ArticleBMC cardiovascular disorders2013
Longer pre-hospital delay in first myocardial infarction among patients with diabetes: an analysis of 4266 patients in the northern Sweden MONICA Study.
Article in BMC cardiovascular disorders, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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18 citing papers in PubMed.
- The effect of follow-up reexamination on the long-term prognosis of patients with acute coronary syndrome undergoing coronary angiography.BMC medicine · 2025Article
- Association between Triglyceride-Glucose Index and Prognosis in Critically Ill Patients with Acute Coronary Syndrome: Evidence from the MIMIC Database.International journal of medical sciences · 2025Article
- Do patients with diabetes with new onset acute myocardial infarction present with different symptoms than non-diabetic patients?Frontiers in cardiovascular medicine · 2024Article
- Factors associated with prehospital delay in acute myocardial infarction in Maldives.International journal of emergency medicine · 2023Article
- The presentation delay and differences of symptoms manifestation in Myocardial Infarction patients with and without Diabetes: a cross-sectional study.Annals of medicine and surgery (2012) · 2023Article
- Prediction of Late Hospital Arrival in Patients with Mild and Rapidly Improving Acute Ischemic Stroke in a Rural Area of China.Risk management and healthcare policy · 2023Article
- Status of prehospital delay and intravenous thrombolysis in the management of acute ischemic stroke in Nepal.BMC neurology · 2019Article
- Observational
- Effect of an Education Programme on Cardiovascular Health Index among Patients with Myocardial Infarction: A Preliminary Study.The Malaysian journal of medical sciences : MJMS · 2018Article
- Prehospital Delay in Older Adults with Acute Myocardial Infarction: The ComprehenSIVe Evaluation of Risk Factors in Older Patients with Acute Myocardial Infarction Study.Journal of the American Geriatrics Society · 2017Article
- Article
- Symptoms and delay times during myocardial infarction in 694 patients with and without diabetes; an explorative cross-sectional study.BMC cardiovascular disorders · 2016Article
- Pre-hospital delay in patients with first time myocardial infarction: an observational study in a northern Swedish population.BMC cardiovascular disorders · 2016Observational
- Predictors of delayed pre-hospital presentation among patients with ST-segment elevation myocardial infarction.Qatar medical journal · 2016Article
- Risk factors of delayed pre-hospital treatment seeking in patients with acute coronary syndrome: A prospective study.Turkish journal of emergency medicine · 2015Article
- Prehospital delay and time to reperfusion therapy in ST elevation myocardial infarction.Journal of emergencies, trauma, and shockArticle
- The Process of Care-seeking for Myocardial Infarction Among Patients With Diabetes.The Journal of cardiovascular nursingArticle
- Differences in symptoms and presentation delay times in myocardial infarction patients with and without diabetes: A cross-sectional study in Pakistan.Indian heart journalArticle
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Abstract
backgroundReperfusion therapy reduces both morbidity and mortality in myocardial infarction, but the effectiveness depends on how fast the patient receives treatment. Despite the time-dependent effectiveness of reperfusion therapy, many patients with myocardial infarction have delays in seeking medical care. The aim of this study was to describe pre-hospital delay in a first myocardial infarction among men and women with and without diabetes and to describe the association between pre-hospital delay time and diabetes, sex, age, symptoms and size of residential area as a proxy for distance to hospital.
methodsThis population based study was based on data from 4266 people aged 25-74 years, with a first myocardial infarction registered in the Northern Sweden MONICA myocardial infarction registry between 2000 and 2008.
resultsThe proportion of patients with delay times ≥ 2 h was 64% for patients with diabetes and 58% for patients without diabetes. There was no difference in delay time ≥ 2 h between men and women with diabetes. Diabetes, older age and living in a town or rural areas were factors associated with pre-hospital delay times ≥ 2 h. Atypical symptoms were not a predictor for pre-hospital delay times ≥ 2 h, OR 0.59 (0.47; 0.75).
conclusionsA higher proportion of patients with diabetes have longer pre-hospital delay in myocardial infarction than patients without diabetes. There are no differences in pre-hospital delay between men and women with diabetes. The largest risk difference for pre-hospital delay ≥ 2 h is between women with and without diabetes. Diabetes, older age and living in a town or rural area are predictors for pre-hospital delay ≥ 2 h.
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