Abstract
BackgroundAdministration of coronary reperfusion therapy to patients with an acute myocardial infarction (AMI) within the proper timeframe is essential in avoiding clinical complications and death. However, the extent of pre-hospital delay is unexplored in Vietnam. This report aims to describe the duration of pre-hospital delay of Hanoi residents hospitalized with a first AMI at the Vietnam National Heart Institute .MethodsA total of 103 Hanoi residents hospitalized at the largest tertiary care medical center in the city for first AMI, who have information on prehospital delay was included in this report. ResultsOne third of the study sample was women and mean age was 66 years. The mean and median pre-hospital delay duration were 14.9 hours and 4.8 hours, respectively. The proportion of patients who delayed <6 , 6-<12, and ≥ 12 hours were 45%, 13%, and 42%, respectively. ConclusionsOur data shows that a prolonged pre-hospital delay is often observed in patients with a first AMI in Vietnam. In order to confirm these findings, a full-scale investigation of all Hanoi residents hospitalized with first AMI is needed. Increasing public awareness about AMI treatment is vital in encouraging patients to seek medical care timely after experiencing AMI symptoms such that received treatment is most effective.
Highlights
Vietnam is a low-middle income country, and has been in the midst of an important epidemiological transition
Previous research studies have convincingly proved that reperfusion treatment is most effective if patients with ST-segment elevation myocardial infarction (STEMI) are treated in a timely fashion, within one hour of acute symptom onset[1,2]; the relation between extent of pre-hospital delay and outcomes after non-STEMI has not been firmly established
Despite the importance of prolonged pre-hospital delay on the timely receipt of effective treatments and short-term outcomes, so far we have found no evidence of studies conducted to examine the extent of pre-hospital delay among adult patients hospitalized with acute myocardial infarction (AMI) in Vietnam
Summary
Vietnam is a low-middle income country, and has been in the midst of an important epidemiological transition. Despite the importance of prolonged pre-hospital delay on the timely receipt of effective treatments and short-term outcomes, so far we have found no evidence of studies conducted to examine the extent of pre-hospital delay among adult patients hospitalized with AMI in Vietnam. This short report aims to describe the extent of pre-hospital delay in Hanoi residents who were non-transferred, hospitalized with a first AMI at the Vietnam National Heart Institute in 2010. Methods A total of 103 Hanoi residents hospitalized at the largest tertiary care medical center in the city for first AMI, who have information on prehospital delay was included in this report
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