Fatigue, dyspnea, and intermittent symptoms are associated with treatment-seeking delay for symptoms of atrial fibrillation before diagnosis

European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
Pamela J McCabeHolli A DeVon

Abstract

Delay in seeking treatment for symptoms of atrial fibrillation (AF) at onset results in a missed opportunity for vital early treatment of AF which is important for reducing stroke, tachycardia induced heart failure, and treatment-resistant AF. Little is known about factors that contribute to treatment-seeking delay for symptoms of AF. The purpose of this study was to identify factors associated with treatment-seeking delay for symptoms of AF before diagnosis. For this descriptive study, 150 participants with recently detected AF completed structured interviews to collect data about symptoms, symptom characteristics, symptom representation regarding cause, seriousness, controllability of symptoms, responses to symptoms before diagnosis, and time from symptom onset to treatment-seeking. Chi-square analysis was used to identify factors associated with delay (>1 week) versus no delay (⩽1 week) in treatment-seeking after symptom onset. Participants were 51% female (n=76) with a mean age of 66.5 (standard deviation (SD)±11.1) years. A majority (70%, n=105) delayed treatment-seeking. Factors associated with delay included experiencing fatigue, dyspnea, intermittent symptoms, attributing symptoms to deconditioning, overwork, inadequate...Continue Reading

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Citations

Aug 23, 2019·Journal of Gerontological Nursing·Pamela J McCabeHon-Chi Lee
May 21, 2016·The Journal of Cardiovascular Nursing·Megan StreurBarbara Riegel
Feb 6, 2020·The Journal of Cardiovascular Nursing·Ryan E WilsonCarol G Laberge
Sep 10, 2020·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Ryan E WilsonCarol G Laberge
Jul 9, 2016·Western Journal of Nursing Research·Pamela J McCabeHolli A DeVon
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May 23, 2018·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Megan StreurBarbara Riegel
Apr 18, 2018·Pacing and Clinical Electrophysiology : PACE·Megan M StreurBarbara J Riegel
Oct 31, 2020·Journal of Cardiovascular Electrophysiology·Brian ZengerBenjamin A Steinberg
Apr 29, 2021·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Ryan E WilsonCarol G Laberge
Sep 20, 2017·Heart & Lung : the Journal of Critical Care·Kathryn A WoodKevin P Jackson
Jul 30, 2019·The Journal for Nurse Practitioners : JNP·Megan Streur

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