Paramedic PapersHome Cardiac (non-arrest) A third of MI patients delay over two hours
Cardiac (non-arrest)
A third of MI patients delay over two hours
Predictors of Pre-hospital Delay in Myocardial Infarction: A Cross-sectional Study at a Tertiary Care Center of Ahmedabad, India
Indian Journal of Community Medicine · 2026-09-18 · Added 10 October 2026
A cross-sectional study of 105 myocardial infarction patients in Ahmedabad found a median symptom-to-hospital time of 90 minutes, with 35.2% delayed beyond 2 hours and female sex predicting delay (OR 3.2).
- Study type
- Cross-sectional
- Design
- Cross-sectional interview study
- Participants
- 105 MI patients at a tertiary hospital
- Main finding
- Median symptom-onset-to-hospital time 90 minutes (IQR 45–210); 35.2% delayed >2 hours; female sex predicted delay (OR 3.2, p = 0.03); misinterpreting symptoms also prolonged delay
- Caveat
- Small single-centre sample in India with self-reported times — poor recall and a non-ambulance population limit generalisability
- Bottom line
- Hypothesis-generating
Why it matters in Australia (Medium relevance). Patient decision delay before calling for help is the same problem Australian public-health campaigns target, though this single-centre Indian sample self-presented and says little about ambulance users.
Learning goal
Recognise the patient factors that delay help-seeking in myocardial infarction, especially in women.
More
- Topic: Cardiac (non-arrest)
- Daily scan: 10 October 2026
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