scholarly journals Early Post-Acute Myocardial Infarction: Psychosocial and Financial Concerns

2021 ◽  
Vol 4 (3) ◽  
Author(s):  
Mandreker Bahall ◽  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Heart Attack ◽  
Eating Habits ◽  
Lifestyle Changes ◽  
Psychological Issues ◽  
Inadequate Information ◽  
Positive Feelings ◽  
Negative Feelings ◽  
Public Health Institute

Purpose: Acute myocardial infarction (AMI) is a major cardiovascular event that has significant psycho-social-physical and lifestyle consequences. This study assessed the feelings of patients within days following an AMI in a public health institute in Trinidad and Tobago. Results: Of the 150 AMI patients, 134 (89.3%), were included in the study. Sixteen (10.7%) patients were not included due to inadequate information. Among the post-AMI patients, common negative feelings experienced include fear of another heart attack (n = 74, 55.2%), fear of death (n = 40, 29.9%), and fear of the future (n = 29, 21.6%). However, the positive thoughts of the AMI patients predominated: intentions to improve eating habits (n = 97, 73.5%), and increased spirituality (n = 82, 62.1%). Changes in feelings from pre to post AMI were most pronounced for positive feelings such as improved eating habits, regular exercise, and improved goals. In general, among the post-AMI patients, there were no significant associations between age and sex. However, significant associations were found between selected lifestyles variables (exercise, alcohol, eating habits, employment status, hypertension, and obesity) and psychological issues such as fear of another heart attack, improved relationships, or turning to God. Conclusions: Post-AMI patients experienced major psychosocial issues in the early post-AMI period. Though negative feelings were common, most of the patients resolved to make positive lifestyle changes.

scholarly journals Early Post-Acute Myocardial Infarction: Psychosocial and Financial Concerns

2021 ◽  
Author(s):  
Mandreker Bahall
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Heart Attack ◽  
Eating Habits ◽  
Lifestyle Changes ◽  
Psychological Issues ◽  
Inadequate Information ◽  
Positive Feelings ◽  
Negative Feelings ◽  
Public Health Institute

Purpose: Acute myocardial infarction (AMI) is a major cardiovascular event that has significant psycho-social-physical and lifestyle consequences. This study assessed the feelings of patients within days following an AMI in a public health institute in Trinidad and Tobago. Results: Of the 150 AMI patients, 134 (89.3%), were included in the study. Sixteen (10.7%) patients were not included due to inadequate information. Among the post-AMI patients, common negative feelings experienced include fear of another heart attack (n = 74, 55.2%), fear of death (n = 40, 29.9%), and fear of the future (n = 29, 21.6%). However, the positive thoughts of the AMI patients predominated: intentions to improve eating habits (n = 97, 73.5%), and increased spirituality (n = 82, 62.1%). Changes in feelings from pre to post AMI were most pronounced for positive feelings such as improved eating habits, regular exercise, and improved goals. In general, among the post-AMI patients, there were no significant associations between age and sex. However, significant associations were found between selected lifestyles variables (exercise, alcohol, eating habits, employment status, hypertension, and obesity) and psychological issues such as fear of another heart attack, improved relationships, or turning to God. Conclusions: Post-AMI patients experienced major psychosocial issues in the early post-AMI period. Though negative feelings were common, most of the patients resolved to make positive lifestyle changes.

scholarly journals Trends in Prehospital Delay in Patients With Acute Myocardial Infarction (from the Worcester Heart Attack Study)

2008 ◽  
Vol 102 (12) ◽  
pp. 1589-1594 ◽  
Author(s):  
Jane S. Saczynski ◽  
Jorge Yarzebski ◽  
Darleen Lessard ◽  
Frederick A. Spencer ◽  
Jerry H. Gurwitz ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Heart Attack ◽  
Prehospital Delay

Intrusion and Confusion—The Impact of Medication and Health Professionals after Acute Myocardial Infarction

2005 ◽  
Vol 4 (2) ◽  
pp. 153-159 ◽  
Author(s):  
Mona From Attebring ◽  
Johan Herlitz ◽  
Inger Ekman
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Secondary Prevention ◽  
Health Professionals ◽  
Long Run ◽  
Starting Point ◽  
History Of ◽  
Previously Treated ◽  
Positive Feelings ◽  
The Impact

Background: Secondary prevention is important in preventing new cardiovascular events after acute myocardial infarction (AMI). Aim: To explore patients' experiences of secondary prevention after a first AMI. Methods: A qualitative approach with hermeneutical analysis of in depth interviews was used. Results: Twenty patients (12 men and 8 women, aged 34–79 years) were interviewed. None of the patients was previously treated for cardiovascular disease except one that had a history of angina pectoris. Two main themes emerged from the analysis. 1) Impact of medication: patients interpreted bodily sensations as a consequence of being medicated rather than as a result of their heart attack. The medication led to feelings of being intruded upon but also to positive feelings of security. 2) Impact of health professionals: communication with health professionals resulted in confusion about both treatment and the severity of the coronary disease. Patients expressed a need of being reassured by their physician regarding their physical status. Conclusions: Health professionals need to consider the impact of pharmacological treatment on patients' life, at least in patients who suffer from a first AMI. The point of departure in secondary preventive work must be patients' beliefs about their condition and the treatment they receive. Nurses and physicians must be aware of the information each patient has been given, and from this starting point, they have to be in concordance with one another. From the patients' perspective it is deemed necessary for the physicians to discuss the disease and the consequences it may have, both in the near future and in the long run, as soon as possible.

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