Factors associated with patient decision time in ST-segment elevation myocardial infarction, in early and late responders-an observational cross-sectional survey study.

Autor:	Ericsson M; Department of Cardiology, Linköping University, 581 85 Linköping, Sweden.; Department of Health, Medical and Caring Sciences, Linköping University, 581 85 Linköping, Sweden., Thylén I; Department of Cardiology, Linköping University, 581 85 Linköping, Sweden.; Department of Health, Medical and Caring Sciences, Linköping University, 581 85 Linköping, Sweden., Strömberg A; Department of Cardiology, Linköping University, 581 85 Linköping, Sweden.; Department of Health, Medical and Caring Sciences, Linköping University, 581 85 Linköping, Sweden., Ängerud KH; Cardiology, Heart Centre, Department of Nursing, Umeå University, Umeå, Sweden., Moser DK; College of Nursing, University of Kentucky, Lexington, KY, USA., Sederholm Lawesson S; Department of Cardiology, Linköping University, 581 85 Linköping, Sweden.; Department of Health, Medical and Caring Sciences, Linköping University, 581 85 Linköping, Sweden.
Jazyk:	angličtina
Zdroj:	European journal of cardiovascular nursing [Eur J Cardiovasc Nurs] 2022 Oct 14; Vol. 21 (7), pp. 694-701.
DOI:	10.1093/eurjcn/zvab124
Abstrakt:	Aims: A short time span from symptom onset to reperfusion is imperative in ST-segment elevation myocardial infarction (STEMI). The aim of this study was to determine factors associated with patient decision time for seeking care in STEMI, particularly how symptoms were experienced and affected patient response. Methods and Results: A multicentre cross-sectional self-report survey study was completed at five Swedish hospitals representing geographic diversity. The 521 patients were divided into three groups based on their time to respond to symptoms: early (<20 min), intermediate (20-90 min), and late responders (>90 min). Only one out of five patients both responded early and called an ambulance within 20 min. Believing symptoms were cardiac in origin [odds ratio (OR) 2.60], male sex (OR 2.40), left anterior descending artery as culprit artery (OR 1.77), and bystanders calling an ambulance (OR 4.32) were factors associated with early response and correct action. Associated symptoms such as dyspnoea (OR 1.67) and weakness (OR 1.65) were associated with an early action (<20 min), while chest pain was not independently associated with response time. Cold sweat (OR 0.61) prevented late care-seeking behaviour as did a high symptom burden (OR 0.86). Conclusion: Misinterpretation of symptoms delays correct care-seeking behaviour because patient expectations may not be aligned with the experience when stricken by Myocardial infarction. Therefore, it is imperative to continuously enhance public awareness in correct symptom recognition and appropriate care-seeking behaviour and to make efforts to educate individuals at risk for STEMI as well as their next of kin. Competing Interests: Conflict of interest: The authors declare that there are no conflicts of interest. (Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2022. For permissions, please email: journals.permissions@oup.com.)
Databáze:	MEDLINE
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