Key result
Advanced age and living alone linked to ~50-fold longer decision times for AMI treatment.
Population
5,301 patients with acute myocardial infarction in Italy, from which 590 cases and 1,669 controls were…
Design
Case-control
Authors
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Patient decision time dominates AMI delays; supports targeted education but leaves open effects on outcomes.
Case-Control (n=5,301)
Yes
Patient decision time is the primary driver of delayed presentation in acute myocardial infarction, highlighting the need for interventions targeting patient help-seeking behavior.
Franzosi et al. (1995) conducted a case-control in acute myocardial infarction (n=5,301). Patient-related factors (e.g., advanced age, living alone, diabetes) vs. Absence of these factors was evaluated on Delay in acute myocardial infarction treatment. Patient-related factors like advanced age and living alone significantly increased treatment delay, with median decision time 50-fold higher in cases than in controls presenting within 2 hours.