Fernando Rivero1, Teresa Bastante1, Javier Cuesta1, Amparo Benedicto1, Jorge Salamanca1, Jorge-Andrés Restrepo1, Río Aguilar1, Federico Gordo2, Maurice Batlle3, Fernando Alfonso4. 1. Servicio de Cardiología, Hospital Universitario de la Princesa, IIS-IP, Universidad Autónoma de Madrid, Madrid, Spain. 2. Servicio de Cuidados Intensivos, Hospital Universitario del Henares, Coslada, Madrid, Spain. 3. Servicio de Cardiología, Hospital Universitario del Henares, Coslada, Madrid, Spain. 4. Servicio de Cardiología, Hospital Universitario de la Princesa, IIS-IP, Universidad Autónoma de Madrid, Madrid, Spain. Electronic address: falf@hotmail.com.
Abstract
INTRODUCTION AND OBJECTIVES: Prompt coronary reperfusion is crucial in patients with ST-segment elevation acute coronary syndrome. The aim of this study was to determine factors associated with a delay in seeking medical attention after the onset of symptoms in patients with this condition. METHODS: Prospective cohort study in consecutive patients with ST segment elevation infarction. Multiple logistic regression analysis was used to identify factors independently associated with a longer delay in requesting medical help. RESULTS: In total, 444 consecutive patients were included (mean age, 63 years; 76% men, 20% with diabetes). Median total ischemia time was 225 (160-317) minutes; median delay in seeking medical attention was 110 (51-190) minutes. Older patients (age > 75 years; odds ratio = 11.6), women (odds ratio = 3.4), individuals with diabetes (odds ratio = 2.3), and those requesting medical care from home (odds ratio = 2.2) showed the longest delays in seeking medical attention. Lengthy delay was associated with higher in-hospital mortality (9.8% vs 2.7%; P<.005) and 1-year mortality (7.3% vs 2.9%; P<.05) than when attention was promptly solicited. CONCLUSIONS: Elderly patients, women, and diabetic individuals with ST-segment elevation myocardial infarction show longer delays in seeking medical attention for their condition. Delays in seeking medical attention are associated with greater in-hospital and 1-year mortality.
INTRODUCTION AND OBJECTIVES: Prompt coronary reperfusion is crucial in patients with ST-segment elevation acute coronary syndrome. The aim of this study was to determine factors associated with a delay in seeking medical attention after the onset of symptoms in patients with this condition. METHODS: Prospective cohort study in consecutive patients with ST segment elevation infarction. Multiple logistic regression analysis was used to identify factors independently associated with a longer delay in requesting medical help. RESULTS: In total, 444 consecutive patients were included (mean age, 63 years; 76% men, 20% with diabetes). Median total ischemia time was 225 (160-317) minutes; median delay in seeking medical attention was 110 (51-190) minutes. Older patients (age > 75 years; odds ratio = 11.6), women (odds ratio = 3.4), individuals with diabetes (odds ratio = 2.3), and those requesting medical care from home (odds ratio = 2.2) showed the longest delays in seeking medical attention. Lengthy delay was associated with higher in-hospital mortality (9.8% vs 2.7%; P<.005) and 1-year mortality (7.3% vs 2.9%; P<.05) than when attention was promptly solicited. CONCLUSIONS: Elderly patients, women, and diabetic individuals with ST-segment elevation myocardial infarction show longer delays in seeking medical attention for their condition. Delays in seeking medical attention are associated with greater in-hospital and 1-year mortality.
Authors: Amin Daoulah; Mushabab Al-Murayeh; Salem Al-Kaabi; Amir Lotfi; Osama E Elkhateeb; Salem M Al-Faifi; Saleh Alqahtani; James Stewart; Jon Heavey; William T Hurley; Mohamed N Alama; Mazen Faden; Mohamed Al-Shehri; Ali Youssef; Alawi A Alsheikh-Ali Journal: Cardiol Res Pract Date: 2017-07-24 Impact factor: 1.866
Authors: Esteban Orenes-Piñero; Juan M Ruiz-Nodar; María Asunción Esteve-Pastor; Miriam Quintana-Giner; José Miguel Rivera-Caravaca; Andrea Veliz; Mariano Valdés; Manuel Macías; Vicente Pernias-Escrig; Nuria Vicente-Ibarra; Luna Carrillo; Miriam Sandín-Rollán; Elena Candela; Teresa Lozano; Francisco Marín Journal: Oncotarget Date: 2017-09-24
Authors: Amin Daoulah; Salem M Al-Faifi; William T Hurley; Abdulaziz Alasmari; Mohammed Ocheltree; Rami H Abushanab; Hisham Hussein; Ahmed A Emam; Vikram Grewal; Zainab M Jafary; Ahmad S Hersi; Edward B Devol; Alawi A Alsheikh-Ali; Ali A Haneef; Amir Lotfi Journal: Curr Cardiol Rev Date: 2021