Examine the Prevalence and Factors Associated to Delayed Arrival in Patients with Acute Myocardial Infarction

Aim: To determine the prevalence of delayed arrival of patients presented with acute myocardial infarction also examine the factors associated for late arrival to hospital. Study design: Cross-sectional Place & duration of study: Department of Cardiology, Shaikh Zayed Hospital, Lahore from 1st July 2109 to 30th June 2020. Methods: One hundred and fifty patients of both genders with acute myocardial infarction were included. Patient's ages were ranging from 20 to 70 years. Patients detailed demographic age, sex, residence; education and socio-economic status were recorded. Frequency of delayed arrival was recorded. Factors associated with delayed arrival were examined. Results: Ninety eight (65.33%) patients were males while 34.37% patients were females. Majority of patients 73(48.67%) were in the age group 35 to 50 years followed by 48(32%) patients with ages 51 to 65 years. The frequency of delayed arrival was 66.67% who arrived > 2 hours to the time from onset of symptoms. Most common factor for delayed arrival was use of public transport 50%, long distance more than 15km 40% and the absence of attendant 25%. Conclusion: The prevalence of delayed arrival was high in patients with acute myocardial infarction. Use of public transport, long distance, low education and low socio-economic status were the most common factors associated with delayed arrival to hospital.