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Actual sweating as a significant predict factor of acute coronary syndrome

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Affiliated Author(s)
최우익진상찬전재천김태권김인철이상훈
Alternative Author(s)
Choi, Woo IkJin, Sang ChanJeon, Jae CheonKim, Tae KwonKim, In CheolLee, Sang Hun
Journal Title
J Korean Soc Emerg Med
ISSN
2384-048X
Issued Date
2022
Keyword
Acute coronary syndromeChest painSweat
Abstract
Objective:
This study aims to identify significant factors such as sweat that can be used as important predictors of acute coronary syndrome (ACS) in patients visiting the emergency department (ED) complaining of chest pain.

Methods:
This observational, retrospective, registry-based study conducted from May 2020 to November 2020 evaluated patients who visited the ED due to chest pain. Parameters associated with ACS were investigated, and the clinical characteristics and symptoms were analyzed.

Results:
A total of 230 patients visited the ED with chest pain. Of these, 94 (40.9%) were diagnosed with ACS.
Univariate regression analysis showed that facial sweating (odds ratio [OR], 2.624; 95% confidence interval [CI], 1.241- 5.549; P=0.012) and drench sweating (OR, 3.346; 95% CI, 1.602-6.991; P=0.001) were associated with ACS. Hence, we classified these patients as the actual sweating group. However, the sweaty feeling self-reported by patients with no visible sweat did not correlate with ACS. Multivariate logistic regression analysis showed that age (OR, 1.043; 95% CI, 1.016-1.071; P=0.002), quantum of smoking (OR, 1.023; 95% CI, 1.005-1.041; P=0.010), diastolic blood pressure (OR, 1.028; 95% CI, 1.004-1.049; P=0.009), squeezing chest pain (OR, 2.128; 95% CI, 1.000-4.531; P=0.050), and actual sweating (OR, 2.300; 95% CI, 1.209-4.374; P=0.011) were significantly associated with ACS.

Conclusion:
Age, the quantum of smoking, diastolic blood pressure, squeezing chest pain, and actual sweating are useful predictors for ACS diagnosis. Unlike actual sweating, patient-reported sweating is not significantly related to the diagnosis of ACS. The results of this study will be beneficial in predicting ACS to ensure early and emergency medical care in the pre-hospital setting.
Department
Dept. of Emergency Medicine (응급의학)
Dept. of Internal Medicine (내과학)
Publisher
School of Medicine (의과대학)
Citation
Suk Ju Youn et al. (2022). Actual sweating as a significant predict factor of acute coronary syndrome. J Korean Soc Emerg Med, 33(2), 156–163.
Type
Article
ISSN
2384-048X
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44236
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학)
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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