PMID: 9548063Apr 21, 1998Paper

Symptoms of acute myocardial infarction: expectations of a community sample

Heart & Lung : the Journal of Critical Care
J J Zerwic

Abstract

To identify the lay public's expectations of the symptoms of acute myocardial infarction (AMI). Street-intercept survey method. Four neighborhoods in a large metropolitan area. One hundred ninety-seven women and 217 men. The Representation of Heart Attack Symptoms questionnaire (RHAS), a 48-item instrument that identifies subjects' expectations concerning the associated symptoms of AMI and the location, quality, and intensity of the discomfort of AMI. The symptoms most individuals expected during AMI included: chest pain, irregular heart beats, inability to move, and shortness of breath. The locations selected as most likely included: middle, left, and right side of the chest, upper and lower back. The most common descriptors of the expected discomfort were "tight," "pressure," and "heaviness." More than 88% of subjects expected the intensity of a heart attack to be at least a 9 on a scale of 0 (No discomfort) to 10 (The most discomfort imagined). The lay public have both accurate and inaccurate expectations about the symptoms of AMI.

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