SynthesisBMC cardiovascular disorders2020
Cardiac symptom attribution and knowledge of the symptoms of acute myocardial infarction: a systematic review.
Synthesis in BMC cardiovascular disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.
- Prodromal Symptoms of Acute Myocardial Infarction in Women: A Systematic Review of Current Evidence.Nursing open · 2025Pooled it
- Pre-Hospital Delay in STEMI: A Narrative Review of Symptom Onset-to-First Medical Contact Across High-Income and Low- and Middle-Income Countries.Clinical cardiology · 2026Review
- Factors Associated With Delayed Presentation for Myocardial Infarction Among Patients in Iraq.Cureus · 2026Article
- Assessment of content quality and reliability of short videos regarding myocardial infarction on TikTok and BiliBili: a cross-sectional study.Scientific reports · 2026Article
- Public awareness of early symptoms of acute coronary syndrome and its association with anticipated prehospital delay: a cross-sectional study in Palestine.Frontiers in public health · 2026Article
- Study on the effect and mechanism of gold nanocoated magnesium bone scaffolds for bone repair.BMC musculoskeletal disorders · 2025Article
- Frequencies and Trends of Myocardial Infarction Symptoms From the Years 1985-2019: A Register-based, Real-world Analysis.CJC open · 2025Article
- Interpretable Prediction of Myocardial Infarction Using Explainable Boosting Machines: A Biomarker-Based Machine Learning Approach.Diagnostics (Basel, Switzerland) · 2025Article
- The Process of Inefficient Self-Management in Patients With Myocardial Infarction in Prehospital: A Grounded Theory.Health science reports · 2025Article
- Self-administration of aspirin for acute chest pain-Does it prevent premature cardiovascular mortality?Wiener klinische Wochenschrift · 2025Article
- Impact of health awareness on myocardial infarction.The Journal of the Egyptian Public Health Association · 2025Article
- A ultra-stable point of care nanozyme-based kit for cTnI detection in human serum.Frontiers in bioengineering and biotechnology · 2025Article
- Clinical Impact of Self-Recognition of Recurrent Acute Myocardial Infarction: From KRMI-RCC.Journal of clinical medicine · 2024Article
- Symptom Presentation of Patients with Coronary Artery Disease.Journal of pharmacy & bioallied sciences · 2024Article
- Article
- Age and healthy lifestyle behavior's disparities and similarities on knowledge of myocardial infarction symptoms and risk factors among public and outpatients in a resource-limited setting, cross-sectional study in greater Gaborone, Botswana.BMC cardiovascular disorders · 2024Article
- Symptom clusters and unplanned hospital readmission in Chinese patients with acute myocardial infarction on admission.Frontiers in cardiovascular medicine · 2024Article
- French lay Persons' judgments of the possibility of a heart attack when experiencing various physical manifestations.Preventive medicine reports · 2023Article
- "Recognition of heart attack symptoms and treatment-seeking behaviors: a multi-center survey in Tehran, Iran".BMC public health · 2023Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSince the knowledge of the symptoms of acute myocardial infarction (AMI) may reduce the decision time for patients to seek help in case of an AMI, we aimed to summarize evidence on the knowledge of the AMI symptoms and the symptom attribution in case of an acute coronary syndrome (ACS).
methodsTherefore, we systematically searched the databases PubMed, CINAHL, Embase, and Cochrane Library for relevant studies published between January 1, 2008 and 2019 (last search August 1, 2019).
resultsA total of 86 studies were included, with a composite sample size of 354,497 participants. The weighted mean of the knowledge scores for the symptoms of AMI of 14,420 participants from the general population, was 42.1% (when maximum score was considered 100%) and 69.5% for 7642 cardiac patients. There was a substantially better level of knowledge for six symptoms ('chest pain or discomfort', 'shortness of breath', 'pain or discomfort in arms or shoulders', 'feeling weak, lightheaded, or faint', 'pain or discomfort in the jaw, neck, or back', and 'sweating') (49.8-88.5%) compared to the four less obvious/atypical symptoms 'stomach or abdominal discomfort', 'nausea or vomiting', 'headache', and 'feeling of anxiety' (8.7-36.7%). Only 45.1% of 14,843 patients, who experienced ACS, have correctly attributed their symptoms to a cardiac cause.
conclusionIn conclusion, we found a moderate to good knowledge of "classic" and insufficient knowledge of less obvious symptoms of AMI. This might suggest that increasing knowledge about less obvious symptoms of AMI could be beneficial. It appears also important to address cardiac attribution of symptoms.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.