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.

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

2021 ◽  
Vol 10 (17) ◽  
pp. 3813
Author(s):  
Federica Sancassiani ◽  
Roberta Montisci ◽  
Antonio Preti ◽  
Pasquale Paribello ◽  
Luigi Meloni ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Psychological Factors ◽  
Myocardial Salvage ◽  
Care Seeking ◽  
Critical Determinant ◽  
Time Period ◽  
Care Seeking Behavior ◽  
Seeking Behavior

The time from symptom onset to reperfusion is a critical determinant of myocardial salvage and clinical outcomes in patients with acute myocardial infarction (AMI). This time period could be delayed if people do not seek help promptly and/or if the health system is not efficient in responding quickly and attending to these individuals. The aim of this study was to identify psychological factors associated with pre-hospital delay (PHD) or patients’ decisional delay (PDD) in people with an ongoing AMI. A search in PubMed/Medline from 1990 to 2021 with the keywords “pre-hospital delay” OR “prehospital delay” OR “patient delay” OR “decisional delay” OR “care seeking behavior” AND “psychological factors” OR “alexithymia” AND “myocardial infarction” was performed. Thirty-six studies were included, involving 10.389 patients. Wrong appraisal, interpretation and causal beliefs about symptoms, denial of the severity of the symptoms and high levels of alexithymia were found related to longer PHD or PDD. Alexithymia may be an overarching construct that explains the disparate findings of the studies exploring the role of psychological factors in PHD or PDD. Further studies are needed in order to analyse the role of alexithymia in patients with risk factors for AMI to prevent delay.

scholarly journals Age Differences in the Chief Complaint Associated With a First Acute Myocardial Infarction and Patient's Care-Seeking Behavior

2020 ◽  
Vol 133 (9) ◽  
pp. e501-e507 ◽  
Author(s):  
Mayra Tisminetzky ◽  
Jerry H. Gurwitz ◽  
Ruben Miozzo ◽  
Anthony Nunes ◽  
Joel M. Gore ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Age Differences ◽  
Chief Complaint ◽  
Care Seeking ◽  
Care Seeking Behavior ◽  
Seeking Behavior

scholarly journals Avoidance of ST-Segment-Elevation Myocardial Infarction Treatment for >1 Week Due to COVID-19 Fears

2021 ◽  
Vol 48 (4) ◽  
Author(s):  
Rahul V. Annabathula ◽  
Gregory J. Sinner ◽  
Talal S. Alnabelsi ◽  
Rachel P. Goodwin ◽  
Vincent L. Sorrell
Keyword(s):  
Myocardial Infarction ◽  
Gastrointestinal Symptoms ◽  
Coronary Intervention ◽  
Care Seeking ◽  
Anterior Myocardial Infarction ◽  
St Segment Elevation ◽  
St Segment ◽  
Percutaneous Coronary ◽  
Care Seeking Behavior ◽  
Seeking Behavior

During the coronavirus disease 2019 (COVID-19) pandemic, social distancing guidelines have negatively affected the care-seeking behavior of patients with chronic medical conditions, including those with cardiovascular disease. We report the case of a 60-year-old man with vague gastrointestinal symptoms who waited more than 1 week to seek treatment for fear of COVID-19 infection. On presentation at another hospital, he was found to have had an anterior myocardial infarction, and he underwent percutaneous coronary intervention to stent an occluded proximal left anterior descending coronary artery. Subsequently, the patient experienced refractory cardiogenic shock and, during his transfer to our hospital, refractory ventricular tachycardia, which ultimately proved fatal.

scholarly journals Perceptions and Care Seeking Behavior of Obstetric Complication in Thailand

2013 ◽  
Vol 10 (2) ◽  
pp. 63-70 ◽  
Author(s):  
SK Sharma ◽  
P Vong-Ek
Keyword(s):  
Maternal Health ◽  
Health Personnel ◽  
Hard Work ◽  
Obstetric Complication ◽  
Traditional Practices ◽  
Care Seeking ◽  
Appropriate Care ◽  
Care Seeking Behavior ◽  
Seeking Behavior ◽  
Poor Nutrition

Background Importance of maternal health has been recognized over the last decade, however information about the perception of illness and healthcare behavior of obstetric complication is lacking. Objective This study assesses women’s knowledge, perception, and experience of obstetric complication and care-seeking behavior and explores the factors associated with the morbidity and the constraints hindering them from seeking timely care. Methods Twenty one in-depth interviews on the perceptions, experience and care seeking behavior related to pregnancy and delivery of Women at Kanchanaburi Demographic Surveillance site of Thailand were conducted. A structured guideline was first prepared in English and translated into Thai language. An interpreter was hired to interview women at the Thai-Myanmar border to translate Thai into local language. A moderator note-taker, and interpreter were present throughout the interview period and tape recorded the conversation. Results In-depth interview revealed that even though quality maternal health care was accessible to most of the women, obstetric complication was prevalent and they were not seeking appropriate care specifically in highland. Too early and too late marriage, frequent child bearing, poverty, hard work, poor nutrition and traditional practices were the reasons for complications. Poor transportation, lack of health insurance, inadequate training of health personnel, poor health facilities and the perception that the complications are normal for pregnant women were the main reasons for not seeking appropriate care. Conclusions Perceived reasons for complications among women living in Kanchanaburi, Thailand were early marriage, frequent childbearing, hard work, poor nutrition and traditional practices. The constraints hindering them from seeking care for the complications were perceived to be the lack of access to health personnel, health facilities, and proper transportation. These issues seemed to be related to poverty. Kathmandu University Medical Journal | Vol.10 | No. 2 | Issue 38 | Apr – June 2012 | Page 63-70 DOI: http://dx.doi.org/10.3126/kumj.v10i2.7347

scholarly journals Trends of inequalities in care seeking behavior for under-five children with suspected pneumonia in Ethiopia: evidence from Ethiopia demographic and health surveys (2005–2016)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gebretsadik Shibre ◽  
Betregiorgis Zegeye ◽  
Dina Idriss-Wheeler ◽  
Sanni Yaya
Keyword(s):  
Health Surveys ◽  
Demographic And Health Surveys ◽  
Care Seeking ◽  
Health Seeking ◽  
Under Five ◽  
Under Five Children ◽  
Care Seeking Behavior ◽  
Seeking Behavior ◽  
Index Of Inequality ◽  
Suspected Pneumonia

Abstract Background Pneumonia is a leading public health problem in under-five children worldwide and particularly in Africa. Unfortunately, progress in reducing pneumonia related mortality has been slow. The number of children with symptoms of pneumonia taken to health facilities for treatment is low in Ethiopia, and disparities among sub-groups regarding health seeking behavior for pneumonia have not been well explored in the region. This study assessed the trends of inequalities in care seeking behavior for children under five years of age with suspected pneumonia in Ethiopia. Methods Using cross-sectional data from the 2005, 2011 and 2016 Ethiopia Demographic and Health Surveys (DHS) and the World Health Organization’s (WHO) Health Equity Assessment Toolkit (HEAT), this study investigated the inequalities in health seeking behavior for children with suspected pneumonia. Four measures of inequality were calculated: Difference, Ratio, Slope Index of Inequality and Relative Index of Inequality. Results were disaggregated by wealth, education, residence, and sex with computed 95% Uncertainty Intervals for each point estimate to determine significance. Results The percentage of under-five children with symptoms of pneumonia who were taken to a health facility was significantly lower for children in the poorest families, 15.48% (95% UI; 9.77, 23.64) as compared to children in the richest families, 61.72% (95% UI; 45.06, 76.02) in 2011. Substantial absolute (SII = 35.61; 95% UI: 25.31, 45.92) and relative (RII = 4.04%; 95% UI: 2.25, 5.84) economic inequalities were also observed. Both educational and geographic inequalities were observed; (RII = 2.07; 95% UI: 1.08, 3.06) and (D = 28.26; 95% UI: 7.14, 49.37), respectively. Economic inequality decreased from 2011 to 2016. There was no statistically significant difference between male and female under-five children with pneumonia symptoms taken to health facility, in all the studied years. Conclusions Health care seeking behavior for children with pneumonia was lower among the poorest and non-educated families as well as children in rural regions. Policies and strategies need to target subpopulations lagging behind in seeking care for pneumonia treatment as it impedes achievement of key UN sustainable development goals (SDGs).

scholarly journals Ventricular septal rupture following acute myocardial infarction - a rare complication

2015 ◽  
Vol 9 (2) ◽  
pp. 121-123 ◽  
Author(s):  
Muhammad Mobarock Hossain ◽  
SM Mostafa Zaman ◽  
Fakhrul Islam Khaled ◽  
Mohammad Faisal Ibn Kabir ◽  
Noor Mohammad ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Rare Complication ◽  
Ventricular Septal Rupture

Abstract not availableUniversity Heart Journal Vol. 9, No. 2, July 2013; 121-123

Maternal Health Care Seeking Behavior in a Post-Conflict HIPC: The Case of Rwanda

2010 ◽  
Vol 30 (1) ◽  
pp. 25-41 ◽  
Author(s):  
S. Chandrasekhar ◽  
Tesfayi Gebreselassie ◽  
Anuja Jayaraman
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Maternal Health Care ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Post Conflict ◽  
Care Seeking Behavior ◽  
Seeking Behavior ◽  
Health Care Seeking Behavior

The association between pre-infarction angina and care-seeking behaviors and its effects on early reperfusion rates for acute myocardial infarction

2009 ◽  
Vol 135 (1) ◽  
pp. 86-92 ◽  
Author(s):  
Hongbing Yan ◽  
Li Song ◽  
Jingang Yang ◽  
Yihong Sun ◽  
Dayi Hu
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Care Seeking ◽  
Early Reperfusion

Influence of Culture and Discrimination on Care-Seeking Behavior of Elderly African Americans: A Qualitative Study

2010 ◽  
Vol 25 (3-4) ◽  
pp. 311-326 ◽  
Author(s):  
Shadi S. Martin ◽  
Jacqueline Trask ◽  
Tina Peterson ◽  
Bryan C. Martin ◽  
Josh Baldwin ◽  
...  
Keyword(s):  
African Americans ◽  
Qualitative Study ◽  
Care Seeking ◽  
Care Seeking Behavior ◽  
Seeking Behavior
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