Factors Affecting Delay Seeking Management for Patient with Myocardial Infarction

Abstract

Coronary artery diseases (CAD) are one of the most prevalent diseases in industrial countries. They are the leading cause of death in 39.4% of cases worldwide. Approximately 40 to 60 percent of acute myocardial infarction (AMI) deaths usually occur during the first hour after the onset of the AMI symptoms before arriving to the hospital. The rate of morbidity and mortality decrease in patients who received therapeutic management during the first hour after the onset of AMI symptoms. Although treatment for AMI should begin within 1 hour of symptom onset, unfortunately the current median time between the onset of AMI symptoms and admission to the hospital is more than 2 hours and, almost 25% of AMI victims still have a longer than 6 hours delay. Every 30 minutes of delay increases the 1-year mortality risk by 7.5%, this delay called pre-hospital delay. Studies showed that patients usually do actions such as taking a rest, using analgesic medicines, and consulting a physician for their AMI symptoms. Many factors such as being old, having low socioeconomic status, and being married , clinical factors such as a history of hypertension or diabetes, or prior history of angina or previous AMI, and