Treatment-seeking Behavior among those with Signs and Symptoms of Acute Myocardial Infarction

1999 ◽  
Vol 29 (3) ◽  
pp. 605 ◽  
Author(s):  
Cho Ja Kim ◽  
Gi Yon Kim
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Signs And Symptoms ◽  
Treatment Seeking ◽  
Seeking Behavior

scholarly journals An unusual presentation of acute myocardial infarction in physiotherapy direct access: findings from a case report

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Lorenzo Storari ◽  
Valerio Barbari ◽  
Fabrizio Brindisino ◽  
Marco Testa ◽  
Maselli Filippo
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Case Report ◽  
Visceral Pain ◽  
Signs And Symptoms ◽  
Final Diagnosis ◽  
Outpatient Setting ◽  
Direct Access ◽  
Life Threatening ◽  
Medical Referral

Abstract Background Shoulder pain (SP) may originate from both musculoskeletal and visceral conditions. Physiotherapists (PT) may encounter patients with life-threatening pathologies that mimic musculoskeletal pain such as Acute Myocardial Infarction (AMI). A trained PT should be able to distinguish between signs and symptoms of musculoskeletal or visceral origin aimed at performing proper medical referral. Case presentation A 46-y-old male with acute SP lasting from a week was diagnosed with right painful musculoskeletal shoulder syndrome, in two successive examinations by the emergency department physicians. However, after having experienced a shift of the pain on the left side, the patient presented to a PT. The PT recognized the signs and symptoms of visceral pain and referred him to the general practitioner, which identified a cardiac disease. The final diagnosis was acute myocardial infarction. Conclusion This case report highlights the importance of a thorough patient screening examination, especially for patients treated in an outpatient setting, which allow distinguishing between signs and symptoms of musculoskeletal from visceral diseases.

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

scholarly journals Factors Associated With Prolonged Prehospital Delay of African Americans With Acute Myocardial Infarction

2006 ◽  
Vol 15 (2) ◽  
pp. 149-157 ◽  
Author(s):  
Angela D. Banks ◽  
Kathleen Dracup
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
African Americans ◽  
Signs And Symptoms ◽  
Definitive Treatment ◽  
Perceived Racism ◽  
Factors Associated ◽  
Prehospital Delay ◽  
Median Delay ◽  
Delay Times

• Background Delays in seeking treatment for signs and symptoms of acute myocardial infarction are longer for African Americans than for whites.• Objective To determine factors associated with prolonged delay and the extent to which perceived racism influences prehospital delay in African Americans with acute myocardial infarction.• MethodsSixty-one African Americans with acute myocardial infarction were interviewed within 1 month of hospital admission. Delay times were calculated on the basis of the interviews. Independent t tests and χ2 tests were used to determine factors associated with prolonged delays.• Results Median delay was 4.25 hours and did not differ significantly between women and men (4.42 vs 3.50 hours). Most patients (69%) experienced their initial signs and symptoms at home, often witnessed by family members or friends (70%). Delay was longer for insured patients than for uninsured patients (4.45 vs 0.50 hours). Single, widowed, or divorced patients had longer delay times than did married patients (5.33 vs 2.50 hours), and patients with diabetes delayed longer than did those without diabetes (7.29 vs 3.50 hours). Perceived racism did not differ significantly between patients who delayed seeking treatment and those who did not.• Conclusions Median delay times were substantially longer than the recommended time of less than 1 hour, reducing the benefit from reperfusion therapies. Education and counseling of patients and their families should be a major strategy in optimizing patients’ outcomes and decreasing the time to definitive treatment.

scholarly journals Percepção do enfermeiro frente ao paciente com suspeita de infarto agudo do miocárdio

2020 ◽  
Vol 10 (30) ◽  
pp. 38-44
Author(s):  
Anderson Leonel Ribeiro Mathias ◽  
Elaine Freitas da Cruz Rocha ◽  
Luiz Augusto Silva ◽  
Camila Zilli Palmeiro Fedalto ◽  
Alexis Pereira da Silva
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Exploratory Study ◽  
Early Recognition ◽  
Signs And Symptoms ◽  
Professional Autonomy ◽  
The Face ◽  
Qualitative Descriptive ◽  
The City ◽  
Suspected Acute Myocardial Infarction

O estudo teve como objetivo identificar a percepção da enfermeira frente ao atendimento ao paciente com suspeita de Infarto Agudo do Miocárdio (IAM). Trata-se de um estudo qualitativo, descritivo e exploratório, realizado na Unidade de Pronto Atendimento do município de Pedro Leopoldo (MG).  Fizeram parte do estudo onze enfermeiros. Emergiram categorias empíricas “A percepção do enfermeiro sobre o reconhecimento do paciente com suspeita de IAM” e “Fatores que interferem na atuação do enfermeiro durante o atendimento ao paciente com suspeita de IAM”. Concluímos que os enfermeiros possuem percepção quanto à importância do reconhecimento precoce dos sinais e sintomas dos pacientes com suspeita de IAM. No entanto, encontram barreiras para realizar esse atendimento. É necessário que se mantenham na busca por capacitação e atualização para continuarem com essa autonomia profissional frente ao paciente com suspeita de IAM, mas espera-se que investimentos sejam feitos pela instituição, visando à melhoria no funcionamento do serviço.Descritores: Infarto Agudo do Miocárdio, Enfermeiro, Assistência. Perception of nurse in front of patient with suspected acute myocardial infarctionAbstract: The study aimed to identify the nurse's perception of the care provided to patients with suspected acute myocardial infarction (AMI). This is a qualitative, descriptive and exploratory study, carried out at the Emergency Care Unit in the city of Pedro Leopoldo (MG). Eleven nurses took part in the study. Empirical categories emerged: “The nurse's perception about the recognition of the patient with suspected AMI” and “Factors that interfere with the nurse's performance during the care of the patient with suspected AMI”. We conclude that nurses are aware of the importance of early recognition of signs and symptoms of patients with suspected AMI. However, they encounter barriers to perform this service. It is necessary to remain in the search for training and updating to continue with this professional autonomy in the face of patients with suspected AMI, but investments are expected to be made by the institution, aiming at improving the service's functioning.Descriptors: Acute Myocardial Infarction, Nurse, Care. Percepción de enfermero delante de pacientes miocardios agudos sospechosoResumen: El estudio tuvo como objetivo identificar la percepción de la enfermera de la atención brindada a los pacientes con sospecha de infarto agudo de miocardio (IAM). Este es un estudio cualitativo, descriptivo y exploratorio, realizado en la Unidad de Atención de Emergencia en la ciudad de Pedro Leopoldo (MG). Once enfermeras participaron en el estudio. Surgieron categorías empíricas: "La percepción de lo enfermero sobre el reconocimiento del paciente con sospecha de IAM" y "Factores que interfieren con el desempeño de la enfermera durante la atención del paciente con sospecha de IAM". Concluimos que los enfermeros son conscientes de la importancia del reconocimiento temprano de los signos y síntomas de pacientes con sospecha de IAM. Sin embargo, encuentran barreras para realizar este servicio. Es necesario permanecer en la búsqueda de capacitación y actualización para continuar con esta autonomía profesional frente a pacientes con sospecha de IAM, pero se espera que la institución realice inversiones, con el objetivo de mejorar el funcionamiento del servicio.Descriptores: Infarto Agudo del Miocardio, Enfermero, Asistencia.

scholarly journals Clinical outcomes of fibrinolytic therapy for prehospital treatment of acute myocardial infarction

2021 ◽  
Vol 37 ◽  
pp. e37071
Author(s):  
Priscila Fernandes Meireles Câmara ◽  
Marcos Antonio Ferreira Júnior ◽  
Allyne Fortes Vitor ◽  
Oleci Pereira Frota ◽  
Viviane Euzébia Pereira Santos ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Chest Pain ◽  
Clinical Outcomes ◽  
Clinical Improvement ◽  
Prehospital Care ◽  
Signs And Symptoms ◽  
Fibrinolytic Therapy ◽  
Chest Discomfort ◽  
Prehospital Treatment

Fibrinolytic Therapy (FT) is an important form of treatment for cases of Acute Myocardial Infarction (AMI), especially in those places where Primary Percutaneous Coronary Intervention (PPCI) is not available, which is the main form of treatment and can be used even in the prehospital care. Aimed to describe the clinical outcomes of the use of FT in prehospital care for treating patients with AMI. This research covered a total of 53 patients and was carried out from march to october 2017, referring to the care provided from january 2015 to december 2016 in two stages, in which the first occurred with the Mobile Emergency Service (SAMU) and Walk-in Emergency Care Units (UPA), and the second in the referenced hospital services as gateways to those units. Data were collected from secondary sources. The clinical outcomes of FT considered in the form of absolute and relative frequencies and measures of central tendency were considered. The main signs and symptoms at admission were chest pain (84.62%), sweating (36.54%), dyspnea (26.92%), hypertension (19.23%), nausea (17.31%), malaise (17.31%) and emesis (13.46%). The main characteristic of chest discomfort was chest pain (70.45%). The FT drug administered in all patients was tenecteplase. The median time from symptom-to-door was 180 minutes, while symptom-reperfusion was 300 minutes and door-to-needle 160 minutes. Regarding the outcome, 74.47% had clinical improvement, 19.15% died, 4.25% had refractory AMI and 2.13% had reinfarction. The main characteristic of clinical improvement was the reversal of chest pain (68.57%), characterized as myocardial reperfusion criteria. The present study presented the main outcomes of FT use with improvement of those patients who were treated with it, and shorter times related to chest discomfort and the administration of FT were responsible for increasing the outcomes of clinical improvement and decreasing the outcome of death.

Recognizing a heart attack: the process of determining illness

1997 ◽  
Vol 6 (4) ◽  
pp. 267-273 ◽  
Author(s):  
KA Scherck
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Heart Attack ◽  
Gallbladder Disease ◽  
Signs And Symptoms ◽  
Medical Attention ◽  
Second Phase ◽  
The Public ◽  
Medical Centers ◽  
Bodily Sensations

OBJECTIVE: To examine the process by which patients with acute myocardial infarction recognize illness and the need for medical treatment. DESIGN: Descriptive, exploratory, qualitative. SETTING: The coronary care and progressive care units of two midwestern medical centers. SUBJECTS: Thirty men and women with a diagnosis of acute myocardial infarction. METHODS: Open-ended interviews were conducted on the fourth or fifth day of hospitalization. All interviews were recorded on audiotape and transcribed. Data were analyzed by using grounded theory methods. RESULTS: Findings of the study indicated that determining illness and the need for medical attention was often a difficult process involving phases. The first phase involved attending to or ignoring bodily sensations as they come and go or additional sensations develop. Some subjects moved precipitously to seeking treatment; others took days to attend to bodily sensations. The second phase involved comparing sensations with those from a previously experienced illness or with the subject's concept of sensations likely to accompany common ailments such as indigestion or flu or more serious illnesses such as ulcer, gallbladder disease, or heart attack. The quality of sensations experienced had an important influence on assigning probable cause and deciding that medical attention is warranted. CONCLUSIONS: The disruptive nature of signs and symptoms and how closely signs and symptoms matched the subject's prototype for a heart attack greatly influenced the determination that illness was present and healthcare was needed. These findings have implications for educating the public about the complex and variable manifestations of a heart attack.

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