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Commentary
Adult nursing
Patients with diabetes mellitus are more likely to present without typical chest pain during a myocardial infarction
  1. Tasmira Mohib1,
  2. Tanvir C Turin1,2
  1. 1 Department of Community Health Sciences, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada
  2. 2 Department of Family Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada
  1. Correspondence to Dr Tanvir C Turin, Department of Family Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada; turin.chowdhury{at}ucalgary.ca

https://doi.org/10.1136/ebnurs-2023-103775

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    Commentary on: Kumar A, Sanghera A, Sanghera B, et al. Chest pain symptoms during myocardial infarction in patients with and without diabetes: a systematic review and meta-analysis. Heart 2023 [Epub ahead of print 20 Apr 2023]. doi: 10.1136/heartjnl-2022-322289.

    Implications for practice and research

    • Clinicians should be more vigilant and mindful of the possibility of myocardial infarction when assessing patients with diabetes with atypical presentations.

    • Further research needs to focus on the patient, caregiver and provider level interventions to increase awareness regarding atypical symptoms of myocardial infarction.

    Context

    Myocardial infarction (MI) is a leading cause of morbidity and mortality, particularly among patients with diabetes mellitus (DM).1 Early diagnosis of MI is crucial to initiate effective treatment and achieve improved outcomes.1 While chest pain is a classic presenting symptom in MI diagnosis, it can become complicated in patients with long-standing DM, as they may present with ‘no chest pain’ or ‘atypical symptoms’.1 To investigate …

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    Footnotes

    • Competing interests None declared.

    • Provenance and peer review Commissioned; internally peer reviewed.