Global Awareness of Myocardial Infarction Symptoms in General Population: a Systematic Review and Meta-Analysis

Sharma, Akash; Vidusha, Karavadi Sri Sai; Suresh, Harshini; Ajan, M. J.; Saravanan, Kavinkumar; Dhamania, Madhvi; Nisha, B; Wani, Rabbanie Tariq

doi:10.4070/kcj.2021.0100

Cited by 10 publications

(7 citation statements)

References 25 publications

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“…However, during tele-triage, patients may provide inaccurate history [ 40 ] as TMD is difficult to be described by the patient. In addition, it could be an early symptom of an underlying cardiac problem [ 41 ]. Given such uncertainties combined with the fact that our TD was largely limited to telephone consultations during the pandemic's initial stages like other places worldwide [ 39 ], half of our TMD cases were referred.…”

Section: Discussionmentioning

confidence: 99%

Patient-reported orofacial-dental pain severity and tele-triage decisions during COVID-19 pandemic: Does the severity of pain drive tele-triage decisions?

Ali

Ansari

2022

BMC Oral Health

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Background Globally, with the COVID-19 pandemic, dental services were limited to emergency/ urgent conditions and were provided only after tele-triage referral for face-to-face management. However, no previous research explored whether the pain severity (PS) drives the tele-triage decisions. The current study examined the association between PS and tele-triage decision of whether to manage the condition remotely or refer the caller for face-to-face management. Methods This retrospective cross-sectional study analyzed the PS reported by hotline callers, using numerical rating scale (NRS-11), during the first wave of COVID-19 lockdown (23 March–31 August 2020) and its association with tele-triage decision controlling for age, sex, history of chronic illness, and dental discipline needed. Binomial logistic regression assessed the association between the PS (exposure) and tele-triage decision (outcome). ANOVA compared PS across tele-triage categories, dental history and tentative diagnosis. Results PS was significantly associated with tele-triage decisions (p < 0.05). An increase in pain score by 1 unit was associated with 1.4 times increased odds of face-face referral (95% CI: 1.26–1.54). Pediatric/ adolescent patients (9–18 years) (odds ratio (OR) = 2.07; 95% CI: 1.07–4.02), history of chronic illness (OR = 2.12; 95% CI:1.28–3.51), need for surgical specialty (OR = 1.93; 95% CI: 1.22–3.04) and orthodontic specialty (OR = 7.02; 95% CI: 3.54–13.87) were independently associated with tele-triage decision. PS was highest for the emergency triage category (8.00 ± 2.83, P < 0.0001), dental history of tooth with cavity or filling (6.65 ± 2.024, P < 0.0001), and the tentative tele-diagnosis of cellulitis (7.75 ± 2.872, P < 0.0001). Conclusions During COVID-19 pandemic, tele-triage decisions were significantly influenced by patient-reported PS, adjusting for a range of variables. Despite this, referral for face-to-face management was individualized and driven by the tripartite considerations of the reported pain, clinical judgement, and the high transmission characteristics of COVID-19.

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Section: Discussionmentioning

confidence: 99%

Patient-reported orofacial-dental pain severity and tele-triage decisions during COVID-19 pandemic: Does the severity of pain drive tele-triage decisions?

Ali

Ansari

2022

BMC Oral Health

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“… 14) In Japan, only 11.6% of the 1,200 participants surveyed were aware of the need to call EMS promptly for AMI symptoms. 15) More broadly, a meta-analysis by Sharma et al 16) reported a wide variation in the prevalence of awareness of chest pain as a symptom of MI in various Asian countries.…”

Section: Pre-hospital Carementioning

confidence: 99%

Identifying and Solving Gaps in Pre- and In-Hospital Acute Myocardial Infarction Care in Asia-Pacific Countries

Tern,

Vaswani,

Yeo

2023

Korean Circ J

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Author's summary Acute myocardial infarction (AMI) morbidity and mortality differs between Asia-Pacific countries and is contributed to by differences in systems of care. This article elaborates on how systems of care can be improved. Suggestions include: 1) Patient education on AMI symptoms and need to activate emergency medical services (EMS); 2) Developing robust, centralized and well-coordinated EMS; 3) Performing pre-hospital electrocardiogram with onward transmission and video telemedicine triage; 4) Setting up geographically oriented ST elevation myocardial infarction networks; 5) Employing algorithms to diagnose high-risk AMI; 6) Adhering to clinical practice guidelines and integrated care pathways; 7) Creating AMI registries and auditing outcomes.

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“…Myocardial infarction (MI) is an important cause of mortality and morbidity worldwide [ 78 ]. MI is cited among the major causes of AF [ 4 ].…”

Section: Thyroid Disease-associated Cardiac Comorbidities and Af Riskmentioning

confidence: 99%

Mechanisms and Management of Thyroid Disease and Atrial Fibrillation: Impact of Atrial Electrical Remodeling and Cardiac Fibrosis

Takawale

Aguilar

Bouchrit

et al. 2022

Cells

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Atrial fibrillation (AF) is the most common cardiac arrhythmia associated with increased cardiovascular morbidity and mortality. The pathophysiology of AF is characterized by electrical and structural remodeling occurring in the atrial myocardium. As a source of production of various hormones such as angiotensin-2, calcitonin, and atrial natriuretic peptide, the atria are a target for endocrine regulation. Studies have shown that disorders associated with endocrine dysregulation are potential underlying causes of AF. The thyroid gland is an endocrine organ that secretes three hormones: triiodothyronine (T3), thyroxine (T4) and calcitonin. Thyroid dysregulation affects the cardiovascular system. Although there is a well-established relationship between thyroid disease (especially hyperthyroidism) and AF, the underlying biochemical mechanisms leading to atrial fibrosis and atrial arrhythmias are poorly understood in thyrotoxicosis. Various animal models and cellular studies demonstrated that thyroid hormones are involved in promoting AF substrate. This review explores the recent clinical and experimental evidence of the association between thyroid disease and AF. We highlight the current knowledge on the potential mechanisms underlying the pathophysiological impact of thyroid hormones T3 and T4 dysregulation, in the development of the atrial arrhythmogenic substrate. Finally, we review the available therapeutic strategies to treat AF in the context of thyroid disease.

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Global Awareness of Myocardial Infarction Symptoms in General Population: a Systematic Review and Meta-Analysis

Cited by 10 publications

References 25 publications

Patient-reported orofacial-dental pain severity and tele-triage decisions during COVID-19 pandemic: Does the severity of pain drive tele-triage decisions?

Patient-reported orofacial-dental pain severity and tele-triage decisions during COVID-19 pandemic: Does the severity of pain drive tele-triage decisions?

Identifying and Solving Gaps in Pre- and In-Hospital Acute Myocardial Infarction Care in Asia-Pacific Countries

Mechanisms and Management of Thyroid Disease and Atrial Fibrillation: Impact of Atrial Electrical Remodeling and Cardiac Fibrosis

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