| Patients' interpretation of symptoms as a cause of delay in reaching hospital during acute myocardial infarction. | |
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MedLine Citation:
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PMID: 10722534 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To examine whether the association between expected symptoms of acute myocardial infarction and actual symptoms predicted delay in reaching hospital and help seeking behaviour. DESIGN: During hospital convalescence, participants completed a structured interview designed to measure symptom experience and help seeking behaviour following the onset of symptoms of acute myocardial infarction. PATIENTS: 88 patients admitted to hospital with their first myocardial infarction MAIN OUTCOME MEASURES: Delay in reaching hospital from onset of worst symptoms, obtained from ambulance and hospital records. RESULTS: The most common symptoms expected by patients with myocardial infarction were central chest pain (76%), radiating arm or shoulder pain (34%), and collapse (26%). The most common symptoms experienced were sweats or feeling feverish (78%), chest pain (64%), and arm, shoulder, or radiating pain (66%). A mismatch between symptoms experienced and those expected occurred in 58% of patients, and was associated with delay. Patients who experienced a mismatch between expectation and actual symptoms also were more likely to have a third party decide to call for help. CONCLUSIONS: The experience and interpretation of symptoms is an important source of delay and help seeking following onset of myocardial infarction symptoms. |
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Authors:
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R Horne; D James; K Petrie; J Weinman; R Vincent |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Heart (British Cardiac Society) Volume: 83 ISSN: 1468-201X ISO Abbreviation: Heart Publication Date: 2000 Apr |
Date Detail:
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Created Date: 2000-04-19 Completed Date: 2000-04-19 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 9602087 Medline TA: Heart Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 388-93 Citation Subset: AIM; IM |
Affiliation:
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Centre for Health Care Research, University of Brighton, Falmer Campus, Brighton BN1 9PH, UK. r.horne@brighton.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angina Pectoris / etiology Attitude to Health England Female Health Behavior Hospitalization Humans Male Middle Aged Myocardial Infarction / complications*, diagnosis, psychology Patient Acceptance of Health Care* Time Factors |
| Comments/Corrections | |
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