title: Symptom Representation and Treatment-Seeking Prior to Diagnosis of Atrial Fibrillation.
abstract: Early treatment-seeking for symptoms of atrial fibrillation (AF) is critical to avert AF-related stroke and heart failure, but early treatment is hindered if symptoms are not accurately interpreted. The purpose of this research was to describe symptom representation and treatment-seeking responses prior to diagnosis of AF. For this descriptive study, 150 participants were surveyed to describe the type and temporality of symptoms, perceptions regarding the cause, seriousness, controllability of symptoms, and responses to symptoms prior to diagnosis. Participants' mean age was 66.5 years, and 51% were female. Participants perceived symptoms as having nondisease-based causes, as not very serious, and as amenable to self-management. The majority took a wait and see response with 69% waiting more than 1 week after symptom onset to seek treatment. Lack of recognition of the seriousness of symptoms of AF and delayed treatment put patients at risk of poorer outcomes.
authors.affiliation: Mayo Clinic, Rochester, MN, USA mccabe.pamela2@mayo.edu.
authors.forename: Pamela J
authors.initials: PJ
authors.lastname: McCabe
authors.affiliation: Mayo Clinic, Rochester, MN, USA.
authors.forename: Alanna M
authors.initials: AM
authors.lastname: Chamberlain
authors.affiliation: Mayo Clinic, Rochester, MN, USA University of Minnesota, Minneapolis, MN.
authors.forename: Lori
authors.initials: L
authors.lastname: Rhudy
authors.affiliation: University of Illinois at Chicago, USA.
authors.forename: Holli A
authors.initials: HA
authors.lastname: DeVon
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001281:Atrial Fibrillation / Q000150:complications / Q000175:diagnosis*; D003430:Cross-Sectional Studies; D057210:Delayed Diagnosis / Q000523:psychology; D059026:Diagnostic Self Evaluation; D005239:Fear; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010342:Patient Acceptance of Health Care; D035501:Uncertainty
keywords: Common Sense Model; atrial fibrillation; symptom representation; treatment delay; treatment-seeking