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Table 1 Characteristics and type of pain for male patients in the derivation set with and without a diagnosis of acute coronary syndrome (ACS)

From: Predicting acute coronary syndrome in males and females with chest pain who call an emergency medical communication centre

 

Total (n = 1398)

ACS (n = 329)

No ACS (n = 1069)

p value

Age, mean (SD), y, No. (%)

59.2 (16.1)

59.4 (13.2)

50.9 (16.4)

< 0.001

 < 40

291 (20.8)

18 (5.5)

273 (25.5)

< 0.001

 40–50

317 (22.7)

59 (17.9)

258 (24.1)

 

 50–60

320 (22.9)

95 (28.9)

225 (21.0)

 

 ≥ 60

470 (33.6)

157 (47.7)

313 (29.3)

 

Coexisting conditions, No. (%)

 Hypertension

405 (29.0)

123 (37.4)

282 (26.4)

< 0.001

 Personal coronary artery disease

387 (27.7)

126 (38.3)

261 (24.4)

< 0.001

 Family coronary artery disease

231 (16.5)

51 (15.5)

180 (16.8)

0.568

 Tobacco use

545 (39.0)

133 (40.4)

412 (38.5)

0.540

 Diabetes

183 (13.1)

59 (17.9)

124 (11.6)

0.003

 Dyslipidaemia

337 (24.1)

97 (29.5)

240 (22.5)

0.009

Medication therapy, No. (%)

 Aspirin

296 (21.2)

100 (30.4)

196 (18.3)

< 0.001

 Clopidogrel

209 (14.9)

77 (23.4)

132 (12.3)

< 0.001

 Thyroid hormone

12 (0.9)

2 (0.6)

10 (0.9)

0.743

 Statin

263 (18.8)

87 (26.4)

176 (16.5)

< 0.001

Severity of pain, median (IQR)

5 [3–7]

5 [4–7]

5 [3–7]

< 0.001

Type of pain, No. (%)

 Severe pain (NRS ≥6)

592 (42.4)

162 (49.2)

430 (40.3)

0.004

 Permanent

350 (25.0)

102 (31.0)

248 (23.2)

0.004

 Pain onset:

   

0.066

  Crescendo

307 (22.0)

67 (20.4)

240 (22.5)

 

  Abruptly

590 (42.2)

157 (47.7)

433 (40.5)

 

  Unclassified

501 (35.8)

105 (31.9)

396 (37.0)

 

Circumstance of pain, No. (%)

   

0.012

 At rest

1106 (79.1)

244 (74.2)

862 (80.6)

 

 Sport or stress-related

180 (12.9)

58 (17.6)

122 (11.4)

 

 Unclassified

112 (8.0)

27 (8.2)

85 (8.0)

 

Pain typography, No. (%)

 Typical chest paina

799 (57.2)

224 (68.1)

575 (53.8)

< 0.001

 Retrosternal

671 (48.0)

201 (61.1)

470 (44.0)

< 0.001

 Post-myocardial infarction angina

119/387 (30.8)

50/126 (39.7)

69/261 (24.4)

0.008

 Peak type

260 (18.6)

28 (8.5)

232 (21.7)

< 0.001

 Burning

182 (13.0)

51 (15.5)

131 (12.3)

0.126

 Pinching

81 (5.8)

7 (2.1)

74 (6.9)

0.001

 Increasing at position change

252 (18.0)

29 (8.8)

223 (20.9)

< 0.001

 Breathing non-related

1037 (74.2)

299 (90.9)

738 (69.0)

< 0.001

 Radiating

592 (42.3)

179 (54.4)

413 (38.6)

< 0.001

 Additional symptoms

937 (67.1)

249 (75.7)

688 (64.4)

< 0.001

  1. ACS Acute coronary syndrome, NRS Numeric rating scale, IQR Interquartile range
  2. aTypical chest pain is characterized by a retrosternal sensation of pressure or heaviness (“angina”), which may be intermittent (usually lasting several minutes) or persistent