Navigation Links
Many patients with heart disease have poor knowledge of heart attack symptoms
Date:5/26/2008

Nearly half of patients with a history of heart disease have poor knowledge about the symptoms of a heart attack and do not perceive themselves to have an elevated cardiovascular risk, according to a report in the May 26 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.

Individuals with heart disease have five to seven times the risk of having a heart attack or dying as the general population, according to background information in the article. Survival rates improve following heart attack if treatment begins within one hour. However, most patients are admitted to the hospital 2.5 to three hours after symptoms begin. Barriers to seeking appropriate care quickly are both cognitive and emotional, the authors write. If patients do not know the symptoms of acute myocardial infarction (heart attack) and other acute coronary syndromesincluding nausea and pain in the jaw, chest or left armthey will not seek treatment for them. If they do not perceive themselves to be at risk for heart attack, they will look for another explanation when they experience these symptoms.

Kathleen Dracup, D.N.Sc., of the University of California, San Francisco, School of Nursing, and colleagues surveyed 3,522 patients (average age 67) who had a history of heart attack or an invasive procedure for treating narrowed arteries. The patients were asked to identify possible symptoms of heart attack and responded to true-false questions about heart disease. Participants also were asked whether they were more or less likely than other individuals their age to have a heart attack in the next five years.

The average cardiac knowledge score was 71 percent. Despite their history of heart disease, 44 percent of the patients had low knowledge levels, as documented by scores of less than 70 percent. Women, individuals who had participated in cardiac rehabilitation, those with higher education levels, younger individuals and those who received care from a cardiologist as opposed to a family practitioner or internist tended to score higher.

In this group of patients, who were all at high risk for a future acute myocardial infarction, 43 percent inappropriately assessed their risk as less than or the same as other people their age, the authors write. More men than women perceived themselves as being at low risk (47 percent vs. 36 percent, respectively).

Changes in the health care delivery system have led to less hospital time for heart disease patients, reducing the amount of time available for education about heart disease symptoms, the authors note. Patients require continued reinforcement about the nature of cardiac symptoms, the benefits of early treatment and their risk status, they write. Our findings suggest that men, elderly individuals, those with low levels of education and those who have not attended a cardiac rehabilitation program are more likely to require special efforts during medical office visits to review symptoms of acute myocardial infarction and to learn the appropriate actions to take in the face of new symptoms of acute coronary syndromes.

(Arch Intern Med. 2008;168[10]:1049-1054. Available pre-embargo to the media at www.jamamedia.org.)

Editors Note: Funding was provided by the National Institute of Nursing Research, National Institutes of Health. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.


Editorial: Findings Encourage Support of Cardiac Rehabilitation

The researchers found two modifiable factors identified with increased knowledge about coronary artery disease: participation in cardiac rehabilitation and receiving care by a cardiologist, writes Robert A. Phillips, M.D., Ph.D., of the UMass Memorial Medical Center, Worcester, in an accompanying editorial.

These findings should help to fuel the recent focus on the barriers, benefits and methods to improve participation in cardiac rehabilitation by coronary artery disease patients, he continues.

Health care theory suggests that the highest level of care is provided when payments and best health care practices are aligned. To this end, payers such as Centers for Medicare and Medicaid Services and private insurers should develop a tiered approach to payment for cardiac care, providing higher reimbursements for those hospitals that offer cardiac rehabilitation and higher reimbursement to physicians and hospitals who consistently refer eligible patients for cardiac rehabilitation, Dr. Phillips concludes.

(Arch Intern Med. 2008;168[10]:1029. Available pre-embargo to the media at www.jamamedia.org.)

Editors Note: Please see the article for additional information, including author contributions and affiliations, financial disclosures, funding and support, etc.


'/>"/>

Contact: Kristen Bole
415-476-2743
JAMA and Archives Journals
Source:Eurekalert

Related medicine news :

1. Fluctuating eye pressure associated with visual field deterioration in glaucoma patients
2. Comparison of obstetric outcomes between on-call and patients own obstetricians
3. Vision restoration therapy shown to improve brain activity in brain injured patients
4. Diabetes appears to increase risk of death for patients with acute coronary syndromes
5. Ambulatory oxygen rarely a benefit in COPD patients without resting hypoxemia
6. Restricting Blood Flow May Help Heart Bypass Patients
7. Patients with Medicaid and those lacking insurance have higher risk of advanced laryngeal cancer
8. Study provides hope that some transplant patients could live free of antirejection drugs
9. Study provides hope that some transplant patients could live free of anti-rejection drugs
10. Longer ambulance journeys boost death risk for seriously ill patients
11. Expenses Overshadow Optimism for Kidney Failure Patients
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... ... June 24, 2016 , ... The Pulmonary Hypertension ... that it will receive two significant new grants to support its work to ... its 25th anniversary by recognizing patients, medical professionals and scientists for their work ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. Amanda Cheng, ... treatment. Dr. Cheng has extensive experience with all areas of orthodontics, including robotic ... osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic treatment. It ...
(Date:6/24/2016)... ... 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, join ... wage raise to $12 an hour by 2020 and then adjusting it yearly to increase ... of the minimum wage, assure the wage floor does not erode again, and make future ...
(Date:6/24/2016)... Georgia (PRWEB) , ... June 24, 2016 , ... ... awards today at the Clinical Decision Making in Emergency Medicine conference in Ponte ... have authored journal articles published in Emergency Medicine Practice and Pediatric ...
(Date:6/24/2016)... ... June 24, 2016 , ... Puradigm® & Innovative ... has initiated cultivation and processing operations at its production facility, and opened its ... Puradigm is the manufacturer of a complete system of proactive air and surface ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 24, 2016 According to a ... (Standard Pen Needles, Safety Pen Needles), Needle Length (4mm, ... Hormone), Mode of Purchase (Retail, Non-Retail) - Trends & ... studies the market for the forecast period of 2016 ... 2.81 Billion by 2021 from USD 1.65 Billion in ...
(Date:6/24/2016)... June 24, 2016  Arkis BioSciences, a leading ... and more durable cerebrospinal fluid treatments, today announced ... Series-A funding is led by Innova Memphis, followed ... other private investors.  Arkis, new financing will accelerate ... the market release of its in-licensed Endexo® technology. ...
(Date:6/23/2016)... 23, 2016 Any dentist who has made an ... current process. Many of them do not even offer this ... and high laboratory costs involved. And those who ARE able ... such a high cost that the majority of today,s patients ... Parsa Zadeh , founder of Dental Evolutions Inc. and ...
Breaking Medicine Technology: