ABSTRACT
Objective: To determine the frequency of acute ST elevation myocardial infarction and various reasons of pre-hospital 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 pre-healing 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 patientswith 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 elevationMI
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