| ObjectivesThis article retrospectively investigates and analyzes the etiology distribution,clinical characteristics and risk factors of fatal chest pain in patients with chest pain in the Bai ethnic group in Dali,so as to provide a scientific reference for the prevention and treatment of chest pain.MethodsWe Select Bai patients who were admitted to the First Affiliated Hospital of Dali University with chest pain symptoms from December 1,2019 to November 30,2020,statistics of the distribution of the causes of various diseases.We use the same format for data collection including gender,age,ethnicity,time of illness,season,way of coming to hospital,accompanying symptoms,diagnosis,personal history(history of smoking and drinking),past disease history(hypertension,diabetes and hyperlipidemia),high-sodium eating habits and so on.According to the severity of the disease,it was divided into two groups: fatal chest pain and non-fatal chest pain.The clinical characteristics of patients with chest pain in Dali Bai nationality were analyzed.By comparing the differences in general conditions and past medical history between the two groups,risk factor analysis was performed.All data were analyzed statistically using SPSS25.0 software.Results1.Reason disease distribution: After screening a total of 698 cases of patients with chest pain collected,involving a total of 23 kinds of cause。Among them,There were 307 cases of fatal chest pain(43.98%),including: non-ST elevation myocardial infarction(NSTEMI)71cases,ST-segment elevation myocardial infarction(STEMI)161 cases,unstable coronary syndrome(UA)55 cases,acute aortic dissection(AAD)18 cases and 2 cases of acute pulmonary embolism(APE);There were 391 cases(56.02%)of non-fatal chest pain,including: 11 cases of valvular cardiomyopathy,16 cases of hypertension,6 cases of old myocardial infarction,5 cases of hypertrophic cardiomyopathy,73 cases of angina pectoris,myocardial 2 cases of bridge,42 cases of arrhythmia,9 cases of heart failure(HF),1 case of pericardial effusion,5 cases of ischemic cardiomyopathy,4 cases of dilated cardiomyopathy(DCM),1 case of Aortic hematoma,53 cases of respiratory system disease,77 cases of nervous system disease,10 cases of musculoskeletal system disease,8 cases of mental system disease,35 other cases and 33 cases of digestive system disease.2.By analyzing the clinical characteristics of patients with chest pain in Dali Bai nationality:The average age of the patients was 56.73±14.24 years old,mostly concentrated in middle-aged and young-old group.There are more men(71.35%)than women(28.65%),and both men and women have the highest incidence in the middle-aged group;Most patients with chest pain came to the hospital by themselves(74.1%),and 70.1% of patients came to the hospital 6 hours after the onset of symptoms;The incidence rate in summer and winter is slightly higher than that in spring and autumn.Comparative analysis of fatal chest pain and non-fatal chest pain:Patients in the two groups of patients with persistent chest pain,elderly,male,low-educated,and transferred to hospital are more likely to have fatal chest pain(P<0.05).There is a significant difference between the two groups of patients in the proportion of gender in each age group(P<0.001);There was no statistical difference between the two groups in terms of seasons;Compared with non-fatal chest pain,fatal chest pain is more likely to be accompanied by symptoms of profuse sweating,shoulder and back pain,syncope,and fatigue(P<0.05),but there is no significant difference in accompanying symptoms such as palpitation,palpitations,shock,wheezing,abdominal pain,and dyspnea(P>0.05).3.Dali Bai nationality risk factors:Compared with non-fatal chest pain,chest pain patients with a history of smoking,hypertension,diabetes,hyperlipidemia,and high-sodium diet are more likely to have fatal chest pain(P<0.05).There was no significant difference in previous drinking(P>0.05).The degree of risk of chest pain with sex,smoking,hypertension,hyperlipidemia,diabetes,high sodium diet and age were significantly correlated.Conclusions1.Acute coronary syndrome(ACS)is the main cause of chest pain in the Bai nationality of Dali,followed by neurological and respiratory diseases.2.Chest pain of Bai nationality in Dali is more common in male patients,and most of them are concentrated in middle and old age.When persistent chest pain is accompanied by profuse sweating,shoulder and back pain,fatigue and other symptoms should be alert to the occurrence of fatal chest pain;There is a delay in the time from the onset of the disease to the consultation of the Bai people in Dali,doctors should strengthen the education of chest pain knowledge among the Bai people in Dali,and improve the awareness and compliance of the Bai people with chest pain.3.Men,old age,previous hypertension,hyperlipidemia,diabetes,smoking,and high-sodium diet are independent risk factors for fatal chest pain.The prevention and treatment of risk factors should be strengthened clinically. |
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