Evidence map›Paper›PMID 42564217›Full record

ArticleFrontiers in public health2026

Public awareness of early symptoms of acute coronary syndrome and its association with anticipated prehospital delay: a cross-sectional study in Palestine.

Musab Basem Dwaik, Khaled Alhashlamon, Haya Mustafa, Mahmoud Al-Swaiti, Ahmad Abu Kbash, Lana R Qasem, Dalal Albada, Amira Saqer, Lena M S Abulkhair, Salahaldeen Deeb

Abstract read
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Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from 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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Musab Basem Dwaik *Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Khaled Alhashlamon *Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Haya Mustafa *Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Mahmoud Al-SwaitiFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Ahmad Abu KbashFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Lana R QasemFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Dalal AlbadaFaculty of Medicine, Al-Najah University, Nablus, Palestine.
Amira SaqerFaculty of Medicine, Hebron University, Hebron, Palestine.
Lena M S AbulkhairFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Salahaldeen DeebFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Timely recognition of acute coronary syndrome (ACS) symptoms is critical for early intervention and improved outcomes. This study assessed public awareness of ACS symptoms and its association with anticipated prehospital delay in Palestine. Methods: A cross-sectional online survey was conducted between February and March 2026 among 1,293 Palestinian adults recruited through convenience sampling on social media platforms. A structured questionnaire assessed ACS symptom and risk-factor knowledge, anticipated help-seeking response to suspected ACS symptoms, and self-reported cardiovascular risk burden. Composite scores were pre-specified, and multivariable regression models were used to examine factors associated with knowledge and anticipated delay risk. Results: The mean knowledge score was 7.91 ± 2.96, with 33.1% demonstrating high knowledge. A marked knowledge-action gap was observed: although 90.1% identified ambulance activation as the correct action, only 56.2% reported that they would call an ambulance for chest pain lasting more than 5 min. Higher knowledge was weakly associated with a more appropriate anticipated response ( Conclusion: This study identified suboptimal ACS knowledge and a gap between awareness and intended emergency response in an online convenience sample of Palestinian adults. Because the behavioral outcome was hypothetical, findings should be interpreted as anticipated response rather than actual prehospital delay. Interventions should combine symptom-awareness education with behavior-change strategies that promote immediate emergency medical service activation.

Indexed as

Acute Coronary SyndromeArabsEmergency Medical ServicesHealth Knowledge, Attitudes, PracticeMiddle Eastern PeopleAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedMiddle EastRisk FactorsSurveys and QuestionnairesTreatment Delayacute coronary syndromecardiovascular riskemergency responsehealth behaviorPalestineprehospital delaysymptom awareness

Identifiers

PMID42564217
PMCPMC13442815

What Socratic holds

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LicenceCC BY
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Registered trials

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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.