Patients with acute myocardial infarction and interfering factors when seeking emergency care: implications for health education

Franco, Betina; Rabelo, Eneida Rejane; Goldemeyer, Silvia; Souza, Emiliane Nogueira de

doi:10.1590/s0104-11692008000300013

Cited by 19 publications

(31 citation statements)

References 14 publications

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“…In this study, we found that single or divorced patients had lower delta T when compared to married or widowed, which agrees with the study by Franco et al [13], which also showed that married persons and widows had more time compared to single and divorced. However, there was no significant association between delta T and the variable marital status (P = 0.759), also observed in the study by Franco et al [9] that showed P = 0.006.…”

Section: * Monitoring During Transport Of the Patient To The Unitsupporting

confidence: 92%

“…The delta T found in this survey was 9h54min ± 18h9min, much higher than reported in the study by Franco et al [13] (2h55min ± 3h59min) and Muller et al [11] (4h15min ± 2h7min). This fact can be explained by the fact that 84.61% of the patients are from other cities and 26.92% of them have self-medicated before seeking health care (P = 0.01).…”

Section: * Monitoring During Transport Of the Patient To The Unitcontrasting

confidence: 67%

“…Another study performed in Rio Grande do Sul showed that 88% of patients with SST sought emergency care within an hour, and the average was 3h59min to 2h55min. They also found that patients did not realize that the chest pain as a heart event took longer to arrive the health service than those who identified [13].…”

Section: * Monitoring During Transport Of the Patient To The Unitmentioning

confidence: 99%

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Time of arrival of patients with acute myocardial infarction to the emergency department

Bastos¹,

Beccária²,

Contrin³

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

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Objectives: To characterize the profile of patients with acute myocardial infarction (AMI) treated at the emergency department and to verify the time of arrival of each patient (∆T). Identify how the patient was transported and to correlate Delta-T (∆T) with the treatment and the prognosis of each patient.Methods: Cross-sectional survey involving 52 patients with AMI admitted to the Emergency Department of a Teaching Hospital took part in the study from July to December 2010. Data collection was performed using medical records and interviews.Results: The majority of the patients were male with a mean age of 62.35 ± 14.66 years. The participants were married, with low education levels, family history of heart diseases, arterial hypertension, dyslipidemia, and a sedentary lifestyle. The symptoms presented were pains in the chest, epigastric region, or a chest discomfort associated to dyspnea and/or sudden sweating. The majority of the patients were transported by ambulance. They were submitted to cardiac catheterization followed by angioplasty. Delta-T found was 9h45min ± 18h9min. In this study, the overall lethality was 3.85%.Conclusions: The perception of signs and symptoms of AMI by the patient was a decisive factor when seeking out specialized treatment. Those with the lowest Delta-T presented better prognosis. Descriptors

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Section: * Monitoring During Transport Of the Patient To The Unitsupporting

confidence: 92%

Section: * Monitoring During Transport Of the Patient To The Unitcontrasting

confidence: 67%

Section: * Monitoring During Transport Of the Patient To The Unitmentioning

confidence: 99%

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Time of arrival of patients with acute myocardial infarction to the emergency department

Bastos¹,

Beccária²,

Contrin³

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

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“…Although the literature suggests that women may not feel vulnerable to AMI 18 and that cardiovascular diseases have been socially constructed as gender-specific, there was no interaction among gender, time of decision and judgment of the pain. Corroborating other studies [19][20][21][22][23][24] , the association of symptoms to heart problems resulted in faster decision making and arrival at a place of treatment, indicating that the recognition of the severity of symptoms appears to be crucial for immediate search of health care.…”

Section: Discussionmentioning

confidence: 62%

Pre-hospital delay in acute myocardial infarction: judgement of symptoms and resistance to pain

Mussi

Mendes²,

Queiroz³

et al. 2014

Rev. Assoc. Med. Bras.

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Objective: To estimate the time of decision (TD) to look for medical care and the time of arrival (TA) at the health service for men (M) and women (W) suffering from acute myocardial infarction and to analyze the influence of the interpretation of pain and pain resistance behaviors during these times. Methods: This is an exploratory research, performed at the university hospital in Salvador/Bahia. 43 W and 54 M were interviewed. To study the dependence among sociodemographic and gender variables, the Fisher Exact Test was used. To analyze times, a geometric mean (GM) was used. In order to verify the association between the GM of TD and TA and the judgment of pain, and between the GM of TD and TA and the behavior of resistance to pain, as well as to test the time of interaction between the gender variable and other variables of interest, the robust regression model was used. The statistical significance adopted was 5%. Results: The GM of the TD for M was 1.13 h; for W, 0.74 h. The GM of the TA was 1.74 h for M and 1.47 h for W. Those who did not recognize the symptoms of AMI and presented behavior of resistance to pain had higher TD and TA, being the associations significant. Gender did not change the associations of interest. Conclusion:The findings demonstrate the importance of health education aiming at the benefits of early treatment.

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“…In fact, it has been proven that patients who receive health education about IHD through conversations with nurses, accompanied by written information in practical guides, mainly to gain and maintain cardiohealthy habits (22) . Different studies have signaled the need for greater awareness on IHD, among women as well as health professionals themselves and society in general, as a means to reduce morbidity and mortality (23) . All of this greater awareness should include better early recognition of the disease, with a view to taking early action and avoiding unnecessary delays in care requests, which in turn affects morbidity and mortality (7) .…”

Section: Study Reasons For Delay To Request Specialized Carementioning

confidence: 99%

Ischemic heart disease in women

Cantus

Solano-Ruiz

2011

Rev. Latino-Am. Enfermagem

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Nowadays, Coronary Diseases (CDs) represent the main mortality cause in men and women, but there are gender differences regarding their presentation, progression and the way the disease is tackled. This study mainly focuses on reviewing literature about the CD and its gender approach. The authors carried out a search of texts that use qualitative methodology, published between 2003 and 2009 in the following databases: PUBMED, IME, CUIDEN and CINAHL. Factors that hinder the early diagnosis of Ischemic Heart Disease in women are identified as the main findings, and the possible consequences are pointed out.In the fifty-six texts that were selected initially, we can see the difficulty women face to recognize early symptoms of the CD and their low risk perception of this disease. Greater awareness on Ischemic Heart Disease is needed, so that the high morbidity and mortality rates can be reduced. La cardiopatía isquémica en la mujerLas Enfermedades Coronarias (EC) suponen la principal causa de mortalidad en el sexo femenino y masculino, pero existen diferencias de género en aspectos como la presentación, evolución o el abordaje de la enfermedad. Este trabajo se centra principalmente en revisar la literatura sobre la EC y el enfoque de género. Los autores han realizado una búsqueda de artículos que utilizan metodología cualitativa publicados entre 2003 y 2009 en las bases de datos PUBMED, IME, CUIDEN y CINAHL. Como hallazgos principales se identifican los factores que dificultan el diagnóstico precoz de la cardiopatía isquémica en la mujer, y se apuntan las posibles consecuencias que puede comportar. En los 56 textos seleccionados, inicialmente se evidencia la dificultad de la mujer para reconocer los síntomas iniciales de EC, así como la baja percepción de riesgo sobre dicha enfermedad. Es necesaria una mayor concienciación sobre la CI con la finalidad de reducir las altas cifras de morbimortalidad.

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Patients with acute myocardial infarction and interfering factors when seeking emergency care: implications for health education

Cited by 19 publications

References 14 publications

Time of arrival of patients with acute myocardial infarction to the emergency department

Time of arrival of patients with acute myocardial infarction to the emergency department

Pre-hospital delay in acute myocardial infarction: judgement of symptoms and resistance to pain

Ischemic heart disease in women

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