ArticleEuropean journal of cardiovascular nursing2020
The association between symptom onset characteristics and prehospital delay in women and men with acute coronary syndrome.
Article in European journal of cardiovascular nursing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Worldwide impact of COVID-19 on hospital admissions for non-ST-elevation acute coronary syndromes (NSTACS): a systematic review with meta-analysis of 553 038 cases.European heart journal. Quality of care & clinical outcomes · 2024Pooled it
- [Determinants of healthcare-seeking delay in women with acute coronary syndrome].Atencion primaria · 2026Article
- Public awareness of early symptoms of acute coronary syndrome and its association with anticipated prehospital delay: a cross-sectional study in Palestine.Frontiers in public health · 2026Article
- Influencing factors of patient delay for decision-making in older patients with acute coronary syndrome: a study based on the Andersen's Behavioral Model.Frontiers in public health · 2026Article
- The Triglyceride-Glucose Index is associated with hospital and Intensive Care Unit Mortality in critically ill patients with Acute Coronary Syndrome.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2026Article
- Article
- Cost-effectiveness of continuous real-time intracardiac recurrent event detection and alerting in high-risk acute coronary syndrome patients.Future cardiology · 2025Article
- Analysis of Clinical and Epidemiological Profiles as Predictors of Complications in Women Admitted to the Acute Cardiac Care Unit for Acute Coronary Syndrome.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Heat Exposure Following the Rainy Season Is Associated With an Increased Risk of Cardiovascular Emergency Among the Elderly in Japan.Journal of the American Heart Association · 2023Article
- Patient characteristics and outcomes of acute myocardial infarction presenting without ischemic pain: Insights from the Atherosclerosis Risk in Communities Study.American heart journal plus : cardiology research and practice · 2023Article
- Symptom recognition and treatment-seeking behaviors in women experiencing acute coronary syndrome for the first time: a qualitative study.BMC cardiovascular disorders · 2022Article
- Review
- Unusual Fatigue and Failure to Utilize EMS Are Associated With Prolonged Prehospital Delay for Suspected Acute Coronary Syndrome.Critical pathways in cardiology · 2020Article
- Typical and Atypical Symptoms of Acute Coronary Syndrome: Time to Retire the Terms?Journal of the American Heart Association · 2020Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundA decision to delay seeking treatment for symptoms of acute coronary syndrome increases the risk of serious complications, disability, and death.
aimsThe purpose of this study was to determine if there was an association between gradual vs abrupt symptom onset and prehospital delay for patients with acute coronary syndrome and to examine the relationship between activities at symptom onset and gradual vs abrupt symptom onset.
methodsThis was a secondary analysis of a large prospective multi-center study. Altogether, 474 patients presenting to the emergency department with symptoms of acute coronary syndrome were included in the study. Symptom characteristics, activity at symptom onset, and prehospital delay were measured with the ACS Patient Questionnaire.
resultsMedian prehospital delay time was four hours. Being uninsured (β=0.120,
conclusionPatients should be counselled that a gradual onset of symptoms for potential acute coronary syndrome is an emergency and that they should call 911. Men with ischemic heart disease or with multiple risk factors should be cautioned that symptom onset following exertion may represent acute coronary syndrome.
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Registered trials
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