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

Abstract

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

Sepse e IAM: conhecimento da população frequentadora de parques e acompanhantes de pacientes

“…Concerning the signs and symptoms of AMI, 90.6% of the participants who knew the term "infarction" also had adequate knowledge about AMI manifestations. A study with 52 participants who had AMI conducted in São Paulo showed that 100% of the respondents recognized that they had some of the classic symptoms of AMI, which are chest pain radiating to the arm, sweating and pain in the epigastric region (19) .…”

Revascularização Miocárdica: Referência E Contrarreferência Do Paciente Em Uma Instituição Hospitalar

“…The study to compare the prognosis and waiting time for specialized intervention reveals that the recognition of signs and symptoms of acute myocardial infarction by the patient was a determining factor for the demand for specialized care. 12 In qualitative research with women who suffered acute myocardial infarction, they showed little clarity in accurately assessing their cardiovascular risk, poor preventive health behaviors, and delayed in seeking care based on the symptoms. 13 Threefactors were elaborated by patientsas a proper behavior toreducethedelayin searching for health care after the onset of symptoms: identifying the symptomsas having origin from theheart, having anaction planreadyin case of an emergency, and being withsomeone ormaking contact with otherpeople.…”

Acesso de usuários com infarto do miocárdio a hospitais referência em cardiologia

“…(10) The predominant marital status was married/with a partner, in agreement with other studies. (9,11) Participants had similar socioeconomic characteristics, expressed by the dependence on the Unified Health System, low level of schooling and low family income. Also, one third was professionally inactive, due to unemployment or retirement.…”