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Julie Johnson Zerwic, University of Illinois at Chicago, Cathy Ryan, Holli DeVon, Mary Jo Drell Cardiovascular disease is the leading cause of death for Americans, with the risk for acute myocardial infarction AMI ; increasing with age. Studies have suggested that elderly individuals experience different symptoms during AMI compared to younger adults. The purpose of this study was to examine factors that contributed to health care-seeking behaviors among a diverse group of men and women who were hospitalized with AMI. Patients were interviewed shortly after admission for AMI n 220 ; about the symptoms that they experienced, the process that they used in treating the symptoms, and how they accessed the health care system. Eighty-six patients were in the older age group 65 ; , and 134 patients were in the younger age group 65 ; . The sample included 60 percent Caucasians and 29 percent African Americans. Sixty percent were male, and 40 percent were female. Although older patients were as likely as younger patients to experience discomfort somewhere in their chest 85 percent versus 90 percent ; , they were significantly less likely to experience the discomfort in the center of their chest 64 percent versus 77 percent, p 0.05 ; , which is considered the "classic" AMI location. Older patients were significantly less likely to experience discomfort in their left arm, and they were less likely to experience sweating, nausea, and dizziness. Older patients reported fewer associated symptoms than younger patients M 4.2 versus 5.2, p 0.001 ; . Older patients did not differ from younger patients in their rating of the intensity of their discomfort. Older patients were less likely to report feeling fear during the experience than were younger patients. These data indicate that older adults are less likely to experience what most health professionals consider are the classic AMI symptoms.
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