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Related Experiment Videos

Myocardial infarction and denial.

K B Fields1

  • 1Department of Family Medicine, University of North Carolina, Chapel Hill.

The Journal of Family Practice
|February 1, 1989
PubMed
Summary

Denial can be a harmful response to heart attack symptoms, leading to delayed medical care and increased mortality. Educating patients and reducing hospital anxiety can help "stoical" individuals seek timely treatment for coronary artery disease.

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Area of Science:

  • Cardiology
  • Psychology

Background:

  • Denial is a psychological defense mechanism that can influence patient responses to illness.
  • Anginal pain and myocardial infarction (heart attack) are serious conditions requiring prompt medical attention.

Observation:

  • Patients experiencing myocardial infarction often delay seeking medical help, with many fatalities occurring before hospitalization.
  • This delay suggests that denial may play a significant role in mortality related to coronary artery disease.

Findings:

  • Denial can be an inappropriate response to anginal pain, contributing to delayed treatment for heart conditions.
  • Inappropriate denial in cardiac patients can increase mortality rates from coronary artery disease.

Implications:

  • Non-threatening educational strategies about cardiac disease are needed to encourage "stoical" patients to seek care.
  • Reducing patient anxiety associated with hospitals is crucial for timely intervention.
  • Family physicians can screen for inappropriate denial and adjust diagnostic approaches to mitigate its impact on cardiac deaths.

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