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KMID : 0366519980180010067
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Annual Bulletin Seoul Health
1998 Volume.18 No. 1 p.67 ~ p.81
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Time Delay and Factors in Patient with Acute Myocardial Infarction
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Choi Hea-Kyung
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Abstract
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To determine the reasons delay seeking medical care and time delays between the symptoms onset and the start of a thrombolytic agent infusion, the method of reperfusion therapy in patients with acute myocardial infarction. Patients admitted to a ER between July 1, 1996, and August 31, 1997, finally diagnosed to AMI. Hospital records were reviewed, and a 20 minutes telephone interview was conducted. 70 patients were finally interviewed. The results were followings : 1. The average age was 59±12 years old, the ratio of male to female was 4:1. 2. The risk factors were smoking, Hypertension, DM. The chief complaints were chest pain, sweating, dyspnea. 3. The main reasons for delay were because the patient thought that the symptoms would go away, because the patients thought that the symptoms were caused by another illness. 4. The main reasons for not receiving a reperfusion therapy were the prehospital time delay. 5. Time delays between the symptoms onset and the start of a thrombolytic agent in fusion, were transportation delay time 337min, patients delay time 157min and hospital delay time 82min. In conclusion, the time delay was the first reason for not receiving a reperfusion therapy of patients with AMI. Knowledge of the reasons patients delay can help focus efforts on achieving more rapid treatment patients with AMI.
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KEYWORD
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Acute myocardial infarction, time delay, reperfusion therapy
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