Acute coronary syndrome: what do patients know?

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Show simple item record Dracup, Kathleen en_US Mckinley, Sharon en_US Doering, Lynn en_US Riegel, Barbara en_US Meischke, Hendrika en_US Moser, Debra en_US Pelter, Michelle en_US Carlson, Beverly en_US Aitken, Leanne en_US Marshall, Andrea en_US Cross, Rebecca en_US Paul, Stephen en_US
dc.contributor.editor en_US 2010-07-15T07:27:33Z 2010-07-15T07:27:33Z 2008 en_US
dc.identifier 2007005304 en_US
dc.identifier.citation Dracup Kathleen et al. 2008, 'Acute coronary syndrome: what do patients know?', American Medical Association, vol. 168, no. 10, pp. 1049-1054. en_US
dc.identifier.issn 0003-9926 en_US
dc.identifier.other C1 en_US
dc.description.abstract Background: The effectiveness of therapy for an acute coronary syndrome (ACS) is dependent on patients' quick decision to seek treatment. We surveyed patients' level of knowledge about heart disease and self-perceived risk for a future acute myocardial infarction (AMI) in patients with documented ischemic heart disease. Methods: Patients (N = 3522) had a mean age of 67 years, 68% were male, and all had a history of AMI or invasive cardiac procedure for ischemic heart disease. Data were gathered using a 26-item instrument focusing on ACS symptoms and appropriate steps to seeking treatment. Patients were asked to identify their level of perceived risk for a future AMI. Results: Forty-six percent of patients had low knowledge levels (ie, <70% of answers were correct). The mean score was 71%. Higher knowledge scores were significantly related to female sex (P = .001), younger age (P = .001), higher education (P = .001), participation in cardiac rehabilitation (P = .001), and receiving care by a cardiologist rather than an internist or general practitioner (P = .005). Clinical history (eg, AMI [P = .24] and cardiac surgery [P = .38]) were not significant predictors of knowledge. Most (57%) identified themselves as being at higher risk for a future AMI compared with an age-matched individual without heart disease with 1 exception. Namely, patients who had undergone coronary artery bypass surgery felt significantly less vulnerable for a future AMI than other individuals of the same age. Conclusions: Even following diagnosis of ACS and numerous interactions with physicians and other health care professionals, knowledge about ACS symptoms and treatment on the part of patients with cardiac disease remains poor. Patients require continued reinforcement about the nature of cardiac symptoms, the benefits of early treatment, and their risk status. en_US
dc.language en_US
dc.publisher American Medical Association en_US
dc.relation.hasversion Accepted manuscript version en_US
dc.relation.isbasedon en_US
dc.title Acute coronary syndrome: what do patients know? en_US
dc.parent Archives of Internal Medicine en_US
dc.journal.volume 168 en_US
dc.journal.number 10 en_US
dc.publocation United States en_US
dc.identifier.startpage 1049 en_US
dc.identifier.endpage 1054 en_US FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 111000 en_US
dc.personcode 106354 en_US
dc.personcode 930003 en_US
dc.personcode 0000035328 en_US
dc.personcode 0000035326 en_US
dc.personcode 0000024908 en_US
dc.personcode 105630 en_US
dc.personcode 0000034424 en_US
dc.personcode 0000034422 en_US
dc.personcode 014913 en_US
dc.personcode 030630 en_US
dc.personcode 0000046646 en_US
dc.personcode 0000046645 en_US
dc.percentage 100 en_US Nursing en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US en_US
dc.location.activity ISI:000256057000005 en_US
dc.description.keywords en_US

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