Article:
Prehospital events in ST- elevation myocardial infarction undergoing primary angioplasty

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creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorDhungel, Sachin
dc.contributor.authorMalla, Rabi
dc.contributor.authorAhikari,Chandramani
dc.contributor.authorMaskey, Arun
dc.contributor.authorRajbhandari, Rajib
dc.contributor.authorSharma, Diwakar
dc.contributor.authorKC, Man Bhadhur
dc.contributor.authorRauniyar, Binaya
dc.contributor.authorLimbu, Deepak
dc.contributor.authorGautam, Milan
dc.contributor.authorAdhikari, Ajay
dc.contributor.authorchalise, Hari
dc.creator.affiliationDepartment of Cardiology, College of Medical Sciences, Bharatpur, Chitwan, Nepal.
dc.creator.affiliationShahid Gangalal National Heart Centre, Bansbari, Kathmandu, Nepal.
dc.creator.affiliationShahid Gangalal National Heart Centre, Bansbari, Kathmandu, Nepal.
dc.creator.affiliationShahid Gangalal National Heart Centre, Bansbari, Kathmandu, Nepal.
dc.creator.affiliationShahid Gangalal National Heart Centre, Bansbari, Kathmandu, Nepal.
dc.creator.affiliationShahid Gangalal National Heart Centre, Bansbari, Kathmandu, Nepal.
dc.creator.affiliationShahid Gangalal National Heart Centre, Bansbari, Kathmandu, Nepal.
dc.creator.affiliationShahid Gangalal National Heart Centre, Bansbari, Kathmandu, Nepal.
dc.creator.affiliationShahid Gangalal National Heart Centre, Bansbari, Kathmandu, Nepal.
dc.creator.affiliationShahid Gangalal National Heart Centre, Bansbari, Kathmandu, Nepal.
dc.creator.affiliationNational Academy of Medical Sciences, Kathmandu, Nepal.
dc.creator.affiliationShahid Gangalal National Heart Centre, Bansbari, Kathmandu, Nepal.
dc.date.accessioned2026-09-17T09:29:27Z
dc.date.available2026-09-17T09:29:27Z
dc.date.issued2017
dc.description.abstractAbstract Introduction: Pre-hospital delay includes time from onset of symptoms of myocardial infarction till arrival to emergency room of the hospital. This defines time from symptom onset to first medical contact and first medical contact to emergency room. This study aims to study the prehospital events and determining factors in patients undergoing primary angioplasty. Methods: This was a cross sectional study in Shahid Gangalal National Heart Centre for three months. Timings of chest pain, first medical contact time, transfer time to hospital and overall pre-hospital time for PCI and risk factors were analysed. Results: There were 79 cases with 66 (83.5%) males and 13 (16.5%) females with mean age 56±11.2 years. Risk factors were 60 (75.9%), smoking, 47 (59.5%) hypertension, 25 (31.6%) diabetes, 22 (27.8%) dyslipidaemia and 16 (20.3%) heart failure. Chest pain was maximum in 5 to 9 AM. The median prehospital delay was 300 minutes (5.0 hours) of which symptom to first medical contact was 165 minutes and first medical contact to hospital was 80 minutes. The longer median prehospital delay for hypertension, diabetes, female and age ≥50 years and the shorter for male, age less than 50 years, dyslipidemia and heart failure, though not statistically significant. Private transport was the preferred from symptom to first medical contact and ambulance for first medical contact to emergency room. Patients received in ER had aspirin 72 (91.1%), atorvastatin 54 (68.4%) and double anti-platelets 45 (57%). Conclusions: Chest pain was common in morning and the prehospital delay can be minimized by improving time from symptom to first medical contact and first medical contact to Emergency room. Keywords: Cicardian pattern; Prehospital delay; ST myocardial infarction.
dc.identifier.doihttps://doi.org/10.31729/jnma.3386
dc.identifier.urihttps://hdl.handle.net/20.500.14572/7736
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectCicardian pattern
dc.subjectPrehospital delay
dc.subjectST myocardial infarction
dc.titlePrehospital events in ST- elevation myocardial infarction undergoing primary angioplasty
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage425
oaire.citation.startPage421
relation.isJournalIssueOfPublication879289ff-bc63-435d-b0e3-5f2202d261ef
relation.isJournalIssueOfPublication.latestForDiscovery879289ff-bc63-435d-b0e3-5f2202d261ef
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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