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The decision of patients with symptoms of an acute myocardial
infarction to seek medical help is a complex interaction of previous
knowledge and experience, beliefs, emotions, and the context of the
event. Pattenden and colleagues (p 1006) interviewed 22 patients
admitted to hospital with confirmed second, third, or fourth myocardial
infarctions. They say that simply providing patients with information
on the symptoms of acute myocardial infarction, and of what to do in
the event of these symptoms, may not be sufficient to promote prompt
action.