Treatment-seeking behavior for acute myocardial infarction symptoms in North America and Australia

Heart & Lung ◽  
2000 ◽  
Vol 29 (4) ◽  
pp. 237-247 ◽  
Author(s):  
Sharon McKinley ◽  
Debra K. Moser ◽  
Kathleen Dracup
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
North America ◽  
Treatment Seeking ◽  
Seeking Behavior ◽  
Myocardial Infarction Symptoms

Treatment Seeking for Acute Myocardial Infarction Symptoms

2003 ◽  
Vol 52 (3) ◽  
pp. 159-167 ◽  
Author(s):  
Julie Johnson Zerwic ◽  
Catherine J. Ryan ◽  
Holli A. DeVon ◽  
Mary Jo Drell
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Treatment Seeking ◽  
Myocardial Infarction Symptoms

scholarly journals Treatment-Seeking Delay Among Hispanic and Non-Hispanic Women with Acute Myocardial Infarction

Health Equity ◽  
2019 ◽  
Vol 3 (1) ◽  
pp. 287-296
Author(s):  
Amy Pate ◽  
Bonnie A. Leeman-Castillo ◽  
Mori J. Krantz
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Hispanic Women ◽  
Treatment Seeking

Determinants of decisions to seek medical treatment by patients with acute myocardial infarction symptoms.

1983 ◽  
Vol 44 (6) ◽  
pp. 1144-1156 ◽  
Author(s):  
Karen A. Matthews ◽  
Lewis H. Kuller ◽  
Judith M. Siegel ◽  
Mark Thompson ◽  
Murray Varat
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Medical Treatment ◽  
Myocardial Infarction Symptoms

scholarly journals Predictors of Myocardial Reperfusion in Patients with ST-Elevation Myocardial Infarction Following Thrombolytic Treatment in Rural Community

2020 ◽  
Vol 17 (6) ◽  
pp. 608-619
Author(s):  
Patcharaporn UNTAJA ◽  
Siriorn SINDHU ◽  
Patricia Mary DAVIDSON ◽  
Orapan THOSINGHA ◽  
Chukiat VIWATWONGKASEM
Keyword(s):  
Myocardial Infarction ◽  
Guideline Adherence ◽  
Rural Areas ◽  
Severity Of Illness ◽  
Myocardial Reperfusion ◽  
Treatment Seeking ◽  
Thrombolytic Treatment ◽  
Patient Response ◽  
Seeking Behavior ◽  
Hospital Factors

This cross-sectional study aims to examine patient and hospital factors contributing to reperfusion following thrombolysis in patients with ST-segment elevation myocardial infarction (STEMI) in rural hospitals in Thailand. Access to reperfusion therapy for STEMI patients in rural areas is increasing in Thailand, yet clinical outcomes vary between settings and are inferior to recommended guidelines. Ten years after the introduction of thrombolytic treatment for rural patients undergoing STEMI, there is still a limited description of factors influencing the outcomes of thrombolytic treatment. Data were collected from 87 acute STEMI patients who had received thrombolytic treatment in 12 thrombolysis-capable hospitals located in rural areas.  Demographic and clinical characteristics included patient response and treatment seeking behavior, witness response to the patient symptoms, waiting time for treatment, severity of illness, guideline adherence, and thrombolytic reperfusion. The results were: only 31 of 87 patients (35.63 %) received thrombolytic treatment within 30 min after arrival at the hospital. A total of 42 patients (48.28 %) had successful myocardial reperfusion following thrombolytic treatment. Logistic regression analysis revealed that guideline adherence (OR : 1.58 ; 95 % CI : 1.12 - 2.25), severity of illness (OR : 0.77 ; 95 % CI : 0.64 - 0.94), and patient response and treatment seeking behavior (OR : 1.47 ; 95 % CI : 1.01 - 2.04) were predictors of thrombolytic reperfusion. In rural areas, healthcare resources and transfer facilities are limited. Therefore, the improvement of patient awareness is needed. The clinical practice guidelines and consideration of pre-hospital factors should be promoted and the number of thrombolysis-capable hospitals should be increased.

scholarly journals Delayed Treatment of Acute Myocardial Infarction With Ventricular Septal Rupture Due to Patient Fear During the COVID-19 Pandemic

2021 ◽  
Vol 48 (3) ◽  
Author(s):  
Minar Chhetry ◽  
Reema Bhatt ◽  
Nathan H. Tehrani ◽  
Dimitrios V. Avgerinos ◽  
Charles A. Mack ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Care Seeking ◽  
Ventricular Septal Rupture ◽  
Delayed Treatment ◽  
Bovine Pericardial Patch ◽  
Echocardiographic Evaluation ◽  
Care Seeking Behavior ◽  
Seeking Behavior ◽  
Negative Effect

During the coronavirus disease 2019 (COVID-19) pandmic, more patients are presenting with complications late after acute myocardial infarction. We report the case of a 71-year-old man who delayed seeking medical care for 2 weeks, despite progressive shortness of breath, cough, and tactile fever, for fear of contracting COVID-19 in the hospital. Clinical and echocardiographic evaluation revealed a ventricular septal rupture secondary to acute myocardial infarction. The patient underwent urgent cardiac catheterization, followed by successful saphenous vein grafting to the left anterior descending coronary artery and open surgical repair of the ventricular septal rupture with a bovine pericardial patch. This case highlights a potential long-lasting negative effect that the COVID-19 pandemic will have on the care-seeking behavior and health of patients with acute cardiovascular disease.

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