{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T01:54:01Z","timestamp":1790042041712,"version":"4.0.1"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2010,10,1]],"date-time":"2010-10-01T00:00:00Z","timestamp":1285891200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The delay in seeking timely medical care by patients with acute coronary syndrome and stroke is well established. Less is known about the delay in patients with heart failure (HF). Reducing the delay in seeking care and the early initiation of treatment is associated with improved outcomes in patients with HF. The purpose of this narrative review was to describe the length of the delay in seeking care for HF symptoms and identify symptom-related factors that contribute to the delay in seeking medical care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>A literature search was conducted to identify English language studies that (i) describe the length of care-seeking delay for HF symptoms and\/or (ii) identify symptom-related factors that contribute to delay in seeking medical care. The results of this review demonstrate that upon hospital admission patients report wide variations in median symptom time course from 2 h to 7 days from the onset of symptoms to hospital admission. The ability of patients to recognize, interpret, and appraise HF symptoms has been demonstrated to be limited. Symptom characteristics such as dyspnoea, oedema, orthopnoea, higher somatic awareness, higher symptom distress, nocturnal symptom onset, and the pattern of symptom onset were related to longer delay in care-seeking for HF symptoms. Furthermore, cognitive responses to HF may also play an important role in symptom appraisal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Delays in seeking care for HF symptoms have been shown to range from hours to days from symptom onset to hospital admission. Healthcare professionals should therefore be more vigilant in identifying high-risk individuals and educating them about the warning signs of HF. Moreover, access to outpatient chronic disease management programmes may have the potential to reduce these delays.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjhf\/hfq122","type":"journal-article","created":{"date-parts":[[2010,8,4]],"date-time":"2010-08-04T21:51:21Z","timestamp":1280958681000},"page":"1122-1129","source":"Crossref","is-referenced-by-count":59,"title":["Length of Delay in Seeking Medical Care by Patients with Heart Failure Symptoms and the Role of Symptom-Related Factors: A Narrative Review"],"prefix":"10.1093","volume":"12","author":[{"given":"Shannon","family":"Gravely-Witte","sequence":"first","affiliation":[{"name":"York University, Faculty of Health, Norman Bethune College , 368, 4700 Keele Street, Toronto, Ontario , , M3J 1P3","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corrine Y.","family":"Jurgens","sequence":"additional","affiliation":[{"name":"Stony Brook University , New York, NY ,","place":["USA"]},{"name":"University of Pennsylvania , Philadelphia, PA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hala","family":"Tamim","sequence":"additional","affiliation":[{"name":"York University, Faculty of Health, Norman Bethune College , 368, 4700 Keele Street, Toronto, Ontario , , M3J 1P3","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherry L.","family":"Grace","sequence":"additional","affiliation":[{"name":"York University, Faculty of Health, Norman Bethune College , 368, 4700 Keele Street, Toronto, Ontario , , M3J 1P3","place":["Canada"]},{"name":"University Health Network , Toronto ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2014,1,13]]},"reference":[{"key":"2026020203331187600_ejhfhfq122-bib-0001","doi-asserted-by":"crossref","article-title":"Heart Failure","author":"Hobbs","DOI":"10.1016\/B978-1-4160-6643-9.00026-6"},{"key":"2026020203331187600_ejhfhfq122-bib-0002","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1016\/j.ejheart.2008.08.005","article-title":"ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the diagnosis and treatment of acute and chronic heart failure 2008 of the European Society of Cardiology","volume":"10","author":"Dickstein","year":"2008","journal-title":"Eur J Heart Fail"},{"key":"2026020203331187600_ejhfhfq122-bib-0003","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1023\/A:1009884820941","article-title":"Incidence and epidemiology of heart failure","volume":"5","author":"Kannel","year":"2000","journal-title":"Heart Fail Rev"},{"key":"2026020203331187600_ejhfhfq122-bib-0004","doi-asserted-by":"crossref","first-page":"3068","DOI":"10.1161\/01.CIR.0000039105.49749.6F","article-title":"Lifetime risk for developing congestive heart failure: the Framingham Heart Study","volume":"106","author":"Lloyd-Jones","year":"2002","journal-title":"Circulation"},{"key":"2026020203331187600_ejhfhfq122-bib-0005","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1093\/oxfordjournals.eurheartj.a015223","article-title":"The epidemiology of heart failure","volume":"18","author":"Cowie","year":"1997","journal-title":"Eur Heart J"},{"key":"2026020203331187600_ejhfhfq122-bib-0006","first-page":"1265","article-title":"Canadian Cardiovascular Outcomes Research Team. 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