Department of Molecular and Clinical Medicine, Institution of Medicine, Sahlgrenska University Hospital, SE-413 45 Göteborg, Sweden.
Int J Cardiol. 2010 Jun 11;141(3):236-42. doi: 10.1016/j.ijcard.2008.11.176. Epub 2009 Jan 10.
Not much is known about the patients' decision time in acute coronary syndrome (ACS). The aim of the survey was therefore to describe patients' decision time and factors associated with this parameter in ACS.
We conducted a national survey comprising intensive cardiac care units at 11 hospitals in Sweden in which patients with ACS diagnosis and symptoms onset outside hospital participated. Main outcome measures were patients' decision time and factors associated with patients' decision time.
In all, 1939 patients took part in the survey. The major factors associated with a shorter patient decision time were: 1) ST-elevation ACS, 2) associated symptoms such as vertigo or near syncope, 3) interpreting the symptoms as cardiac in origin, 4) pain appearing suddenly and reaching a maximum within minutes, 5) having knowledge of the importance of quickly seeking medical care and 6) experiencing the symptoms as frightening. The following aspects of the disease were associated with a longer decision time: 1) pain was localised in the back and 2) symptom onset at home when alone.
A number of factors, including the type of ACS, the type and localisation of symptoms, the place where symptoms occurred, patients' interpretation of symptoms and knowledge were all associated with patients' decision time in connection with ACS.
急性冠状动脉综合征（ACS）患者的决策时间知之甚少。因此，本研究旨在描述 ACS 患者的决策时间及其相关因素。
我们进行了一项全国性调查，涵盖了瑞典 11 家医院的重症监护病房，参与调查的患者为 ACS 诊断和院外症状发作患者。主要观察指标为患者的决策时间及其相关因素。
共有 1939 名患者参与了调查。与患者决策时间较短相关的主要因素有：1）ST 段抬高型 ACS；2）眩晕或近乎晕厥等相关症状；3）将症状解释为心源性；4）疼痛突然出现并在数分钟内达到高峰；5）了解及时就医的重要性；6）症状感到恐惧。与决策时间较长相关的疾病方面包括：1）疼痛位于背部；2）症状在独自在家时发作。
ACS 患者的决策时间与多种因素有关，包括 ACS 类型、症状类型和部位、症状发生的地点、患者对症状的解释以及知识水平。
