh Nguyen, Nhat Minh Pham, Manh Hung Pham, Hong Nhung Nguyen Thi, Hoai Nguyen Thi, Tuan Nguyen Huu
Format: Article
Language:English
Published: SAGE Publishing 2024-11-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605241300009
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author Lan Anh Nguyen
Nhat Minh Pham
Manh Hung Pham
Hong Nhung Nguyen Thi
Hoai Nguyen Thi
Tuan Nguyen Huu
author_facet Lan Anh Nguyen
Nhat Minh Pham
Manh Hung Pham
Hong Nhung Nguyen Thi
Hoai Nguyen Thi
Tuan Nguyen Huu
author_sort Lan Anh Nguyen
collection DOAJ
description Objective This study aimed to distinguish chest pain characteristics between patients with and without acute coronary syndrome (ACS) at Vietnam National Heart Institute. Methods A case-control study using a structured chest pain assessment questionnaire was performed to examine pain characteristics. Results Smoking, a history of heart attack, and a family history of cardiovascular disease were associated with increased ACS-related chest pain risk. Patients without ACS more frequently reported left or central chest pain, mild discomfort, pain triggered by activity, and relief with rest or nitroglycerin. ACS-related chest pain was more often characterized by pain radiating to the back, a sensation of tightness or severe discomfort, gradual intensity increase, occurrence at rest or with minimal exertion, and accompanying sweating. No significant sex differences were found in ACS-related chest pain symptoms. Conclusions Targeted assessment of chest pain features—such as pain radiation, pressure sensation, symptom escalation, duration, activity triggers, and relief factors—could improve public awareness and support the development of educational resources on ACS and non-ACS symptoms.
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institution Kabale University
issn 1473-2300
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series Journal of International Medical Research
spelling doaj-art-7ccf1e14027b4d42b73fb0197cffee0c2025-01-13T09:03:29ZengSAGE PublishingJournal of International Medical Research1473-23002024-11-015210.1177/03000605241300009Characterizing chest pain in patients with acute coronary syndrome at Vietnam National Heart Institute: a case-control studyLan Anh NguyenNhat Minh PhamManh Hung PhamHong Nhung Nguyen ThiHoai Nguyen ThiTuan Nguyen HuuObjective This study aimed to distinguish chest pain characteristics between patients with and without acute coronary syndrome (ACS) at Vietnam National Heart Institute. Methods A case-control study using a structured chest pain assessment questionnaire was performed to examine pain characteristics. Results Smoking, a history of heart attack, and a family history of cardiovascular disease were associated with increased ACS-related chest pain risk. Patients without ACS more frequently reported left or central chest pain, mild discomfort, pain triggered by activity, and relief with rest or nitroglycerin. ACS-related chest pain was more often characterized by pain radiating to the back, a sensation of tightness or severe discomfort, gradual intensity increase, occurrence at rest or with minimal exertion, and accompanying sweating. No significant sex differences were found in ACS-related chest pain symptoms. Conclusions Targeted assessment of chest pain features—such as pain radiation, pressure sensation, symptom escalation, duration, activity triggers, and relief factors—could improve public awareness and support the development of educational resources on ACS and non-ACS symptoms.https://doi.org/10.1177/03000605241300009
spellingShingle Lan Anh Nguyen
Nhat Minh Pham
Manh Hung Pham
Hong Nhung Nguyen Thi
Hoai Nguyen Thi
Tuan Nguyen Huu
Characterizing chest pain in patients with acute coronary syndrome at Vietnam National Heart Institute: a case-control study
Journal of International Medical Research
title Characterizing chest pain in patients with acute coronary syndrome at Vietnam National Heart Institute: a case-control study
title_full Characterizing chest pain in patients with acute coronary syndrome at Vietnam National Heart Institute: a case-control study
title_fullStr Characterizing chest pain in patients with acute coronary syndrome at Vietnam National Heart Institute: a case-control study
title_full_unstemmed Characterizing chest pain in patients with acute coronary syndrome at Vietnam National Heart Institute: a case-control study
title_short Characterizing chest pain in patients with acute coronary syndrome at Vietnam National Heart Institute: a case-control study
title_sort characterizing chest pain in patients with acute coronary syndrome at vietnam national heart institute a case control study
url https://doi.org/10.1177/03000605241300009
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