مرکز منطقه ای اطلاع رساني علوم و فناوري - بررسي فاصله زماني شروع درد حاد سينه تا بستري در بخش مراقبتهاي پيژه قلبي در بيماران مبتلا به سكته قلبي

چكيده لاتين :

Background and Objectives: It is estimated that cardiovascular disorders especially coronary artery diseases are the leading causes of mortality in Iran. The most common complication of cardiovascular diseases is myocardial infarction and its consequences. The critical time for a patient with acute myocardial infarction is first 24 hours after acute chest pain. Depending on cultural and social knowledge of patients about chest pain, it seems that some patients use self - treatment by traditional therapeutics instead of seeking medical assistance. In this study, we analyzed the effect of delay in time from onset of acute chest pain to admission in coronary care unit (CCU) in patients with acute myocardial infarction. Materials and Methods: This cross sectional study was performed in Shahid Madani heart hospital, Tabriz Iran. One hundred patients of both sexes were consecutively enrolled and studied. All patients were admitted in CCU due to confirmed diagnosis of acute myocardial infarction. They were asked to fill up the questionnaire which included 27 questions about location and duration of pain, concept of chest pain, first decision made by the patient about onset of acute chest pain and the time interval from onset of pain till his/her admission in CCU. Results: Results revealed that the mean delay in time from onset of pain, help seeking and going to the nearest clinic (patient delays) was 162 minutes and from first clinic to emergency ward of hospital (clinic and transfer delays) was 154 minutes. It took 91 minutes to move patient from emergency ward to admission in CCU (hospital delay). Totally, mean time from onset of acute chest pain to admission in CCU was 407 minutes. Conclusion: Intervention aimed at reducing the delay in acute myocardial infarction treatment should focus on the three periods especially on the help - seeking behavior of patients.