Factors influencing treatment delay for patients with acute myocardial infarction

The purpose of this study was to identify cognitive, social, and emotional influences of individuals delaying treatment during an acute myocardial infarction (AMI). In a multiple regression analysis, the following were predictors of long treatment delay in arrival to the emergency department after cardiac symptom onset: being home, having more ability to control symptoms, and being in a public place. Predictors of short treatment delay were thinking that symptoms were heart related, calling 911, having a high pain scale, and telling someone else about the symptoms. Nurses can use this study to identify potential responses and situations that may affect patient decision delay in the future.