Abstract
Many patients of acute myocardial infarction showed delay time before seeking treatment
although they needed immediate thrombolytic therapy once they perceived their symptoms.
The objectives of this study were to identify the relationship between clinical symptoms and
the delay, and to find the time spent before seeking the treatment.
This study was a retrospective research.
The delay time for the treatment consisted of the length of delay from symptom onset to
patients' decision (T1), from patients' decision making to finding transportation (T2), and
from taking transportation to the first hospital arrival(T3).
The subjects were 89 patients who were admitted in the ICU and Cardiac Ward at Chonnam
University Hospital with the first attack of acute myocardial infarction.
The data was collected for three months from March 1st to May 31st of 1998 through
questionnaires and reviewing patients' charts: The chart information was suppled by two
nurses working at the ICU and Cardiac Ward.
The data was analyzed by using frequency, mean and ANOVA through the SAS program.
The results of study summarized as follows:
1. Sixty two patients (69.7%) were male and twenty seven patients (30.3%) were female, the ratio
of male to female was 2.3 : 1.
2. In daily life, the 70.8% of the patients felt chest pain and discomfort fatigue in 67.4%, dyspnea in
57.3%, and pain in arm, neck, and jaw in 52.8%. During the attack, 97.8% of the patients felt chest
pain and discomfort dyspnea in 82.1%, pain in arm, neck, jaw in 67.4% and perspiration in 51.7%.
3. The length of time a patient spent seeking time for treatment (T1+T2+T3) was 94.6 minutes, in
which the time for patients' decision making for treatment (T1) was 70.3 minutes, time for finding
transportation (T2) was 8.2 minutes, and time for the transportation of the patient to the first
hospital (T3) was 16.1 minutes. Time for patients' decision making to go to a hospital(T1)
was 74.2% of the total time sought for treatment.