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Showing 7 results for Acute Myocardial Infarction
Naser Abbasi, Mohammad Taghi Moghaddamnia, Atefeh Ghanbari Khaneghah, Rahim Alizadeh, Ehsan Kazemnezhad Leili,
Volume 4, Issue 4 (3-2016)
Abstract
Abstract Aim. The purpose of this study was to determine factors influencing the time interval from the onset of clinical symptoms to thrombolytic infusion in patients with acute myocardial infarction Background.Acute myocardial infarction is one of the most common causes of death and disability all over the world including Iran. The major cause of myocardial infarction, is the clot of blood in the coronary atherosclerotic plaques. Immediate administration of thrombolytic therapy in these patients can be life-saving. Method. This study was a cross-sectional descriptive-analytical study in which 98 patients with acute myocardial infarction hospitalized in selected Rasht therapeutic centers were recruited by convenience sampling in 2014.Data collection instrument included demographic information form and researcher-made questionnaire to obtain patients' clinical, situational and cognitive factors. Data were collected through patients medical records and interview. Data were analyzed in SPSS version 21 using non-parametric Mann-Whitney and Kruskal Wallis tests and P<0.05 was considered as significant. Findings. The mean time interval from the onset of symptoms to the beginning of thrombolytic infusion was 247.2±182.4 minutes.In this study, the most pre-hospital delay was related to making decision for care seeking and in-hospital delay time was the least one. The patients had delay in referring to the hospital mainly due to the following: negative history of previous heart disease) p=0.001), lack of awareness about the signs and symptoms of the disease )p<0.0001), female gender) p=0.026 ,(an underlying diabetes )p= 0.001),low levels of education (p=0.003), low income )p=0.044),mild pain )p=0.001), and self-medication )p=0.003).The main cause for delay was related to the lack of awareness of the symptoms and ignorance of their importance. Conclusion. The time interval from the onset of symptoms to thrombolytic infusion in patients with acute myocardial infarction was not satisfactory. It is necessary to provide required training programs for increasing the individuals’ awareness about the symptoms of the disease and the importance of treatment with thrombolytic drugs, as soon as possible, in order to minimize the time delay, thereby, increasing the efficiency of treatment, and ultimately reducing the mortality and disability of patients.
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Volume 7, Issue 4 (3-2019)
Abstract
Abstract
Aim. This review study was conducted to explain the causes of prehospital delay in Iranian people experiencing myocardial infarction.
Background. While rapid diagnosis and treatment of myocardial infarction reduces mortality, improves heart function and most importantly, improves the patient's prognosis, studies show that some people experiencing the symptoms of myocardial infarction return to medical centers with delay.
Method. In this review study, SID database was used to search out articles published from 2001 to 2019. The keywords “acute myocardial infarction” and prehospital delay” was uysed to searching out the articles. Articles with accessible full text were reviewed in this study.
Findings. The review of articles related to the factors of prehospital delay in Iranian people experiencing acute myocardial infarction included expecting spontaneous recovery, attributing the disease to non-cardiovascular causes, unawareness of the symptoms of cardiovascular disease, not paying attention to the symptoms of the disease and taking medication arbitrarily, having an underlying disease such as diabetes, low level of pain in the onset, sex, old age, low education, low income, place of residence, insignificance of pain, being alone at the time of acute myocardial infarction, onset of symptoms from midnight to early morning, negative history of heart disease, and the gradual onset of symptoms.
Conclusion. The results of this review showed that the most important factors in prehospital delay of Iranian people experiencing myocardial infarction individual factors and misunderstanding of the disease. Health care team should work to improve public awareness of the signs and symptoms of cardiovascular disease.
Hamid Sharif Nia, Abbas Balouchi, Azar Jafari, Ameneh Yaghoobzadeh, Maryam Ziyari, Fereshteh Eidy, Amir Hossein Goudarzian, Mozhdeh Sarmadikia, Mahbubeh Janbaz, Mr Farhad Arefinia,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The present study was conducted to determine the relationship between seasonal changes and incidence of AMI in Sistan and Baluchestan province, Iran.
Background. Although various studies have been carried out to examine the relationship between seasonal changes and incidence of Acute Myocardial Infarction (AMI) in different parts of the world, many of them have limitations and there are many contradictions between their findings. Despite considerable prevalence of AMI in Sistan and Baluchestan Province, similar studies have not been conducted in this area.
Method. This cross-sectional study was done based on medical data of heart center of Sistan and Baluchestan Province from March 2015 to April 2016. In this study, census sampling was achieved of all the patients with AMI symptoms. Variables such as age, sex, marital status, birth date, physical symptoms, and past medical history; and also meteorological parameters such as minimum, maximum and average of temperature (Celsius), and wind direction were collected.
Findings. Except of mean rainfall, mean rate of other parameters had statistically significant differences during 12-month period of the study. Spearman correlation test showed a positive statistically significant correlation of incidence of AMI during one year with sunshine hours (r=0.685, p=0.014), and maximum daily temperature (r=0.626, p=0.030).
Conclusion. Finding revealed that raising temperature had direct relationship with incidence of AMI. The findings could be a foundation for governmental important health plans to control the incidence of AMI.
Nasibeh Janatifard, Fatemeh Salmani,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The purpose of this study was to determine the effect of early mobilization program on incidence of arrhythmias in patients after acute myocardial infarction in Imam Khomeini Hospital in Dehdasht, Iran.
Background. Acute myocardial infarction is one of the most common causes of disability and mortality in most countries. Rehabilitation and mobility management of these patients, immediately after admission to the cardiac care unit, can reduces complications and decreases their physical and cognitive function impairment.
Method. This was a clinical trial study, in which 60 patients with acute myocardial infarction, referred to Imam Khomeini Hospital in Dehdasht, Iran were selected by convenience sampling during the year 2019 and randomly assigned to experimental (n=30) and control (n=30) groups. In the experimental group, patients received an organized program in 8 stages, 18 hours after admission to the cardiac care unit, and in control group, the patients got out of bed 48 hours after admission based on the usual protocol. Patients were monitored before, during, and after getting out of bed for the number and type of arrhythmias. Data were analyzed by descriptive and inferential statistics in SPSS version 22.
Findings. There was a statistically significant difference between the experimental and control group in the number and type of arrhythmias, 48 hours and 51 hours after admission in the cardiac care unit. However, this difference was not statistically significant at 54 hours after admission to the cardiac care unit.
Conclusion. Early mobilization can reduce the number of arrhythmias in patients after myocardial infarction. Early mobilization can be included in the cardiac care unit rehabilitation program as a safe mathod. Therefore, it is recommended to use early mobilization program for patients with acute myocardial infarction in cardiac care unit on the first day of hospitalization.
Mohammad Abbasi, Seyed Ali Tabaei,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. This review study was conducted to explain the causes of prehospital delay in Iranian people experiencing myocardial infarction.
Background. While rapid diagnosis and treatment of myocardial infarction reduces mortality, improves heart function and most importantly, improves the patient's prognosis, studies show that some people experiencing the symptoms of myocardial infarction return to medical centers with delay.
Method. In this review study, SID database was used to search out articles published from 2001 to 2019. The keywords “acute myocardial infarction” and prehospital delay” was uysed to searching out the articles. Articles with accessible full text were reviewed in this study.
Findings. The review of articles related to the factors of prehospital delay in Iranian people experiencing acute myocardial infarction included expecting spontaneous recovery, attributing the disease to non-cardiovascular causes, unawareness of the symptoms of cardiovascular disease, not paying attention to the symptoms of the disease and taking medication arbitrarily, having an underlying disease such as diabetes, low level of pain in the onset, sex, old age, low education, low income, place of residence, insignificance of pain, being alone at the time of acute myocardial infarction, onset of symptoms from midnight to early morning, negative history of heart disease, and the gradual onset of symptoms.
Conclusion. The results of this review showed that the most important factors in prehospital delay of Iranian people experiencing myocardial infarction individual factors and misunderstanding of the disease. Health care team should work to improve public awareness of the signs and symptoms of cardiovascular disease.
Tahereh Alsadat Khoubbin Khoshnazar, Mohammad Abbasi,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The aim of this review study was to explain the consequences of pre-hospital delay in patients with acute myocardial infarction.
Background. Studies have shown that patients with acute myocardial infarction who refer to medical centers late, experience adverse mechanical and electrical consequences of acute myocardial infarction.
Method. In this review study, the keywords Outcome, Myocardial infarction, Delay, and Survival were used to search out the relevant papers published between 2000 and 2020, in databases, Up-to-date, Scopus, PubMed, Science Direct, Web of Science, SID, and Magiran. A total of 14 articles were reviewed.
Findings. The review of the articles showed the consequences of pre-hospital delay in patients with acute myocardial infarction as the following: acute heart failure, cardiac arrest, stroke, mortality, decreased cardiac ejection fraction, long-term hospitalization, decreased long-term survival, increased in-hospital mortality, and increased treatment costs.
Conclusion. Pre-hospital delay in patients with acute myocardial infarction is associated with complications and adverse consequences for patients. Health care team should educate patients and their families about the signs and symptoms of cardiovascular disease and the importance of timely treatment.
Nahid Ramak, Kiana Ghasemnezhad, Elahe Ghasempour, Zeinab Sadeghkhani, Eshaqh Sam Khanian, Farshid Bibak, Alireza Sangani,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of functional analytical psychotherapy on treatment adherence and self-care behaviors in female patients with acute myocardial infarction.
Background. The severity of cardiovascular disease is affected by cognitive and behavioral function in people experiencing acute myocardial infarction. Therefore, with effective and modern treatments for this problem, effective results could be expected.
Method. The research method was quasi-experimental pre-test post-test and follow-up design with control group. A sample of 30 women with a history of acute myocardial infarction who had been admitted to Seyed Al-Shohada Heart Hospital in Urmia, Iran, in 2021, were selected based on inclusion and exclusion criteria and randomly assigned to experimental (N=15) and control (N=15) group. Tsai et al. (2010) Functional Analytical Psychotherapy Package was implemented for experimental group in 10 sessions of 45 minutes duration. Before and after the sessions, and also, 3 months after intervention, both members of experimental and control groups completed Treatment Adherence Questionnaire and Self-Care Behavior Questionnaire as pre-test, post-test and follow-up measurements. Data were analyzed using mixed model analysis of covariance in SPSS Version 18.
Findings. The results showed that there was a statistically significant difference between experimental and control groups in term of the means of treatment adherence and self-care behaviors in pre-test, post-test and follow-up. Functional analytical psychotherapy had a greater effect on improving self-care behaviors (0.912) than treatment adherence (0.897) in female patients with acute myocardial infarction (P≥0.0001).
Conclusion. These results emphasize the effect of functional analytical psychotherapy in cognitive and behavioral domains in the treatment of female patients with acute myocardial infarction.
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