ArticleDeutsches Arzteblatt international2008
The causes of prehospital delay in myocardial infarction.
Article in Deutsches Arzteblatt international, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cardiac symptom attribution and knowledge of the symptoms of acute myocardial infarction: a systematic review.BMC cardiovascular disorders · 2020Pooled it
- Evaluating the efficacy of an education and treatment program for patients with coronary heart disease.Deutsches Arzteblatt international · 2014Trial
- Changes in Coronary Care for Acute Myocardial Infarction over the Past Two Decades (2000-2023) in Kaunas, Lithuania.Journal of clinical medicine · 2026Article
- Impact of health awareness on myocardial infarction.The Journal of the Egyptian Public Health Association · 2025Article
- Premorbid predictors of death at initial presentation of coronary heart disease in the Women's Health Initiative study.American journal of preventive cardiology · 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
- Angiographic Predictors of Viability During Intervention for a ST Elevation Myocardial Infarction.Sultan Qaboos University medical journal · 2023Article
- Characterization of prehospital time delay in primary percutaneous coronary intervention for acute myocardial infarction: analysis of geographical infrastructure-dependent and -independent components.International journal of health geographics · 2023Article
- Subarachnoid hemorrhages and aneurysms during the SARS-CoV2-pandemia at a tertiary medical center - Analysis of incidence and outcome.Brain & spine · 2023Article
- Long-Term Predictors of Hospitalized Reinfarction after an Incident Acute Myocardial Infarction.Life (Basel, Switzerland) · 2022Article
- Non-ischemic neurovascular emergencies at a supra-regional medical center during the SARS-CoV2-pandemia.Clinical neurology and neurosurgery · 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
- Patient Risk Interpretation of Symptoms Model (PRISM): How Patients Assess Cardiac Risk.Journal of general internal medicine · 2021Article
- Article
- Correlates of Delayed Initial Contact to Emergency Services among Patients with Suspected ST-Elevation Myocardial Infarction.Cardiology research and practice · 2021Article
- Factors Influencing the Emergency Medical Service Response Time for Cardiovascular Disease in Guangzhou, China.Current medical science · 2019Article
- The RHESA-CARE study: an extended baseline survey of the regional myocardial infarction registry of Saxony-Anhalt (RHESA) design and objectives.BMC cardiovascular disorders · 2016Article
- Decade Long Trends (2001-2011) in Duration of Pre-Hospital Delay Among Elderly Patients Hospitalized for an Acute Myocardial Infarction.Journal of the American Heart Association · 2016Article
- Quality of assessment and counselling offered by community pharmacists and medication sale without prescription to patients presenting with acute cardiac symptoms: a simulated client study.European journal of clinical pharmacology · 2016Article
- Frequency and covariates of fear of death during myocardial infarction and its impact on prehospital delay: findings from the multicentre MEDEA Study.Clinical research in cardiology : official journal of the German Cardiac Society · 2016Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe elapsed time between the onset of symptoms and reperfusion is a critical determinant of the clinical course of patients with myocardial infarction. The patients' own decision time is the most important component of prehospital delay.
methodsSelective literature review based on the references in a meta-analysis, complemented by a PubMed search on the expression "prehospital delay" in combination with "myocardial infarction," "acute coronary syndrome," "psychological factors," "gender," and "public campaign." A total of 73 papers addressing factors that influence prehospital delay were selected.
resultsThe reasons for delays of more than 120 minutes in a patient with symptoms of myocardial infarction reaching the hospital are still not sufficiently elucidated. Patients' uncertainty about their symptoms, advanced age, and female sex are three factors that appear to be associated with longer delays. DISCUSSION: Factors influencing prehospital delay operate at the following levels: the perception of acute symptoms, the recognition of the importance of these symptoms, and the decision to call for help. Intervention trials should consider these levels in meeting the needs of clinically relevant subpopulations.
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