Patient's Chest Discomfort Associated With Delay in Reperfusion Therapy Acute Coronary Syndrome

Abstract

Acute Coronary Syndrome (ACS) is a group of symptoms that are classify as unstable angina (ATS), ST-Segment Elevation Myocardial Infarction (STEMI) and non ST-Segment Elevation Myocardial Infarction (NSTEMI). Main objective to provide timely reperfusion therapy is essential to improve survival. Initial and rapid intervention after the occurrence of coronary artery disease is associated with better clinical outcomes, but it is hampered by the nature of the patient's seeking decisionsPatients expect the type of heart attack they often see in medical movies and television: like chest pain that grips and causes it to fall to the floor. This study aims to analyze the chest discomfort experienced by patients associated with delay in reperfusion therapy of Acute Coronary Syndrome. The method used is observational analytic with cross sectional approach. Nonprobability sampling with time quota technique obtained sample of 60 respondents. The results obtained as many as 55% of patients come more than 120 minutes after the onset of discomfort in the chest. The patient's delay in coming to the associated hospital is an accompanying symptom factor at onset with p = 0. 048,). There were no significant differences in the scores of knowledge, behavior, and beliefs based on the ACS response index between patients who came <120 minutes and> 120 minutes. The conclusions of this study present the accompanying symptom presentations at onset with the time interval between the appearances of the SKA symptoms until arriving at the IGD door. Seeing the results of this study suggests the need for efforts from medical staff to optimize the interpretation of "chest pain characteristics" to patients and families or who are susceptible about specific and non-specific cardiac signs. ABSTRAKSindrom Koroner Akut (SKA) merupakan sekelompok gejala yang diklasifikasikan sebagai angina tidak stabil (ATS), ST-Segment Elevation Myocardial Infarction (STEMI) dan non ST-Segment Elevation Myocardial Infarction (NSTEMI). Pemberian terapi reperfusi tepat waktu sangat penting untuk meningkatkan kelangsungan hidup. Intervensi awal dan cepat setelah terjadinya penyakit arteri koroner berkaitan dengan hasil klinis yang lebih baik, tetapi hal tersebut terhambat oleh sifat alami keputusan mencari bantuan dari pasien. Pasien mengharapkan jenis serangan jantung yang sering mereka lihat di film dan televisi medis: seperti nyeri dada yang mencengkeram dan menyebabkan jatuh ke lantai. Penelitian ini bertujuan untuk menganalisa ketidaknyamanan dada yang dialami penderita yang berhubungan dengan keterlambatan waktu terapi reperfusi Sindrom Koroner Akut. Metode yang digunakan adalah observasional analitik dengan pendekatan cross sectional. Nonprobability sampling dengan teknik kuota waktu didapatkan sampel sebanyak 60 responden. Hasil penelitian didapatkan sebanyak 55% pasien datang lebih dari 120 menit setelah onsetketidaknyamanan di dada. Keterlambatan pasien datang ke rumah sakit yang berhubungan adalah faktor gejala penyerta saat onset dengan p=0.048, dan OR=4.596...