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  3. 12. Frequency of Acute ST Elevation Myocardial Infarction and Various Reasons of Pre-Hospital Delay in Early Morning Hours
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12. Frequency of Acute ST Elevation Myocardial Infarction and Various Reasons of Pre-Hospital Delay in Early Morning Hours

1.  Fahad  Ahmed 2. Muhammad Tahir Mohyudin 3. Abubakr Ali Saad 4. Babur Ikram 

5. Nisar Ahmed

1. Medical Officer of Cardiology, Chaudhary Pervaiz Elahi Institute of Cardiology, Multan 2. Asstt. Prof. of

Cardiology, Chaudhary Pervaiz Elahi Institute of Cardiology, Multan 3. Senior Registrar of Cardiology, NMC &

Hospital, Multan 4. Medical Officer of Cardiology, Chaudhary Pervaiz Elahi Institute of Cardiology, Multan 

5. Asstt. Prof. of Cardiology, Chaudhary Pervaiz Elahi Institute of Cardiology, Multan

ABSTRACT

Objective: To determine the frequency of acute ST elevation myocardial infarction and various reasons of prehospital delay in early morning hours Study Design: Cross-sectional survey

Place and Duration of Study: This study was conducted in the department of Cardiology, Chaudhary Pervaiz Elahi Institute of Cardiology, Multan from 18th September 2012 to 17th March 2013.

Materials and Methods: 164 patients of either sex giving mid-section torment in right on time morning were incorporated in this study. The meeting secured the patients' indications, the season of onset of side effects, the consequent occasions and the past history. Entry time short the season of side effects onset was ascertained as prehealing center postponement and it was computed in hours.

Results: 164 patients were included in the study. The mean age of patients was 54.85 years with standard deviation of 10.684 years. 77 (46.95%) patients were male and 87 (53.05%) patients were female.  Mean delay of patients with chest pain was 3.49 hours with standard deviation of 1.777 hours. 96 patients had pre-hospital delay of more than 3 hours while 68 patients had no pre-hospital delay. 130 patients presenting with morning chest pain had ST elevation MI while 34 patients did not have ST elevation MI.

Conclusion: In conclusion, onset of symptoms at night especially in morning causes more prolonged delay in hospital arrival because transport means and medical helps are beyond reach at these times.

Key Words: Acute ST elevation myocardial infarction, early morning hours, pre-hospital delay, various reasons

Citation of article: Ahmed F, Mohyudin MT, Saad AA, Ikram B, Ahmed N. Frequency of Acute ST Elevation

Myocardial Infarction and Various Reasons of Pre-Hospital Delay in Early Morning Hours. Med Forum


2015; 26(9):45-49.