بررسی فاصله زمانی شروع درد حاد سینه تا بستری در بخش مراقبت های ویژه قلبی و عوامل موثر بر آن در بیماران مبتلا به سکته حاد قلبی

Background & Objective: Nowadays, the most common cause of mortality in Iran is coronary artery diseases. The most serious fact that threat patients is acute myocardial infarction and its complications. First day, especially the first hours after acute myocardial infarction is the most important time for the patient life saving. Our goal in this study is evaluation of the time interval between the beginning of acute chest pain occurrence in the patients with AMI and Admission of these patients at coronary care unit and the factors which affect it. Materials & Methods: This study was a cross-sectional analytic study that was done on 164 patients with definite diagnosis of acute myocardial infarction who were admitted at CCU , Ekbatan Hospital Hamadan. At this study, patients were selected from both sex. Data were entered the questionnaire and then analyzed by SPSS software and t-test. Results: The mean time interval between the beginning of chest pain and admission of these patients at CCU was 282 minutes. The mean time interval between the beginning of chest pain and transfer of the patient to a primary medical center, between entrance to the primary medical and transfer to the emergency ward , and between entrance to the emergency ward and admission at CCU were 207,73 and 28 minutes respectively. Sex, education level, distance between patient’s living location and medical center , chest pain location and chest pain form were the most important factors which affect this delay considerably. Conclusion: In this study, we showed that time delay between the beginning of the chest pain and CCU admission is categorized into three stages. Multi center study, defining of the problems and collecting the data can reduce the mortality rate, complications and cost.