Table of Contents Author Guidelines Submit a Manuscript
BioMed Research International
Volume 2014, Article ID 572425, 8 pages
Research Article

Knowledge of Signs and Symptoms of Heart Attack and Stroke among Singapore Residents

1Yong Loo Lin School of Medicine, National University of Singapore, 10 Medical Drive, Singapore 117597
2Department of Emergency Medicine, Singapore General Hospital, Outram Road, Singapore 169608
3Medical Department, Singapore Civil Defence Force, 91 Ubi Avenue 4, Singapore 408827
4Acute and Emergency Care Centre, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore 768828
5Emergency Medicine Department, National University Hospital, 5 Lower Kent Ridge Rd, Singapore 119074
6Accident & Emergency Department, Changi General Hospital, 2 Simei Street 3, Singapore 529889
7Emergency Department, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433
8Office of Clinical Sciences, Duke-NUS Graduate Medical School, 8 College Road, Singapore 169857

Received 28 October 2013; Accepted 2 March 2014; Published 10 April 2014

Academic Editor: Patrick Schober

Copyright © 2014 Joy Li Juan Quah et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aim. To determine the level of knowledge of signs and symptoms of heart attack and stroke in Singapore resident population, in comparison to the global community. Methods. A population based, random sample of 7,840 household addresses was selected from a validated national sampling frame. Each participant was asked eight questions on signs and symptoms of heart attack and 10 questions on stroke. Results. The response rate was 65.2% with 4,192 respondents. The level of knowledge for preselected, common signs and symptoms of heart attack and stroke was 57.8% and 57.1%, respectively. The respondents scored a mean of 5.0 (SD 2.4) out of 8 for heart attack, while they scored a mean of 6.8 (SD 2.9) out of 10 for stroke. Respondents who were ≥50 years, with lower educational level, and unemployed/retired had the least knowledge about both conditions. The level of knowledge of signs and symptoms of heart attack and stroke in Singapore is comparable to USA and Canada. Conclusion. We found a comparable knowledge of stroke and heart attack signs and symptoms in the community to countries within the same economic, educational, and healthcare strata. However older persons, those with lower educational level and those who are unemployed/retired, require more public health education efforts.