Association Between Symptom Characteristics, Knowledge Sources, and Patient Interpretation of Acute Coronary Syndrome ― Insights From the Japanese Circulation Society Chest Pain Registry ―

Circulation Reports 2026 Open access

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Authors: Masato Uchida, Satoshi Yoshimura, Kanna Arimoto, Hirotoshi Nishikita, Yohei Fushimura, Hirokazu Yokoi, Takuya Taniguchi, Chika Nishiyama, Yasunori Ueda, Taku Iwami
DOI: 10.1253/circrep.cr-25-0301
Cited by: 0
References: 4

Abstract

Background: The associations between symptom characteristics and patients' interpretations and sources of knowledge about acute coronary syndrome (ACS) remains unclear. Methods and Results: We enrolled 81 patients with ACS. Patients who misinterpreted their symptoms more frequently reported atypical features such as tenderness (13.3% vs 0%; P=0.028) and syncope (11.8% vs 0%; P=0.011). Common knowledge sources among patients who correctly interpreted their symptoms included television, healthcare professionals, and the internet without social media. Conclusions: Patients experiencing atypical symptoms often misinterpret them. Most knowledge sources for those who interpreted correctly were traditional.

Fields of Study & Subjects

Acute Myocardial Infarction Research Health Literacy and Information Accessibility Coronary Interventions and Diagnostics

Publication details

Journal / source
Circulation Reports
Volume
8
Issue
4
Pages
668–669
Publication date
29 January 2026
Language
EN