Document Detail

Patients' interpretation of symptoms as a cause of delay in reaching hospital during acute myocardial infarction.
MedLine Citation:
PMID:  10722534     Owner:  NLM     Status:  MEDLINE    
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.
R Horne; D James; K Petrie; J Weinman; R Vincent
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Heart (British Cardiac Society)     Volume:  83     ISSN:  1468-201X     ISO Abbreviation:  Heart     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-04-19     Completed Date:  2000-04-19     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9602087     Medline TA:  Heart     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  388-93     Citation Subset:  AIM; IM    
Centre for Health Care Research, University of Brighton, Falmer Campus, Brighton BN1 9PH, UK.
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MeSH Terms
Angina Pectoris / etiology
Attitude to Health
Health Behavior
Middle Aged
Myocardial Infarction / complications*,  diagnosis,  psychology
Patient Acceptance of Health Care*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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