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Table 1 Characteristics of the subjects with first acute myocardial infarction in a tertiary care hospital Karachi, Pakistan

From: High prevalence of lack of knowledge of symptoms of acute myocardial infarction inPakistan and its contribution to delayed presentationto the hospital

Variable

Delayed*

Not delayed

P-value

 

n

244

%

33.9

n

476

%

66.1

 

Age

    

0.434

   Younger ≤ 45 years

62

25.4

134

28.2

 

   Older > 45 years

182

74.6

342

71.8

 

Sex

    

0.213

   Male

197

80.7

365

76.7

 

   Female

47

19.3

111

23.3

 

Marital status

    

0.715

   Married

220

90.2

425

89.3

 

   Single

24

9.8

51

10.7

 

Formal education

    

0.151

   Yes

160

65.6

286

60.1

 

   No

84

34.4

190

39.9

 

Ethnicity

    

0.987

   Urdu

179

73.4

345

72.5

 

   Sindhi

20

8.2

41

8.6

 

   Punjabi

14

5.7

30

6.3

 

   Other§

31

12.7

60

12.6

 

Type of family system

    

0.546

   Nuclear

87

35.7

159

33.4

 

   Joint

157

64.3

317

66.6

 

Ownership of television

    

0.109

   Yes

136

56.0

294

62.2

 

   No

107

44.0

179

37.8

 

Family history of heart disease

    

0.895

   Yes

89

36.5

176

37.0

 

   No

155

63.5

300

63.0

 

Distance from hospital (in KM)

    

0.195

   < 10 Km

65

26.6

149

31.3

 

   ≥ 10 Km

179

73.4

327

68.7

 

Employment

    

0.286

   Yes

121

49.6

256

53.8

 

   No

123

50.4

220

46.2

 

Smoking status

    

0.345

   Never smoked

116

47.5

244

51.3

 

   Past or current smoker

128

52.5

232

48.7

 

Exercise€

    

0.559

   Yes

9

3.7

22

4.6

 

   No

235

96.3

454

95.4

 

Income (in PKRS)

    

0.885

   > 1000

15

6.1

32

6.7

 

   5000–10000

96

39.3

195

41.0

 

   < 5000

120

49.2

220

46.2

 

   Didn't reveal

13

5.3

29

6.1

 

Severity of pain

    

<0.001

   Severe

64

26.2

353

74.2

 

   Moderate

85

34.8

68

14.3

 

   Mild

95

38.9

55

11.6

 

Chest pain

    

0.650

   Yes

237

97.1

465

97.7

 

   No

7

2.9

11

2.3

 

Ghbrahat (Uneasiness)

    

0.339

   Yes

232

95.1

444

93.3

 

   No

12

4.9

32

6.7

 

Shortness of breath

    

0.406

   Yes

215

88.1

429

90.1

 

   No

29

11.9

47

9.9

 

Palpitation

    

0.005

   Yes

192

78.7

413

86.8

 

   No

52

21.3

63

13.2

 

Diaphoresis

    

0.040

   Yes

224

91.8

439

92.2

 

   No

20

8.2

37

7.8

 

Known Hypertension

    

0.840

   Yes

107

43.9

205

43.1

 

   No

137

56.1

271

56.9

 

Known Diabetes mellitus

    

0.893

   Yes

66

27.0

131

27.5

 

   No

178

73.0

345

72.5

 

Knowledge of modifiable risk factors

    

0.004

   Yes

31

12.7

103

21.6

 

   No

213

87.3

373

78.4

 

Knowledge of symptoms of heart attack

    

0.004

   Yes

31

12.7

103

21.6

 

   No

213

87.3

373

78.4

 
  1. * Time interval from the onset of symptoms to presentation to the hospital was ≥ 6 hours
  2. § include Rajistani, Bangoli, Gujrati, Marhwi, Katchi, Sirayki or Hindi
  3. € Exercise (that lasted for at least 20 minutes with hard breathing and sweating for at least 3 days/week)