Recognition of symptoms as being cardiac in origin is a key predictor of reduced delay in seeking care for acute myocardial infarction.
Cardiac symptom recognition may shorten AMI delays; supports CSM-based education but leaves open causal effects in prospective studies.
Thirty percent of people who experience symptoms of acute myocardial infarction (AMI) do not seek care until more than 2-6 hours after onset of symptoms, increasing their risk for morbidity and mortality. Using a model based on two frameworks, the common sense model of illness representation (CSM) and goal expectancy, variables associated with delay were examined to identify the most salient predictors of delay in seeking care for AMI. Hierarchical regression analysis revealed that the set of illness representation components from the CSM was a significant predictor of time to seek care, but individually, only recognition of symptoms as being caused by the heart was significant. Providing accurate information on symptoms of AMI may lead to early recognition, reduced delay, and reduced morbidity and mortality.
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Jill R. Quinn (2005) studied this question.
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