smpСкорая медицинская помощьEMERGENCY MEDICAL CARE2072-6716Northwest State Medical University named after II Mechnikov10.24884/2072-6716-2022-23-1-27-32smp-536Research ArticleСТАТЬИARTICLESОсобенности течения острого инфаркта миокарда на догоспитальном этапе у женщин разного возрастаThe features of the course of myocardial infarction in women of different age at the pre‑hospital periodhttps://orcid.org/0000-0003-3844-1429ТретьяковаН. С.TretyakovaN. S.

Третьякова Наталья Сергеевна — кандидат медицинских наук, ассистент кафедры факультетской терапии

191015, Санкт‑Петербург, Кирочная ул., д. 41

Natalya S. Tretyakova

St. Petersburg

tretyakovans@list.ruhttps://orcid.org/0000-0002-8472-8343ЛеоноваИ. А.LeonovaI. A.

Леонова Ирина Анатольевна — кандидат медицинских наук, доцент кафедры факультетской терапии

191015, Санкт‑Петербург, Кирочная ул., д. 41

Irina A. Leonova

St. Petersburg

ivanov_leonova@mail.ruhttps://orcid.org/0000-0002-1898-084XБолдуеваС. А.BolduevaS. A.

Болдуева Светлана Афанасьевна — доктор медицинских наук, профессор, заведующая кафедрой факультетской терапии

191015, Санкт‑Петербург, Кирочная ул., д. 41

 

Svetlana A. Boldueva

St. Petersburg

svetlana.boldueva@szgmu.ruСеверо-Западный государственный медицинский университет им. И. И. МечниковаРоссияNorth-Western State Medical University named after I. I. MechnikovRussian Federation2022120420222312732Copyright © Третьякова Н.С., Леонова И.А., Болдуева С.А., 20222022Третьякова Н.С., Леонова И.А., Болдуева С.А.Tretyakova N.S., Leonova I.A., Boldueva S.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://smp.spb.ru/jour/article/view/536

Цель: изучить особенности течения инфаркта миокарда (ИМ) на догоспитальном этапе у женщин разного возраста. Материалы и методы: обследованы 344 женщины с ИМ трех возрастных групп: молодые — до 45 лет, среднего — 45–59 лет и пожилого возраста — 60 лет и старше. Результаты: у большинства женщин молодого и среднего возраста ИМ являлся дебютом ишемической болезни сердца. У 1/3 женщин молодого и среднего возраста отсутствовали типичные ангинозные боли. Задержка госпитализации была связана как с поздним обращением (особенно молодые женщины) больных, так и с недостаточной настороженностью врачей, в том числе из‑за особенностей клинической картины. Заключение. В 1/3 случаев ИМ у женщин развивается без типичной клинической картины, что приводит к поздней госпитализации.

Objective: to study the features of the course of myocardial infarction (MI) in women of different ages at the pre‑hospital period of disease. Materials and methods: 344 women with MI of three age groups were examined: young — up to 45 years old, middle — 45–59 years old, and elderly — 60 years and older. Results: in the majority of young and middle‑aged women, MI was the onset of coronary heart disease. Typical anginal pain was absent in 1/3 cases of young women and middle‑aged women. Delay in hospitalization was associated with both late admission (especially young women) of patients, and insufficient doctor’s alertness, including due to the peculiarities of the clinical picture. Conclusion. In 1/3 of cases MI un women develops without a typical clinical picture, which leads to delay of hospitalization.

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The authors declare that there are no conflicts of interest present.