Acute coronary syndrome: what do patients know?

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Show simple item record Dracup, K McKinley, S Doering, LV Riegel, B Meischke, H Moser, DK Pelter, M Carlson, B Aitken, L Marshall, A Cross, R Paul, SM 2010-07-15T07:27:33Z 2008-05
dc.identifier.citation Archives of internal medicine, 2008, 168 (10), pp. 1049 - 1054
dc.identifier.issn 0003-9926
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.
dc.format Print
dc.language eng
dc.relation.hasversion Accepted manuscript version en_US
dc.relation.isbasedon 10.1001/archinte.168.10.1049
dc.title Acute coronary syndrome: what do patients know?
dc.type Journal Article
dc.parent Archives of internal medicine
dc.journal.volume 10
dc.journal.volume 168
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 1110 Nursing
dc.personcode 930003
dc.personcode 014913
dc.personcode 030630
dc.personcode 106354
dc.personcode 105630
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 Humans
dc.description.keywords Health Knowledge, Attitudes, Practice
dc.description.keywords Aged
dc.description.keywords Patient Education as Topic
dc.description.keywords Acute Coronary Syndrome
dc.description.keywords Risk Factors
dc.description.keywords Female
dc.description.keywords Male
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
utslib.copyright.status Open Access 2015-04-15 12:23:47.074767+10
pubs.consider-herdc true
utslib.collection.history General (ID: 2)

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