An American study reported in 2008 found that patients hospitalised with acute heart failure had experienced considerable delays in seeking medical care (with an average delay time of 13.3 hours).3 Male sex, multiple presenting symptoms, absence of a history of heart failure, and seeking medical care between midnight and 6 a.m. were associated with prolonged prehospital delay.
"This is why it is so important to instruct patients and their families how to recognise the symptoms of acute heart failure," said Professor Follath, "to seek medical help without loosing critical time of hours or even days before appropriate treatment can be started."
According to Professor John McMurray, President of the Heart Failure Association of the ESC, cases admitted to hospital for acute heart failure had until recently a very poor prognosis, but the better identification of symptoms - and thus their more appropriate treatment - have brought about a 40-50% reduction in mortality rates in a short time.
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