Factors associated with prehospital delay in patients with acute myocardial infarction

AUTHORS

Hossein Farshidi 1 , Ahmadnoor Abdi 2 , Shafei Rahimi 3 , * , Sareh Salehi 3

1 Associate Professor Department of Internal Medicine, Heart Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

2 Assistant Professor Department of Internal Medicine, Heart Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

3 General Practitioner, Heart Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

How to Cite: Farshidi H, Abdi A , Rahimi S , Salehi S. Factors associated with prehospital delay in patients with acute myocardial infarction, Hormozgan Med J. 2013 ; 17(1):e87913.

ARTICLE INFORMATION

Hormozgan Medical Journal: 17 (1); e87913
Published Online: May 08, 2012
Article Type: Research Article
Received: September 03, 2011
Accepted: May 08, 2012

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Abstract

Introduction: Treatment of patients with acute myocardial infarction (AMI) is time
related, so delay in treatment could affect prognosis. Recognizing pre-hospital or in-hospital
delays in initiating treatment and reducing these factors is very efficacious in treatment of
these patients.
Methods: A cross sectional study was carried out on 227 patients with acute myocardial
infarction. Demographic data, educational level, marital status, type of transfer to hospital
and delay in arrival to hospital were recorded. The data were analyzed by SPSS.
Results: 35.7% of patients arrived during one hour of symptom onset, and 7.9% arrived
after 24 hours of symptom onset. Patients with high level education (P=0.049) and a family
history of coronary artery disease (P=0.011) had significantly less delay in arriving to
hospital. Age, marital status, gender, and route of transfer to hospital were not related with
pre-hospital delay. Patients thought most common cause of delay in arrival was unawareness
of coronary artery disease (38.8%) and self-medication (34.3%).
Conclusion: Increasing awareness of patients about cardiovascular symptoms and their risk
factors could be helpful in patients seeking medical care. Therefore, general education via
media and primary and middle schools could be helpful.

Keywords

Myocardial Iinfarction - Hospitals - Education

© 2013, Hormozgan Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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