Ayuna Ahmed, Sultan Ayyaz
Salford Royal NHS Foundation Trust, Salford, UK.
Royal Albert Edward Infirmary, WWL NHS Trust, Wigan, UK.
Egypt Heart J. 2021 Jan 4;73(1):1. doi: 10.1186/s43044-020-00124-7.
Early diagnosis and treatment of ACS can reduce the risk of complications and death. Delay calling for help can increase morbidity and mortality. It is unclear which age group among patients with acute coronary syndrome tend to delay their call for help.
Our observational retrospective study showed that men and women in their 50s and 40s respectively tend to delay their call for help from symptoms onset. For the former, the mean time delays (590 ± 71.1 min), whereas for the latter it was (1084 ± 120.1 min). Moreover, these groups tend to have a longer time delay between symptoms onset and arrival at the hospital. Among deaths, we observed that the death rate was proportional to the time delay, which is not unexpected. Next step, we plan to perform a qualitative study in the form of questionnaires to target the individuals with a high risk of CVD within these age groups.
Middle age group of both genders tend to delay their call for help when they experience symptoms of ACS; moreover, regardless of the age, the longer the delay, the higher the mortality rate. The results of this study gave us a better understanding of our local population and will pave the road for a well-structured teaching programme for them to minimise the time delay for calling for help.
急性冠状动脉综合征(ACS)的早期诊断和治疗可降低并发症和死亡风险。延迟呼救会增加发病率和死亡率。目前尚不清楚急性冠状动脉综合征患者中哪个年龄组更容易延迟呼救。
我们的观察性回顾性研究表明,50多岁的男性和40多岁的女性分别倾向于在症状出现后延迟呼救。对于前者,平均延迟时间为(590±71.1分钟),而后者为(1084±120.1分钟)。此外,这些人群在症状出现到入院之间的延迟时间往往更长。在死亡病例中,我们观察到死亡率与延迟时间成正比,这并不意外。下一步,我们计划以问卷调查的形式对这些年龄组中具有心血管疾病高风险的个体进行定性研究。
中年男女在出现ACS症状时往往会延迟呼救;此外,无论年龄大小,延迟时间越长,死亡率越高。本研究结果让我们对当地人群有了更好的了解,并将为制定一个结构良好的教学计划铺平道路,以尽量减少呼救的时间延迟。