Hospital delay in South Asian patients with acute ST-elevation myocardial infarction in the UK.

Abstract:

BACKGROUND:South Asians presenting with chest pain in the UK experience disproportionately greater delays with respect to diagnosis and treatment for acute myocardial infarction (AMI). The duration of time between symptom onset and hospital intervention is a critical delay for AMI but there are limited data amongst South Asians. The objectives of this study were to investigate ethnic differences in hospital delay and to look at short-term outcomes in South Asian and White patients presenting with AMI. METHODS:Between 2004 and 2009, data were collected from 672 AMI patients with ST elevation who subsequently received percutaneous coronary intervention at Sandwell and West Birmingham Hospitals NHS Trust (UK). The hospital delay between the onset of symptoms and arrival time (pre-hospital), and between arrival time and intervention (post-hospital) was calculated. RESULTS:South Asians were more likely to be in the upper tertile of hospital delay (pre-hospital odds ratio, OR, 1.44, 95% CI 0.93-2.24, p = 0.06; post-hospital OR 1.83, 95% CI 1.05-3.21, p = 0.015), contributing to an overall hospital delay that was longer (median 314, interquartile range, IQR, 195-679 min) than in Whites (median 240, IQR 182-468 min). Women were more likely to be in the upper tertile for pre-hospital delay than men (p = 0.01) and South Asian ethnicity was an independent predictor of post-hospital delay (p = 0.003). CONCLUSIONS:While the reasons for ethnic differences in AMI-related hospital delay are likely to be multifactorial and complex, there is an urgent need to promote change in both the South Asian patient (delays in arrival) and their treatment (delays in intervention).

journal_name

Eur J Prev Cardiol

authors

Kendall H,Marley A,Patel JV,Khan JM,Blann AD,Lip GY,Dwivedi G

doi

10.1177/2047487312447844

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

737-42

issue

5

eissn

2047-4873

issn

2047-4881

pii

2047487312447844

journal_volume

20

pub_type

杂志文章
  • Survey of physicians' practices in the control of cardiovascular risk factors: the EURIKA study.

    abstract:OBJECTIVES:To assess the practices of physicians in 12 European countries in the primary prevention of cardiovascular disease (CVD). METHODS:In 2009, 806 physicians from 12 European countries answered a questionnaire, delivered electronically or by post, regarding their assessment of patients with cardiovascular risk ...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1177/1741826711407705

    authors: Dallongeville J,Banegas JR,Tubach F,Guallar E,Borghi C,De Backer G,Halcox JP,Massó-González EL,Perk J,Sazova O,Steg PG,Artalejo FR,EURIKA Investigators.

    更新日期:2012-06-01 00:00:00

  • Persistent emotional distress after a first-time myocardial infarction and its association to late cardiovascular and non-cardiovascular mortality.

    abstract:BACKGROUND:Patients with symptoms of depression and/or anxiety - emotional distress - after a myocardial infarction (MI) have been shown to have worse prognosis and increased healthcare costs. However, whether specific subgroups of patients with emotional distress are more vulnerable is less well established. The purpo...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章

    doi:10.1177/2047487319841475

    authors: Lissåker CT,Norlund F,Wallert J,Held C,Olsson EM

    更新日期:2019-09-01 00:00:00

  • Extracellular vesicle species differentially affect endothelial cell functions and differentially respond to exercise training in patients with chronic coronary syndromes.

    abstract:BACKGROUND:Extracellular vesicles are released upon cellular activation and mediate inter-cellular communication. Individual species of extracellular vesicles might have divergent roles in vascular homeostasis and may show different responses to therapies such as exercise training. AIMS:We examine endothelial effects ...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章

    doi:10.1177/2047487320919894

    authors: Kränkel N,Strässler E,Uhlemann M,Müller M,Briand-Schumacher S,Klingenberg R,Schulze PC,Adams V,Schuler G,Lüscher TF,Möbius-Winkler S,Landmesser U

    更新日期:2020-05-07 00:00:00

  • Trends in socioeconomic inequalities in mortality from ischaemic heart disease and stroke in Australia, 1979-2006.

    abstract:BACKGROUND:This study investigates secular trends in ischaemic heart disease (IHD) and stroke mortality by socioeconomic status (SES) in Australia to determine if absolute and relative differences between low and high SES areas have changed over time. METHODS:IHD and stroke mortality data for adults aged 35-74 years a...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章

    doi:10.1177/1741826711427505

    authors: Page A,Lane A,Taylor R,Dobson A

    更新日期:2012-12-01 00:00:00

  • Optimising exercise training in prevention and treatment of diastolic heart failure (OptimEx-CLIN): rationale and design of a prospective, randomised, controlled trial.

    abstract:BACKGROUND:Heart failure with preserved left ventricular ejection fraction (HFpEF) currently affects more than seven million Europeans and is the only cardiovascular disease increasing in prevalence and incidence. No pharmacological agent has yet been shown to improve symptoms or prognosis. The most promising way to im...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1177/2047487314552764

    authors: Suchy C,Massen L,Rognmo O,Van Craenenbroeck EM,Beckers P,Kraigher-Krainer E,Linke A,Adams V,Wisløff U,Pieske B,Halle M

    更新日期:2014-11-01 00:00:00

  • Rapid increases in nitrogen oxides are associated with acute myocardial infarction: A case-crossover study.

    abstract::Aims High concentrations of air pollutants are associated with increased risk for myocardial infarction. The European Union has defined statutory limits for air pollutants based on upper absolute concentrations. We evaluated the association between rapid changes in air pollutants and the risk of myocardial infarction ...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章

    doi:10.1177/2047487318755804

    authors: Rasche M,Walther M,Schiffner R,Kroegel N,Rupprecht S,Schlattmann P,Schulze PC,Franzke P,Witte OW,Schwab M,Rakers F

    更新日期:2018-11-01 00:00:00

  • Diabetes: Prevalence, prognosis and management of a potent cardiovascular risk factor.

    abstract::This review highlights the increased risk of cardiovascular disease and the dismal prognosis after acute coronary events when diabetes is present. Although there have been improvements in this area, diabetes still confers an increased risk. In order to achieve successful outcomes in individuals with diabetes, extensiv...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章,评审

    doi:10.1177/2047487317709554

    authors: Norhammar A,Mellbin L,Cosentino F

    更新日期:2017-06-01 00:00:00

  • The benefits of exercise in cancer patients and the criteria for exercise prescription in cardio-oncology.

    abstract::Cancer and cardiovascular diseases are the leading causes of death in high-income countries. Cardiovascular complications can be found in cancer patients, being the result of so-called 'cardio-toxicity'. Therefore, it becomes essential to thoroughly investigate the origin of cardiac damage and the strategy to prevent ...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章

    doi:10.1177/2047487319874900

    authors: D'Ascenzi F,Anselmi F,Fiorentini C,Mannucci R,Bonifazi M,Mondillo S

    更新日期:2019-10-06 00:00:00

  • Control of main risk factors after ischaemic stroke across Europe: data from the stroke-specific module of the EUROASPIRE III survey.

    abstract:BACKGROUND:Previous cross-sectional surveys in different European countries within the EUROASPIRE programme demonstrated a high prevalence of modifiable risk factors, unhealthy lifestyles and inadequate drug treatment in coronary heart disease patients. Comparable data for ischaemic stroke patients is lacking. METHODS...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1177/2047487314546825

    authors: Heuschmann PU,Kircher J,Nowe T,Dittrich R,Reiner Z,Cifkova R,Malojcic B,Mayer O,Bruthans J,Wloch-Kopec D,Prugger C,Heidrich J,Keil U

    更新日期:2015-10-01 00:00:00

  • Importance of characteristics and modalities of physical activity and exercise in the management of cardiovascular health in individuals with cardiovascular disease (Part III).

    abstract::The beneficial effect of exercise training and exercise-based cardiac rehabilitation on symptom-free exercise capacity,cardiovascular and skeletal muscle function, quality of life, general healthy lifestyle, and reduction of depressive symptoms and psychosocial stress is nowadays well recognized. However, it remains l...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章,评审

    doi:10.1177/2047487312437063

    authors: Vanhees L,Rauch B,Piepoli M,van Buuren F,Takken T,Börjesson M,Bjarnason-Wehrens B,Doherty P,Dugmore D,Halle M,Writing Group, EACPR.

    更新日期:2012-12-01 00:00:00

  • Achievement of European guideline-recommended lipid levels post-percutaneous coronary intervention: A population-level observational cohort study.

    abstract:AIMS:European Society of Cardiology/European Atherosclerosis Society 2019 guidelines recommend more aggressive lipid targets in high- and very high-risk patients and the addition of adjuvant treatments to statins in uncontrolled patients. We aimed to assess (a) achievement of prior and new European Society of Cardiolog...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章

    doi:10.1177/2047487320914115

    authors: Harris DE,Lacey A,Akbari A,Torabi F,Smith D,Jenkins G,Obaid D,Chase A,Gravenor M,Halcox J

    更新日期:2020-03-31 00:00:00

  • The association between self-reported lifestyle changes and health-related quality of life in coronary patients: the EUROASPIRE III survey.

    abstract:BACKGROUND:Patients with coronary heart disease often suffer from an impaired health-related quality of life (HRQoL). A healthier lifestyle not only extends individuals' lengths of life but might also improve their HRQoL. The aim of this study was to explore the relation between self-reported lifestyle changes and HRQo...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1177/2047487312473846

    authors: De Smedt D,Clays E,Annemans L,Boudrez H,De Sutter J,Doyle F,Jennings C,Kotseva K,Pająk A,Pardaens S,Prugger C,Wood D,De Bacquer D

    更新日期:2014-07-01 00:00:00

  • Exercise testing in the clinical management of patients affected by pulmonary arterial hypertension.

    abstract::Patients affected by pulmonary arterial hypertension (PAH) show a reduced exercise tolerance with early occurrence of dyspnoea and fatigue. The origin of functional capacity limitation is multifactorial and several mechanisms have been proposed, including right heart failure, which leads to a limited increase in cardi...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章,评审

    doi:10.1177/1741826711426635

    authors: Paolillo S,Farina S,Bussotti M,Iorio A,PerroneFilardi P,Piepolil MF,Agostoni P

    更新日期:2012-10-01 00:00:00

  • Relative peak exercise oxygen pulse is related to sudden cardiac death, cardiovascular and all-cause mortality in middle-aged men.

    abstract::Background Preliminary evidence suggests that peak exercise oxygen pulse - peak oxygen uptake/heart rate-, a variable obtained during maximal cardiopulmonary exercise testing and a surrogate of stroke volume, is a predictor of mortality. We aimed to assess the associations of peak exercise oxygen pulse with sudden car...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章

    doi:10.1177/2047487318761679

    authors: Laukkanen JA,Araújo CGS,Kurl S,Khan H,Jae SY,Guazzi M,Kunutsor SK

    更新日期:2018-05-01 00:00:00

  • Cardiovascular events in acute coronary syndrome patients with peripheral arterial disease treated with ticagrelor compared with clopidogrel: Data from the PLATO Trial.

    abstract:AIMS:To determine the effect of ticagrelor compared to clopidogrel in patients with peripheral artery disease (PAD) and acute coronary syndromes (ACS). METHODS AND RESULTS:PLATO (n = 18,624) was a multicentre, double-blind, randomized trial in ACS, that showed a 16% reduction in cardiovascular death (CV-death), myocar...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1177/2047487314533215

    authors: Patel MR,Becker RC,Wojdyla DM,Emanuelsson H,Hiatt WR,Horrow J,Husted S,Mahaffey KW,Steg PG,Storey RF,Wallentin L,James SK

    更新日期:2015-06-01 00:00:00

  • Abdominal obesity and the risk of recurrent atherosclerotic cardiovascular disease after myocardial infarction.

    abstract:BACKGROUND:The association between abdominal obesity and recurrent atherosclerotic cardiovascular disease after myocardial infarction remains unknown. OBJECTIVE:The purpose of this study was to investigate the prevalence of abdominal obesity and its association with recurrent atherosclerotic cardiovascular disease in ...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章

    doi:10.1177/2047487319898019

    authors: Mohammadi H,Ohm J,Discacciati A,Sundstrom J,Hambraeus K,Jernberg T,Svensson P

    更新日期:2020-12-01 00:00:00

  • Telemonitoring and self-management in the control of hypertension (TASMINH2): a cost-effectiveness analysis.

    abstract:AIMS:Self-monitoring and self-titration of antihypertensives (self-management) is a novel intervention which improves blood pressure control. However, little evidence exists regarding the cost-effectiveness of self-monitoring of blood pressure in general and self-management in particular. This study aimed to evaluate w...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1177/2047487313501886

    authors: Kaambwa B,Bryan S,Jowett S,Mant J,Bray EP,Hobbs FD,Holder R,Jones MI,Little P,Williams B,McManus RJ

    更新日期:2014-12-01 00:00:00

  • A comparison of the prevalence and clustering of major cardiovascular risk factors in the Netherlands and China.

    abstract:BACKGROUND:Cardiovascular risk factors tend to be clustered. Variations in clusters across populations have not been widely investigated. This study aims to compare the prevalence and clustering of major cardiovascular risk factors between adults in the Netherlands and China. METHODS:A total of 6542 Dutch adults was r...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1177/2047487316648474

    authors: Wang X,Bots ML,Yang F,Sun J,He S,Hoes AW,Niu J,Vaartjes I

    更新日期:2016-11-01 00:00:00

  • Systematic Coronary Risk Evaluation estimated risk and prevalent subclinical atherosclerosis in coronary and carotid arteries: A population-based cohort analysis from the Swedish Cardiopulmonary Bioimage Study.

    abstract:BACKGROUND:It is not clear if the European Systematic Coronary Risk Evaluation algorithm is useful for identifying prevalent subclinical atherosclerosis in a population of apparently healthy individuals. Our aim was to explore the association between the risk estimates from Systematic Coronary Risk Evaluation and preva...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章

    doi:10.1177/2047487320909300

    authors: Östgren CJ,Söderberg S,Festin K,Angerås O,Bergström G,Blomberg A,Brandberg J,Cederlund K,Eliasson M,Engström G,Erlinge D,Fagman E,Hagström E,Lind L,Mannila M,Nilsson U,Oldgren J,Ostenfeld E,Persson A,Persson J,Per

    更新日期:2020-03-03 00:00:00

  • Reliability, agreement, and responsiveness of a 6-minute walk/run test in patients with heart disease.

    abstract:BACKGROUND:The 6-minute walk test (6 MWT) is widely used to assess exercise tolerance in cardiac rehabilitation (CR). However, previous research shows it to be insufficiently responsive, especially for patients with a relatively high maximal exercise tolerance at baseline. We therefore designed a 6-minute walk/run test...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章

    doi:10.1177/2047487312437038

    authors: Berghmans DD,Lenssen AF,Bastiaenen CH,Ilhan M,Lencer NH,Roox GM

    更新日期:2013-02-01 00:00:00

  • High ratios of kidney function to kidney size are related to mortality and kidney function decline in high-risk patients.

    abstract::Background The ratio of estimated glomerular filtration rate (eGFR) to kidney size reflects the kidney's capacity for filtration per kidney volume or kidney length. High ratios of eGFR to kidney size, which might indicate glomerular hyperfiltration, could be related to kidney function decline, cardiovascular disease a...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章

    doi:10.1177/2047487317690950

    authors: van der Sande NG,Blankestijn PJ,Leiner T,van der Graaf Y,de Borst GJ,Cramer MJ,Visseren FL,SMART study group.

    更新日期:2017-06-01 00:00:00

  • eHealth in cardiovascular medicine: A clinical update.

    abstract::Demographic changes, progress in medicine technology and regional problems in providing healthcare to low density populations are posing great challenges to our healthcare systems. Rapid progress in computer sciences and information technologies have a great impact on the way healthcare will be delivered in the near f...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章,评审

    doi:10.1177/2047487316670256

    authors: Saner H,van der Velde E

    更新日期:2016-10-01 00:00:00

  • Tobacco smoking and the risk of atrial fibrillation: A systematic review and meta-analysis of prospective studies.

    abstract::Background Epidemiological studies on smoking and atrial fibrillation have been inconsistent, with some studies showing a positive association while others have found no association. It is also unclear whether there is a dose-response relationship between the number of cigarettes smoked or pack-years and the risk of a...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章,meta分析

    doi:10.1177/2047487318780435

    authors: Aune D,Schlesinger S,Norat T,Riboli E

    更新日期:2018-09-01 00:00:00

  • Burden of premature atrial beats in middle-aged endurance athletes with and without lone atrial fibrillation versus sedentary controls.

    abstract:BACKGROUND:The burden of premature atrial beats (PABs) at 24-h electrocardiographic (ECG) monitoring correlates with the risk of atrial fibrillation. It is unknown whether prolonged and intense exercise increases the burden of PABs, thus contributing to the higher prevalence of atrial fibrillation observed in middle-ag...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章

    doi:10.1177/2047487319880042

    authors: Cipriani A,Vio R,Mastella G,Ciarmatori N,Del Monte A,Trovato D,Iliceto S,Schiavon M,Bertaglia E,Corrado D,Zorzi A

    更新日期:2020-09-01 00:00:00

  • Alcohol consumption and risk of atrial fibrillation: Observational and genetic estimates of association.

    abstract:BACKGROUND:The aim of this study was to test the hypothesis that alcohol consumption, both observational (self-reported) and estimated by genetic instruments, is associated with a risk of atrial fibrillation and to determine whether people with high cardiovascular risk are more sensitive towards alcohol than people wit...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1177/2047487316641804

    authors: Tolstrup JS,Wium-Andersen MK,Ørsted DD,Nordestgaard BG

    更新日期:2016-09-01 00:00:00

  • A systematic breakdown of the levels of evidence supporting the European Society of Cardiology guidelines.

    abstract:AIMS:Reviews of clinical practice guidelines have repeatedly concluded that only a minority of guideline recommendations are supported by high-quality evidence from randomised controlled trials. The aim of this study is to evaluate whether these findings apply to the whole cardiovascular evidence base or specific recom...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章

    doi:10.1177/2047487319868540

    authors: van Dijk WB,Grobbee DE,de Vries MC,Groenwold RHH,van der Graaf R,Schuit E

    更新日期:2019-12-01 00:00:00

  • Exercise training improves neurovascular control and functional capacity in heart failure patients regardless of age.

    abstract:BACKGROUND:Exercise training is a non-pharmacological strategy for treatment of heart failure. Exercise training improves functional capacity and quality of life in patients. Moreover, exercise training reduces muscle sympathetic nerve activity (MSNA) and peripheral vasoconstriction. However, most of these studies have...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章

    doi:10.1177/1741826711414626

    authors: Antunes-Correa LM,Kanamura BY,Melo RC,Nobre TS,Ueno LM,Franco FG,Roveda F,Braga AM,Rondon MU,Brum PC,Barretto AC,Middlekauff HR,Negrao CE

    更新日期:2012-08-01 00:00:00

  • Energy-adjusted Dietary Inflammatory Index scores predict long-term cardiovascular disease mortality and other causes of death in an ecological analysis of the Seven Countries Study.

    abstract::Using data from the Seven Countries Study of Cardiovascular Diseases, the first study to conduct international comparisons of men in different European, USA, and Japanese cohorts, we examined the effect of diet-associated inflammation on prediction of coronary heart disease-, other major cardiovascular disease- and al...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章

    doi:10.1177/2047487320903866

    authors: Puddu PE,Shivappa N,Menotti A,Hébert JR,Tolonen H,Kafatos A,Adachi H

    更新日期:2020-02-04 00:00:00

  • Gender differences in physical activity following acute myocardial infarction in adults: A prospective, observational study.

    abstract::Aims Despite the benefits of regular physical activity participation following acute myocardial infarction, little is known about gender differences in physical activity among patients after acute myocardial infarction. We described, by gender, physical activity trajectories pre- and post-acute myocardial infarction, ...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1177/2047487316679905

    authors: Minges KE,Strait KM,Owen N,Dunstan DW,Camhi SM,Lichtman J,Geda M,Dreyer RP,Bueno H,Beltrame JF,Curtis JP,Krumholz HM

    更新日期:2017-01-01 00:00:00

  • High prevalence of congenital heart disease at high altitudes in Tibet.

    abstract:BACKGROUND:Previous small sample studies suggested that elevated altitudes might be associated with the incidence of cardiovascular diseases. However, it remains uncertain whether high altitudes (over 3000 m above sea level) are related to congenital heart disease. We therefore explored the prevalence of congenital hea...

    journal_title:European journal of preventive cardiology

    pub_type: 杂志文章

    doi:10.1177/2047487318812502

    authors: Chun H,Yue Y,Wang Y,Dawa Z,Zhen P,La Q,Zong Y,Qu Y,Mu D

    更新日期:2019-05-01 00:00:00