Table 2.
Features of present illness and treatments of emergency department patients with presumptive acute myocardial infarction, northern Tanzania, 2018 (N=152)
Feature of present illness | n | (%) |
---|---|---|
Other facility visited prior to ED presentation for current illness episode | ||
Other hospital | 79 | (52.0) |
Health center | 26 | (17.1) |
Dispensary | 2 | (1.3) |
Self-treatment at home | 16 | (10.5) |
Pharmacy | 1 | (0.7) |
None | 32 | (21.1) |
Primary symptom | ||
Shortness of breath | 77 | (50.7) |
Chest pain | 39 | (25.7) |
Other | 36 | (23.7) |
Secondary symptoms | ||
Chest pain | 75 | (49.3) |
Shortness of breath | 64 | (42.1) |
Leg swelling | 42 | (27.6) |
Palpitations | 35 | (23.0) |
Back pain | 26 | (17.1) |
Epigastric pain | 24 | (15.8) |
Generalized weakness | 23 | (15.1) |
Symptoms began within the past 12 hours | 14 | (9.2) |
CCS grading for anginal severity | ||
Class I | 2 | (1.3) |
Class II | 10 | (6.6) |
Class III | 64 | (42.1) |
Class IV | 76 | (50.0) |
Estimated glomerular filtration rate (ml/min/1.73m2) | ||
≥60 | 81 | (53.3) |
45–59 | 15 | (9.9) |
30–44 | 13 | (8.6) |
15–29 | 14 | (9.2) |
<15 | 17 | (11.2) |
Not obtained | 15 | (9.9) |
Home medications | ||
Anti-platelet | 17 | (11.2) |
Anti-hypertensive | 43 | (28.3) |
Anti-hyperlipidemic | 2 | (1.3) |
Anti-hyperglycemic | 11 | (7.2) |
Treatment administered in the ED | ||
Aspirin | 35 | (23.0) |
Clopidogrel or other antiplatelet | 13 | (8.6) |
Heparin | 3 | (2.0) |
Thrombolytic | 0 | (0) |
CCS: Canadian Cardiovascular Society grading scale for anginal severity23