Document Detail

Prehospital behaviour of patients admitted with acute coronary syndrome or witnessed cardiac arrest.
MedLine Citation:
PMID:  12881155     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To study prehospital behaviour of patients admitted with acute coronary syndrome or witnessed cardiac arrest. DESIGN: Structured interview of 250 consecutive patients with acute coronary syndrome and relatives of 48 patients with witnessed cardiac arrest. The following courses of action were studied: contact the emergency medical service (centre); contact the general practitioner from the emergency service or the general practitioner during working hours; self-transportation to the emergency department; or as the first action to call the emergency medical service. RESULTS: Forty-four per cent of the patients admitted with cardiac arrest expressed no prior symptoms. Two-thirds of patients with typical symptoms interpreted it as cardiac-still only half took action within 20 min. Fifty per cent of patients who called a physician were delayed by wrong advice or misinterpretation. One hundred and thirteen patients (45%) knew of thrombolytic therapy. Twenty-seven of 75 patients with knowledge of the benefit of prompt treatment with thrombolysis, acted in accordance with this awareness. CONCLUSION: Patients misinterpret symptoms of acute coronary syndrome and are misguided when calling for medical assistance. Perceiving jeopardy had positive influence on the behaviour. Awareness of therapeutic options influences the decision-making process.
Michael Mundt Ottesen; Ulrik Dixen; Christian Torp-Pedersen; Lars Køber
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Scandinavian cardiovascular journal : SCJ     Volume:  37     ISSN:  1401-7431     ISO Abbreviation:  Scand. Cardiovasc. J.     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-07-25     Completed Date:  2003-12-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9708377     Medline TA:  Scand Cardiovasc J     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  141-8     Citation Subset:  IM    
Department of Cardiology, University Hospital of Copenhagen County, Gentofte, Denmark.
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MeSH Terms
Aged, 80 and over
Cardiopulmonary Resuscitation / methods
Cohort Studies
Denmark / epidemiology
Emergency Medical Services / utilization*
Health Knowledge, Attitudes, Practice*
Heart Arrest / mortality,  therapy*
Logistic Models
Middle Aged
Multivariate Analysis
Myocardial Infarction / diagnosis*,  mortality,  psychology*
Patient Acceptance of Health Care / psychology*
Risk Assessment
Survival Rate
Time Factors
Treatment Outcome
Comment In:
Scand Cardiovasc J. 2003 Sep;37(4):181-2   [PMID:  12944203 ]

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