Acute myocardial infarction patients treated by primary angioplasty lack personal control over their illness and display less risk factor modification compared to other treatment modalities

  • Al-Smadi A
  • Fitzsimmons D
  • Slater P
 et al. 
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Abstract

Purpose: Treatment for acute myocardial infarction (AMI) differs according to presentation, and there are claims in the literature that this may impact on patients' understanding of the diagnosis and subsequent behavioural changes. This study is designed to compare three groups of AMI patients receiving different treatment modalities; ST-Elevation Myocardial Infarction (STEMI) treated by Primary angioplasty (PPCI), STEMI treated by thrombolytic therapy (THROMB), and Non ST-Elevation Myocardial Infarction (NSTEMI) treated by medication and/or PCI as appropriate. We aim to determine if treatment modality impacts on illness perception, coping, anxiety, depression, and secondary prevention outcomes. Method: A quantitative repetitive measures research design was used to survey a consecutive AMI sample patients admitted to Queen Alia Heart Institute in Jordan. Data were collected during hospitalisation and six months later using the Revised Illness Perception Questionnaire, Coping Response Inventory, SF-36 quality of life, Hospital Anxiety and Depression Scale, International Physical Activity Questionnaire, and medical record review. Results: The total sample comprised 186 patients (65 treated by PPCI, 62 treated by THROMB and 59 with NSTEMI). Analysis of variance demonstrated no significant differences between groups at baseline except few significant differences in coping and general health factors. However, examining the changes six months after hospitalization using the repeated analysis of variance; PPCI patients had significantly (P

Author-supplied keywords

  • Hospital Anxiety and Depression Scale
  • Jordan
  • ST segment elevation myocardial infarction
  • acute heart infarction
  • analysis of variance
  • angioplasty
  • anxiety
  • behavior change
  • blood pressure
  • cardiology
  • chi square test
  • cholesterol
  • coping behavior
  • diagnosis
  • diseases
  • drug therapy
  • fibrinolytic therapy
  • health
  • heart
  • hospitalization
  • human
  • medical record review
  • methodology
  • non ST segment elevation myocardial infarction
  • patient
  • physical activity
  • quality of life
  • questionnaire
  • risk factor
  • secondary prevention
  • society

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Authors

  • A Al-Smadi

  • D Fitzsimmons

  • P Slater

  • M Alnimri

  • P Donnelly

  • H Niall

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