Characteristics associated with patient delay during the management of ST-segment elevated myocardial infarction, and the influence of awareness campaigns

Impact of Coronavirus Disease 2019 Pandemic on Cardiac Arrest and Emergency Care

“…Studies published to date suggest that this resulted in worse outcome for time-sensitive cardiovascular medical conditions including cardiac arrest, ST segment elevation myocardial infarction and stroke [ 7 ]. In response, multiple public messaging campaigns have been initiated [ 62 ]. Future messaging should continue to consider the impact on preventative and emergency care and to balance the concern for public and provider safety with the risk of delaying care for time-sensitive emergencies.…”

Surviving to Acute Myocardial Infarction: The Role of Psychological Factors and Alexithymia in Delayed Time to Searching Care: A Systematic Review

“…For the purposes of the present study and consistent with previous literature [19,20], PHD was defined as the time interval between the onset of signs and symptoms suggestive of AMI and the time of arrival at the hospital emergency department. This interval includes also the time needed for the emergency medical system to treat the patient, from the first intervention by a medicalized ambulance to hospital door arrival.…”

“…Another case-control study [19] involving 481 patients with AMI [17] pointed out that the factor increasing PDD was the consultation with a care provider different from emergency medical services at the first symptom presentation. Among these patients, 271 answered a questionnaire intended to explore the role of psychological factors different from behavioral and coping strategies adopted to manage the first symptoms.…”

“…Among them, one study [47] also fitted the "Alexithymia" macro-category and is described in the related paragraph. Seven studies [19,25,26,39,45,46,48] also fitting the "AMI symptoms appraisal" macro-category have already been described in the previous section.…”

Se “Tempo é Músculo”, então os Conhecimentos do Paciente devem Economizar Tempo

“…The authors performed a multivariate regression analysis to identify the independent socioeconomic predictors affecting patient presentation to PCI and found that the proportion of patients with low educational levels was significantly higher in the late presenting group. 13 Also, patients who suffered from social isolation and those that lived alone were more prevalent in this group. As the authors discuss, these findings are in line with other studies on this topic, 14,15 but this is another area of conflicting reports, with other authors reporting no relationship between socioeconomic factors and timing of presentation.…”