PERIPHERAL NEUROPATY AND CLINICAL SIGNS OF ACUTE CORONARY SYNDROME IN PATIENTS WITH DIABETES MELLITUS

Authors

  • Caroline Helena de Paschoal Oliveira Hospital São Paulo - UNIFESP
  • Rita Simone Lopes Moreira Hospital São Paulo - UNIFESP
  • Solange Guizilini UNIFESP
  • Vinicius Batista Santos Hospital São Paulo - UNIFESP

DOI:

https://doi.org/10.5380/ce.v22i1.48491

Keywords:

Diabetes Mellitus, Acute coronary syndrome, Precordial pain, Diabetic neuropathies, Infarction.

Abstract

This study aimed to assess the severity of peripheral neuropathy in diabetic patients with acute coronary syndrome and its association with the severity of clinical signs. Prospective, cross-sectional and quantitative study. Data were collected from November 2015 to February 2016 in a hospital in the city of São Paulo. The clinical signs of diabetic patients with acute coronary syndrome were analyzed and the intensity of peripheral neuropathy was assessed using the Neuropathic Symptom Score (NSS). Fifty patients were assessed, and 33 (66%) participants had precordial catch syndrome, as well as sweating and dyspnea. Neuropathic symptoms were also identified in 33 (66%) patients, and there was no association between intensity of neuropathy and intensity of clinical signs of acute coronary syndrome. The clinical assessment of diabetic patients with acute coronary syndrome by nurses should be very careful, especially in patients with atypical clinical signs, depending onthe degree of peripheral neuropathy.

Author Biographies

Caroline Helena de Paschoal Oliveira, Hospital São Paulo - UNIFESP

Enfermeira, especialista em cardiologia pela Universidade Federal de são Paulo

Rita Simone Lopes Moreira, Hospital São Paulo - UNIFESP

Enfermeira, Doutora em Ciências pela Universidade Federal de São Paulo, Coordenadora do Programa de Residência Multiprofissional em Cardiologia da Universidade Federal de São Paulo. 

Solange Guizilini, UNIFESP

Fisioterapeuta, Professora adjunta do curso de Fisioterapia da Universidade Federal de São Paulo.

Vinicius Batista Santos, Hospital São Paulo - UNIFESP

Especialista em Enfermagem em Cardiologia. Mestre em Ciência pela Escola Paulista de Enfermagem da Universidade Federal de São Paulo. Coordenador das Unidades de Cardiologia do Hospital São Paulo, Hospital Universitário da UNIFESP, São Paulo, SP, Brasil.

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Published

2017-03-31

How to Cite

Oliveira, C. H. de P., Moreira, R. S. L., Guizilini, S., & Santos, V. B. (2017). PERIPHERAL NEUROPATY AND CLINICAL SIGNS OF ACUTE CORONARY SYNDROME IN PATIENTS WITH DIABETES MELLITUS. Cogitare Enfermagem, 22(1). https://doi.org/10.5380/ce.v22i1.48491

Issue

Vol. 22 No. 1 (2017)

Section

Research

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