Brief report
Effect of a two-year public education campaign on reducing response time of patients with symptoms of acute myocardial infarction

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Abstract

Earlier application of thrombolytic therapy for acute myocardial infarction (AMI) improves efficacy.1–5 For maximal benefit, patients must recognize cardiac symptoms and seek care promptly. To determine whether a public education program would improve the public's ability to recognize symptoms of AMI and seek prompt medical attention, thereby reducing delay between onset of symptoms and hospital presentation, we evaluated emergency department records before and after a public education campaign.

References (8)

  • J Herlitz et al.

    Effect of a media campaign on delay times and ambulance use in suspected acute myocardial infarction

    Am J Cardiol

    (1989)
  • Effectiveness of intravenous thrombolytic treatment in acute myocardial infarction

    Lancet

    (1986)
  • Randomized trial of intravenous streptokinase, oral aspirin, both, or neither among 17,187 cases of suspected acute myocardial infarction: ISIS-2

    Lancet

    (1988)
  • HD White et al.

    Effect of intravenous streptokinase on left ventricular function and early survival after acute myocardial infarction

    N Engl J Med

    (1987)
There are more references available in the full text version of this article.

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This study was supported by St. John's Hospital.

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