Treatment-seeking behavior among those with signs and symptoms of acute myocardial infarction
- PMID: 1894541
Treatment-seeking behavior among those with signs and symptoms of acute myocardial infarction
Abstract
Significant delays in seeking definitive treatment for the signs and symptoms of acute myocardial infarction increase morbidity and mortality. In most studies, delay times average more than 4 hours. The following variables are associated with increased delay: a medical history of angina, diabetes mellitus, or hypertension; older age; black race; seeking advice from a family member or a physician; symptom onset on a weekday; and attempts at self-treatment. Variables associated with reduced delay times are the following: pain recognized as cardiac in origin, hemodynamic instability, severe chest pain, younger age, and consultation with a coworker. Surprisingly, patients who have already experienced a myocardial infarction are just as likely to delay as patients who have not had this experience. These findings provide direction for developing and testing patient and family interventions, establishing community education programs, and reducing patient delay in response to the signs and symptoms of acute myocardial infarction.
Similar articles
-
Treatment-seeking behavior for acute myocardial infarction symptoms in North America and Australia.Heart Lung. 2000 Jul-Aug;29(4):237-47. doi: 10.1067/mhl.2000.106940. Heart Lung. 2000. PMID: 10900060
-
Pre-hospital delay in acute myocardial infarction in an urban Indian hospital: a prospective study.Natl Med J India. 2001 Jan-Feb;14(1):8-12. Natl Med J India. 2001. PMID: 11242708
-
Factors associated with the extent of care-seeking delay for patients with acute myocardial infarction in Beijing.Chin Med J (Engl). 2004 Dec;117(12):1772-7. Chin Med J (Engl). 2004. PMID: 15603703
-
[Epidemiology of avoidable delay in the treatment of acute myocardial infarct: study conducted by "GISSI" (Italian Group for the Study of Survival after Myocardial Infarct)].G Ital Cardiol. 1996 Jul;26(7):807-20. G Ital Cardiol. 1996. PMID: 8964323 Review. Italian.
-
Reducing patient delay in seeking treatment for acute myocardial infarction.Medsurg Nurs. 1999 Apr;8(2):77-80, 83-8; quiz 89-91. Medsurg Nurs. 1999. PMID: 10410004 Review.
Cited by
-
Lay Consultations in Heart Failure Symptom Evaluation.SOJ Nurs Health Care. 2017;3(2):10.15226/2471-6529/3/2/00133. doi: 10.15226/2471-6529/3/2/00133. Epub 2017 Sep 27. SOJ Nurs Health Care. 2017. PMID: 29399657 Free PMC article.
-
Decade Long Trends (2001-2011) in Duration of Pre-Hospital Delay Among Elderly Patients Hospitalized for an Acute Myocardial Infarction.J Am Heart Assoc. 2016 Apr 21;5(4):e002664. doi: 10.1161/JAHA.115.002664. J Am Heart Assoc. 2016. PMID: 27101833 Free PMC article.
-
Why people do, or do not, immediately contact emergency medical services following the onset of acute stroke: qualitative interview study.PLoS One. 2012;7(10):e46124. doi: 10.1371/journal.pone.0046124. Epub 2012 Oct 4. PLoS One. 2012. PMID: 23056247 Free PMC article. Clinical Trial.
-
The impact of the intensity of fear on patient's delay regarding health care seeking behavior: a systematic review.Int J Public Health. 2010 Oct;55(5):459-68. doi: 10.1007/s00038-010-0149-0. Epub 2010 May 14. Int J Public Health. 2010. PMID: 20467882 Free PMC article. Review.
-
Acute coronary syndromes in black Americans: is treatment different? Should it be?Curr Cardiol Rep. 2005 Jul;7(4):249-54. doi: 10.1007/s11886-005-0045-z. Curr Cardiol Rep. 2005. PMID: 15987621 Review.
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Medical