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BMC Cardiovascular Disorders

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Open Access 01-12-2020 | Myocardial Infarction | Research article

Cardiac symptom attribution and knowledge of the symptoms of acute myocardial infarction: a systematic review

Authors: Benedikt Birnbach, Jens Höpner, Rafael Mikolajczyk

Published in: BMC Cardiovascular Disorders | Issue 1/2020

Abstract

Background

Since the knowledge of the symptoms of acute myocardial infarction (AMI) may reduce the decision time for patients to seek help in case of an AMI, we aimed to summarize evidence on the knowledge of the AMI symptoms and the symptom attribution in case of an acute coronary syndrome (ACS).

Methods

Therefore, we systematically searched the databases PubMed, CINAHL, Embase, and Cochrane Library for relevant studies published between January 1, 2008 and 2019 (last search August 1, 2019).

Results

A total of 86 studies were included, with a composite sample size of 354,497 participants. The weighted mean of the knowledge scores for the symptoms of AMI of 14,420 participants from the general population, was 42.1% (when maximum score was considered 100%) and 69.5% for 7642 cardiac patients. There was a substantially better level of knowledge for six symptoms (‘chest pain or discomfort’, ‘shortness of breath’, ‘pain or discomfort in arms or shoulders’, ‘feeling weak, lightheaded, or faint’, ‘pain or discomfort in the jaw, neck, or back’, and ‘sweating’) (49.8–88.5%) compared to the four less obvious/atypical symptoms ‘stomach or abdominal discomfort’, ‘nausea or vomiting’, ‘headache’, and ‘feeling of anxiety’ (8.7–36.7%). Only 45.1% of 14,843 patients, who experienced ACS, have correctly attributed their symptoms to a cardiac cause.

Conclusion

In conclusion, we found a moderate to good knowledge of “classic” and insufficient knowledge of less obvious symptoms of AMI. This might suggest that increasing knowledge about less obvious symptoms of AMI could be beneficial. It appears also important to address cardiac attribution of symptoms.

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Title: Cardiac symptom attribution and knowledge of the symptoms of acute myocardial infarction: a systematic review
Authors: Benedikt Birnbach
Jens Höpner
Rafael Mikolajczyk
Publication date: 01-12-2020
Publisher: BioMed Central
Keywords: Myocardial Infarction
Acute Coronary Syndrome
Published in: BMC Cardiovascular Disorders / Issue 1/2020
Electronic ISSN: 1471-2261
DOI: https://doi.org/10.1186/s12872-020-01714-8

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Cardiac symptom attribution and knowledge of the symptoms of acute myocardial infarction: a systematic review

Abstract

Background

Methods

Results

Conclusion

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Abstract

Background

Methods

Results

Conclusion

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