From: Cancer and myocardial injury in patients with suspected acute coronary syndrome
Without cancer | With cancer | |||||
---|---|---|---|---|---|---|
Total | Without MI | With MI | Without MI | With MI | p | |
3626 | 2319 | 923 | 256 | 128 | ||
Age, years | 68[55–79] | 65 [51–76]a | 74 [60–83]b | 75 [65–80]b | 80 [72–85]c | 0.001 |
Male sex | 2072 (57.1) | 1261 (54.4)a | 563 (61.0)b | 161 (62.9)a,b | 87 (68.0)b | 0.001 |
Female sex | 1554 (42.9) | 1058 (45.6)a | 360 (39.0)b | 95 (37.1)a,b | 41 (32.0)b | 0.001 |
Risk factors and comorbidities | ||||||
Hypertension | 2195 (60.6) | 1247 (53.8)a | 672 (72.8)b | 175 (68.4)b | 101 (78.9)b | 0.001 |
Smoker | 1216 (33.5) | 701 (30.2)a | 380 (41.2)b | 87 (34.0)a,b | 48 (37.5)a,b | 0.001 |
Diabetes | 925(25.5) | 466 (20.1)a | 288 (31.2)b | 60 (23.4)a,b | 38 (29.7)a,b | 0.001 |
Prior myocardial infarction | 719 (19.8) | 392 (16.9)a | 242 (26.2)b | 45 (17.6)a | 40 (31.3)b | 0.001 |
Congestive heart failure | 257 (7.1) | 109 (4.7)a | 117 (12.7)b | 14 (5.5)a | 17 (13.3)b | 0.001 |
Stroke | 284 (7.8) | 124 (5.3)a | 113 (12.2)b | 27 (10.5)b | 20 (15.6)b | 0.001 |
Kidney disease | 296 (8.2) | 84 (3.6)a | 159 (17.2)b | 20 (7.8)c | 33 (25.8)b | 0.001 |
COPD | 651 (18.0) | 367 (15.8)a | 199 (21.6)b | 51 (19.9)a,b | 34 (26.6)b | 0.001 |
Symptoms | ||||||
Chest pain | 1894 (52.2) | 1255 (54.1)a | 458 (49.6)a | 122 (47.7)a | 59 (46.1)a | 0,02 |
Dyspnea | 606 (16.7) | 284 (12.2)a | 238 (25.8)b | 41 (16.0)a | 43 (33.6)b | 0.001 |
Syncope | 245 (6.8) | 162 (7.0)a | 56 (6.1)a | 20 (7.8)a | 7 (5.5)a | 0.001 |
Other symptoms | 1205 (33.2) | 830 (35.8)a | 248 (26.9)b | 96 (37.5)a,c | 31 (24.2)a,b | 0.001 |
Exploration | ||||||
Heart rate (bmp) | 79[67–95] | 77 [66–90]a | 83 [68–105]b | 76 [65–93]a | 87 [70–108]b | 0.001 |
Systolic blood pressure (mmHg) | 138[121–155] | 138 [123–153]a | 137 [120–159]a | 138 [120–156]a | 134 [115–154]a | 0.191 |
Oxygen saturation (%) | 98 [96–100] | 99 [97–100]a | 97 [94–99]b | 98 [96–100]a | 97 [91–98]c | 0.001 |
Electrocardiogram | ||||||
Atrial fibrillation | 574 (16.7) | 281 (12.8)a | 218 (24.7)b | 41 (17.7)a,b | 34 (27.4)b | 0.005 |
RBBB or LBBB | 529 (15.4) | 270 (12.3)a | 190 (21.5)b,c | 35 (15.1)a,c | 34 (27.4)b | 0.004 |
Pacemaker stimulation | 76 (2.2) | 36 (1.6)a | 27 (3.1)a | 3 (1.3)a | 10 (8.1)b | 0.006 |
Blood test | ||||||
Glucose (mg/dl) | 111[95–147] | 106 [93–131]a | 133 [104–187]b | 114 [98–140]a | 128 [100–174]b | 0.001 |
Glomerular filtration rate (ml/min/m2) | 81[60–100] | 85 [69–105]a | 65 [45–90]b | 78 [59–93]c | 53 [36–74]d | 0.001 |
Hemoglobin (g/dl) | 13.4[12.1–14.7] | 13.6 [12.4–14.9]a | 13.2 [11.6–14.6]b | 13.3 [11.7–14.4]b | 12 [10.8–13.3]c | 0.001 |