Key result
Prior myocardial infarction was evaluated for its impact on patient delay to the emergency department, but results were not reported in the truncated abstract.
Why the study?
Little is known about the impact of medical factors on patient delay, and whether post-AMI patient education leads to shorter delays during recurrent suspected AMI.
Does prior AMI reduce patient delay in patients presenting with suspected AMI?
Cohort
Yes
Does prior AMI reduce patient delay in patients presenting with suspected AMI?
Prior MI effect on delay unreported; leaves open whether history shortens time to ED in suspected AMI.
acute coronary syndrome ■ education ■ prevention ■ secondary prevention A cute myocardial infarction (AMI) remains the leading cause of death worldwide. 1As "time is muscle", major efforts were undertaken to address patient and system delays and facilitate early diagnosis and revascularization in as many patients with AMI as possible. 2,3Little is known about the impact of medical factors on patient delay.As patient education and patient empowerment to appropriately react to acute chest pain suggestive of AMI are key components in post-AMI cardiac rehabilitation programs, we hypothesized that because of the impact of these educational programs on actual patient behavior, patients with prior AMI would have shorter delays when again presenting with suspected AMI compared with patients without prior AMI. 4 This hypothesis was tested in a prospective, multicenter study, including patients presenting with acute chest discomfort to 12 emergency departments (EDs) in 5 countries (Clini calTr ials.govregistry, NCT00470587).The study was approved by local ethic committees.Written informed consent was obtained from all patients. 2Times of chest pain onset (CPO) and chest pain maximum were prospectively assessed by study physicians.Patient delay, as quantified by time from CPO to the ED (CPO-ED) was the primary
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Troester et al. (2020) conducted a cohort in Suspected acute myocardial infarction. Prior acute myocardial infarction vs. No prior acute myocardial infarction was evaluated on Patient delay, quantified by time from chest pain onset to the emergency department (CPO-ED). Prior myocardial infarction was evaluated for its impact on patient delay to the emergency department, but results were not reported in the truncated abstract.
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