International Comparison of Factors Associated with Delay in Presentation for AMI Treatment

McKinley, Sharon; Dracup, Kathleen; Moser, Debra K.; Ball, Caroline; Yamasaki, Kazuhiko; Kim, Cho Ja; Barnett, Maree

doi:10.1016/j.ejcnurse.2004.06.004

Cited by 86 publications

(114 citation statements)

References 21 publications

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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%

“…Thus, the participants sought to endure the pain, relieve it, waited it to improve, concealed it and did not want to surrender to medical help immediately. Other studies have found that people who self-medicated 26 , waited for the pain to improve, maintained higher self control 23 and felt ashamed to ask for help 27 , taking longer to decide to seek a health service.…”

Section: Discussionmentioning

confidence: 98%

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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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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 98%

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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“…Patients kept a diary of all hospitalizations and were called monthly by a trained research assistant to obtain hospitalization data for 1 year following baseline data collection using a well‐validated life history method 26, 27. All hospitalizations were verified by medical record review.…”

Section: Methodsmentioning

confidence: 99%

Micronutrient Deficiency Independently Predicts Time to Event in Patients With Heart Failure

Lennie

Andreae

Rayens

et al. 2018

JAHA

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BackgroundDietary micronutrient deficiencies have been shown to predict event‐free survival in other countries but have not been examined in patients with heart failure living in the United States. The purpose of this study was to determine whether number of dietary micronutrient deficiencies in patients with heart failure was associated with shorter event‐free survival, defined as a combined end point of all‐cause hospitalization and death.Methods and ResultsFour‐day food diaries were collected from 246 patients with heart failure (age: 61.5±12 years; 67% male; 73% white; 45% New York Heart Association [NYHA] class III/IV) and analyzed using Nutrition Data Systems for Research. Micronutrient deficiencies were determined according to methods recommended by the Institute of Medicine. Patients were followed for 1 year to collect data on all‐cause hospitalization or death. Patients were divided according to number of dietary micronutrient deficiencies at a cut point of ≥7 for the high deficiency category versus <7 for the no to moderate deficiency category. In the full sample, 29.8% of patients experienced hospitalization or death during the year, including 44.3% in the high‐deficiency group and 25.1% in the no/moderate group. The difference in survival distribution was significant (log rank, P=0.0065). In a Cox regression, micronutrient deficiency category predicted time to event with depression, NYHA classification, comorbidity burden, body mass index, calorie and sodium intake, and prescribed angiotensin‐converting enzyme inhibitors, diuretics, or β‐blockers included as covariates.ConclusionsThis study provides additional convincing evidence that diet quality of patients with heart failure plays an important role in heart failure outcomes.

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“…Country specific challenges likely exist due to lack of resources, for example, salt restricted or healthy foods may be difficult to purchase in some countries [11] and weighing scales may not be affordable. There also are cultural differences in reactions to symptoms, as described in response to symptoms of a myocardial infarction [12]. In some countries it might be difficult or unusual to access a health care provider for HF symptoms.…”

Section: Introductionmentioning

confidence: 99%

Comparison of self-care behaviors of heart failure patients in 15 countries worldwide

Jaarsma

Strömberg

Gal

et al. 2013

Patient Education and Counseling

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190

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This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution and sharing with colleagues.Other uses, including reproduction and distribution, or selling or licensing copies, or posting to personal, institutional or third party websites are prohibited.

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International Comparison of Factors Associated with Delay in Presentation for AMI Treatment

Abstract: Similar education about the need to seek treatment early in response to AMI symptoms may be applicable in Western and Eastern industrialised populations.

Cited by 86 publications

References 21 publications

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

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

Micronutrient Deficiency Independently Predicts Time to Event in Patients With Heart Failure

Comparison of self-care behaviors of heart failure patients in 15 countries worldwide

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