“…Delaying the decision to seek medical attention at acute coronary syndrome symptoms has been attributed to misunderstanding of the seriousness of the signs and symptoms of acute coronary syndrome, psychological denial [25], and concerns about the implications of hospitalisation. Factors that influence the decision to act and respond include sociodemographic characteristics, the context in which the acute symptoms occur, the influence that others might have on the decision to seek medical attention, medical history, clinical status of the patient, and psychological factors [23].…”