ArticleBMJ (Clinical research ed.)1998
Patients' action during their cardiac event: qualitative study exploring differences and modifiable factors.
Article in BMJ (Clinical research ed.), 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Pre-hospital delay in patients with myocardial infarction: an observational study in a tertiary care hospital of northern Bangladesh.BMC health services research · 2020Observational
- 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
- Dealing with coronary artery disease in early encountering: a qualitative study.International cardiovascular research journal · 2014Article
- The emerging role of outdoor and indoor air pollution in cardiovascular disease.North American journal of medical sciences · 2013Review
- Symptom experience during acute coronary syndrome and the development of posttraumatic stress symptoms.Journal of behavioral medicine · 2012Article
- Patients' descriptions of angina symptoms: a qualitative study of primary care patients.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- Early identification and delay to treatment in myocardial infarction and stroke: differences and similarities.Scandinavian journal of trauma, resuscitation and emergency medicine · 2010Review
- The causes of prehospital delay in myocardial infarction.Deutsches Arzteblatt international · 2008Article
- How do patients at risk portray candidates for coronary heart disease? A qualitative interview study.Scandinavian journal of primary health care · 2007Article
- Insights into the management of emerging infections: regulating variant Creutzfeldt-Jakob disease transfusion risk in the UK and the US.PLoS medicine · 2006Review
- Psychosocial effects of the 2001 UK foot and mouth disease epidemic in a rural population: qualitative diary based study.BMJ (Clinical research ed.) · 2005Article
- Questions for general practice.BMJ (Clinical research ed.) · 2003Article
- Decision making processes in people with symptoms of acute myocardial infarction: qualitative study.BMJ (Clinical research ed.) · 2002Article
- A qualitative study of delay among women reporting symptoms of breast cancer.The British journal of general practice : the journal of the Royal College of General Practitioners · 2001Article
- Tackling coronary heart disease.BMJ (Clinical research ed.) · 2001Article
- Complexity, leadership, and management in healthcare organisations.BMJ (Clinical research ed.) · 2001Article
- Barriers to uptake of services for coronary heart disease: qualitative study.BMJ (Clinical research ed.) · 2001Article
- [Thrombolytic delay in myocardial infarction and primary care].Atencion primaria · 2000Article
- Delay in calling for help during myocardial infarction: reasons for the delay and subsequent pattern of accessing care.Heart (British Cardiac Society) · 2000Article
- Patients' interpretation of symptoms as a cause of delay in reaching hospital during acute myocardial infarction.Heart (British Cardiac Society) · 2000Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo explore the circumstances and factors that explain variations in response to a cardiac event and to identify potentially modifiable factors.
designQualitative analysis of semistructured, face to face interviews with patients admitted to two district hospitals for a cardiac event and with other people present at the time of the event. Patients were divided into three groups according to the length of delay between onset of symptoms and calling for medical help. SUBJECTS: 43 patients and 21 other people present at the time of the cardiac event. Patients were divided into three groups according to the length of time between onset of symptoms and seeking medical help: non-delayers (< 4 h; n = 21), delayers (4-12 h; n = 12), and extended delayers (> 12 h; n = 10).
main outcome measuresDecision making process, strategies for dealing with symptoms, and perception of risk and of heart attacks before the event according to delay in seeking help.
resultsThe illness and help seeking behaviour of informants had several components, including warning, interpretation, preliminary action, re-evaluation, and final action stages. The length of each stage was variable and depended on the extent to which informants mobilised and integrated resources into a strategy to bring their symptoms under control. There were obvious differences in informants' knowledge of the symptoms that they associated with a heart attack before the event. Non-delayers described a wider range of symptoms before their heart attack and twice as many (13) considered themselves to be potentially at risk of a heart attack compared with the other two groups. For most informants the heart attack differed considerably from their concept of a heart attack.
conclusionThe most critical factor influencing the time between onset of symptoms and calling for professional medical help is that patients and others recognise their symptoms as cardiac in origin. This study suggests that various points of intervention in the decision making process could assist symptom recognition and therefore faster access to effective treatment.
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