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Ahsan Ahsan
Jurusan Ilmu Keperawatan Fakultas Kedokteran Universitas Brawijaya Malang
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Journal : Heart Science Journal

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Pain symptoms and delays healthcare decision-making in acute myocardial infarction Ainan, Shafa; Lukitasari, Mifetika; Sari, Efris Kartika; Ahsan, Ahsan; Rohman, Mohammad Saifur; Satrijo, Budi
Heart Science Journal Vol. 7 No. 1 (2026): Accelerating Clinical Breakthroughs: The Journey from Molecular Discovery to Pa
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2026.007.01.16

Abstract

Background: Rapid initiation of reperfusion therapy in acute myocardial infarction (AMI) is vital for a favourable prognosis and is significantly affected by the duration from symptom onset to hospital arrival. Previous studies have indicated that cardiac autonomic neuropathy (CAN), prevalent in diabetic patients, may impair pain perception, potentially delaying healthcare-seeking behaviour Objective: This study aimed to compare chest pain characteristics and healthcare-seeking delays between patients with diabetes mellitus (DM) and without DM (non-DM) myocardial infarction. Methods: A cross-sectional study was conducted involving 93 subjects (35 DM and 58 non-DM) diagnosed with either ST-elevation myocardial infarction (STEMI, n=78) or non-ST elevation myocardial infarction (NSTEMI, n=15). Data on symptoms, including pain quality and healthcare-seeking timing within 72 hours of admission, were gathered via a standardized questionnaire. Result: Logistic regression analysis highlighted stabbing pain as a strong predictor (OR = 3.296, p-Value = 0.038), indicating that patients with this symptom are more than three times more likely to delay seeking care. Patients with DM are more frequently reported back-radiating stabbing pain (p<0.05). No significant differences between the groups were observed in pain symptomatology and decision-making delay, although DM patients were more likely to delay seeking care for over two hours. Conclusion: While pain characteristics showed no significant differences between DM and non-DM myocardial infarction patients, DM patients were prone to later healthcare engagement. This delay could be attributed to the misinterpretation of cardiac symptoms as diabetic complications, underscoring the need for targeted patient education. Therefore, strengthened patient education and routine screening for cardiovascular symptoms in individuals with diabetes are essential to support early detection and timely management.
Co-Authors Abdul Rohim Tualeka Abdul Rokhman Adine Yenie Cahyaning Pradyanti, Adine Yenie Afnuhazi, Ridhyalla Ah Yusuf, Ah Ainan, Shafa Amaliya, Gita Rizki Anggraini, Dewi Cindy Putri Annisa Rahmania Arifin, Mohammad Ariningpraja, Rustiana Tasya Asmaidar, Asmaidar Ayu, Ayu Azizah , Intan Rismatul Buhaerah Buhaerah, Buhaerah Carla Wulandari Sabandar Debora, Oda Dharma, I Dewa Gede Candra Dima, Niko Dimi, Neni Haqnanda Dinda, Dinda Dudella Desnani Firman Yasin, Dudella Desnani Firman Dwi Indah Iswanti Dwioktaviani, Indri Putri Effendy, Nuraeni Efris Kartika Sari, Efris Kartika Faizah, Melida Nur Fajrillah Kolomboy Fanani, Qori Fitri Wahyuni Fortuna, Fithrotunnada Hadrawi, Hadrawi Haiya , Nutrisia Nu'im Handayani, Nurul Nisya Hardianti, Anugerah Hargono , Rachmat Hasana, Hasana Hasanah, Nikmatun Hediturmudi, Asep Hendrawati Hendrawati Heni Dwi Windarwati Heri Kristianto Hidaayah, Nur Hm, Safika Idrus, Fitriyanti N Ilmy, Ahofi Khaqul Iwan Ardian, Iwan Jalaludin, Juliana Jenny Primanita Diningrum, Jenny Primanita Karisma Putri, Frizki Rana Kartikawatiningsih, Dewi Khulud, Khoiron Kristianingrum, Niko Dima Kumboyono Kumboyono Kurnia Widyaningrum Laily, Laily Lande, Hasriadi Lilik Supriati, Lilik Lukitasari, Mifetika Mahjum, Moh Melliza, Nur Misutarno, Misutarno Moecharam, Moecharam Mohammad Saifur Rohman Mu'awanah, Siti Muhammad Rodli Mukuan, Carlina Musfayu, Musfayu Musfira, Musfira Nia Agustiningsih, Nia Noeroel Widajati Noviyanti, Linda Wieke Nursalam Nursalam Peter Ian Limas Prasetiyo, Ari Prasetyo, Yoyok B. Prasiska, Ni Luh Putu Ayu Primanoviasari, Titis Sukma Purnamasari, Devi Putra, Muhammad G A Putri Andayani, Rifka Rachmat Hargono Racmawati, Septi Dewi Renny Nova, Renny Retno Lestari Rinik Eko Kapti, Rinik Eko Rismaina Putri Rismayanti, I Dewa Ayu Rodli, Muhammad Rofiyati, Winda Rosyida, Ratna Wirawati Saba, Hafiz Saifudin, I Made Moh. Yanuar Saputra, Ahyar Satrijo, Budi Setiawan, Doni Elwin Setyoadi Setyoadi Sinta, Lydia Elsa Soekerno, Nany Sugiarto S Sunadi, Apri Tengku Isni Yuli Lestari Putri Tintin Sukartini Sukartini, Tintin Sukartini Triyono, Heru Ginanjar Ulpianti, Ulva Ulubiah, Siti Marifatul Windarwati, Heni Wisnasari, Shila Yatulaini, Fitri Yoyok Bekti Prasetyo Zaenab Zuhroh, Fifi Kurnaini