title: Reducing delay in seeking treatment by patients with acute coronary syndrome and stroke: a scientific statement from the American Heart Association Council on cardiovascular nursing and stroke council.
abstract: Patient delay in seeking treatment for acute coronary syndrome and stroke symptoms is the major factor limiting delivery of definitive treatment in these conditions. Despite decades of research and public education campaigns aimed at decreasing patient delay times, most patients still do not seek treatment in a timely manner. In this scientific statement, we summarize the evidence that (1) demonstrates the benefits of early treatment, (2) describes the extent of the problem of patient delay, (3) identifies the factors related to patient delay in seeking timely treatment, and (4) reveals the inadequacies of our current approaches to decreasing patient delay. Finally, we offer suggestions for clinical practice and future research.
authors.forename: Debra K
authors.initials: DK
authors.lastname: Moser
authors.forename: Laura P
authors.initials: LP
authors.lastname: Kimble
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Alberts
authors.forename: Angelo
authors.initials: A
authors.lastname: Alonzo
authors.forename: Janet B
authors.initials: JB
authors.lastname: Croft
authors.forename: Kathleen
authors.initials: K
authors.lastname: Dracup
authors.forename: Kelly R
authors.initials: KR
authors.lastname: Evenson
authors.forename: Alan S
authors.initials: AS
authors.lastname: Go
authors.forename: Mary M
authors.initials: MM
authors.lastname: Hand
authors.forename: Rashmi U
authors.initials: RU
authors.lastname: Kothari
authors.forename: George A
authors.initials: GA
authors.lastname: Mensah
authors.forename: Dexter L
authors.initials: DL
authors.lastname: Morris
authors.forename: Arthur M
authors.initials: AM
authors.lastname: Pancioli
authors.forename: Barbara
authors.initials: B
authors.lastname: Riegel
authors.forename: Julie Johnson
authors.initials: JJ
authors.lastname: Zerwic
mesh_terms: D000208:Acute Disease; D000572:American Heart Association; D003327:Coronary Disease / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D012307:Risk Factors; D012959:Socioeconomic Factors; D020521:Stroke / Q000523:psychology / Q000628:therapy*; D013997:Time Factors; D014481:United States / Q000453:epidemiology