Why people experiencing acute myocardial infarction delay seeking medical assistance

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34 Citations (Scopus)
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Background: Delay time from onset of symptoms of myocardial infarction to seeking medical assistance can have life- 31 threatening consequences. A number of factors have been associated with delay, but there is little evidence regarding the predictive 32 value of these indices. Aim: To explore potential predictors of patient delay from onset of symptoms to time medical assistance 33 was sought in a consecutive sample of patients admitted to CCU with acute myocardial infarction. Methods: The Cardiac Denial 34 of Impact Scale, Health Locus of Control Scale, Health Value Scale and Pennebaker Inventory of Limbic Languidness were 35 administered to 62 patients between 3 and 6 days after admission. Results: Attribution of symptoms to heart disease and health 36 locus of control had a significant predictive effect on patients seeking help within 60 min, while previous experience of heart 37 disease did not. Conclusion: Assisting individuals to recognise the potential for symptoms to have a cardiac origin is an important 38 objective. Interventions should take into account the variety of cognitive and behavioural factors involved in decision making.
Original languageEnglish
Pages (from-to)237-242
Number of pages6
JournalEuropean Journal of Cardiovascular Nursing
Issue number4
Publication statusPublished - Dec 2002


  • Aged
  • Coronary Care Units
  • Cross-Sectional Studies
  • Decision Making
  • Denial (Psychology)
  • Female
  • Health Care Surveys
  • Health Knowledge, Attitudes, Practice
  • Hospitals, Teaching
  • Humans
  • Internal-External Control
  • Logistic Models
  • Male
  • Middle Aged
  • Myocardial Infarction
  • Northern Ireland
  • Patient Acceptance of Health Care
  • Predictive Value of Tests
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Time Factors
  • Journal Article

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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