ArticleHeart (British Cardiac Society)2000
Patients' interpretation of symptoms as a cause of delay in reaching hospital during acute myocardial infarction.
Article in Heart (British Cardiac Society), 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 2 of them syntheses that pooled it.
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Who cites it
55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 280 citations in OpenAlex.
- Cardiac symptom attribution and knowledge of the symptoms of acute myocardial infarction: a systematic review.BMC cardiovascular disorders · 2020Pooled it
- Time-to-reperfusion in patients with acute myocardial infarction and mortality in prehospital emergency care: meta-analysis.BMC emergency medicine · 2020Pooled it
- Pre-Hospital Delay in STEMI: A Narrative Review of Symptom Onset-to-First Medical Contact Across High-Income and Low- and Middle-Income Countries.Clinical cardiology · 2026Review
- Diagnosing acute coronary syndrome in telephone triage: does it matter who initially calls? A cross-sectional study.BMC primary care · 2025Article
- Behavioral delays in seeking care among post-acute myocardial infarction women: a qualitative study following percutaneous coronary intervention.Frontiers in global women's health · 2025Article
- Symptom clusters and unplanned hospital readmission in Chinese patients with acute myocardial infarction on admission.Frontiers in cardiovascular medicine · 2024Article
- "Recognition of heart attack symptoms and treatment-seeking behaviors: a multi-center survey in Tehran, Iran".BMC public health · 2023Article
- 'We do not rush to the hospital for ordinary wounds (suḷu tuvāla)': A qualitative study on the early clinical manifestations of cutaneous leishmaniasis and associated health behaviours in rural Sri Lanka.PLoS neglected tropical diseases · 2023Article
- Hypothetical interventions on emergency ambulance and prehospital acetylsalicylic acid administration in myocardial infarction patients presenting without chest pain.BMC cardiovascular disorders · 2022Article
- Article
- Serum miR-96-5p is a novel and non-invasive marker of acute myocardial infarction associated with coronary artery disease.Bioengineered · 2022Article
- Surviving to Acute Myocardial Infarction: The Role of Psychological Factors and Alexithymia in Delayed Time to Searching Care: A Systematic Review.Journal of clinical medicine · 2021Review
- Public knowledge of stroke and heart attack symptoms in China: a cross-sectional survey.BMJ open · 2021Article
- Acute coronary syndrome: which age group tends to delay call for help?The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2021Article
- A reduced state of being: The role of culture in illness perceptions of young adults diagnosed with depressive disorders in Singapore.PloS one · 2021Article
- Cardiovascular risk knowledge in patients of South Asian origin living with rheumatoid arthritis: data from India and the UK.BMC rheumatology · 2020Article
- Visceral Origin: An Underestimated Source of Neck Pain. A Systematic Scoping Review.Diagnostics (Basel, Switzerland) · 2019Article
- Evaluation of the proximal coronary arteries in suspected pulmonary embolism: diagnostic images in 51% of patients using non-gated, dual-source CT pulmonary angiography.Emergency radiology · 2019Article
- Symptom clusters and treatment time delay in Korean patients with ST-elevation myocardial infarction on admission.Medicine · 2018Observational
- How do patients with chest pain access Emergency Department care?European journal of emergency medicine : official journal of the European Society for Emergency Medicine · 2017Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine whether the association between expected symptoms of acute myocardial infarction and actual symptoms predicted delay in reaching hospital and help seeking behaviour.
designDuring hospital convalescence, participants completed a structured interview designed to measure symptom experience and help seeking behaviour following the onset of symptoms of acute myocardial infarction. PATIENTS: 88 patients admitted to hospital with their first myocardial infarction
main outcome measuresDelay in reaching hospital from onset of worst symptoms, obtained from ambulance and hospital records.
resultsThe most common symptoms expected by patients with myocardial infarction were central chest pain (76%), radiating arm or shoulder pain (34%), and collapse (26%). The most common symptoms experienced were sweats or feeling feverish (78%), chest pain (64%), and arm, shoulder, or radiating pain (66%). A mismatch between symptoms experienced and those expected occurred in 58% of patients, and was associated with delay. Patients who experienced a mismatch between expectation and actual symptoms also were more likely to have a third party decide to call for help.
conclusionsThe experience and interpretation of symptoms is an important source of delay and help seeking following onset of myocardial infarction symptoms.
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