Causes of Delayed Presentation of MI Patients to a Tertiary Care Hospital

NCT07160556 | Completed

• 1 other identifier: Ref no. 524 /BKMC
• Study Type: observational
• Target: 362
• Locations: 1 country
• Sites: 1

Brief Summary

This study is being done to learn more about people who have had a heart attack, also called a myocardial infarction (MI). A heart attack happens when blood flow to the heart muscle is blocked, causing damage. The purpose of this study is to better understand the causes of delayed presentation and effects of the factors that caused delayed presentation. We will collect information about patients' medical history, treatments, and recovery after their heart attack. This information may include blood tests, heart imaging, medications, and lifestyle factors. By studying these patients, we hope to find patterns that can help doctors predict complications, improve treatment, and reduce the chance of another heart attack. The results of this study may help health care providers give better care and guidance to patients and families living with heart disease.

Conditions

Myocardial Infarction; DM; HTN-Hypertension

Keywords

Myocardial Infarction; Delayed presentation; Acute Coronary Syndrome; Cardiovascular Disease

Outcome Measures

Primary Outcomes (1)

• Number and percentage of MI patients identifying specific barriers (e.g., lack of awareness, distance, transport issues) for delayed hospital presentation, using a researcher-designed structured questionnaire.

  Data will be collected using a structured and standardized questionnaire. The questionnaire includes: 1. Sociodemographic data: age, gender, BMI, employment status, past history of MI, and comorbidities. 2. Knowledge of MI symptoms and severity. 3. Pre-hospital details: first medical contact, transportation, and time to hospital. 4. In-hospital details: time to diagnosis and treatment. Responses will be summarized as frequency and percentage distributions for categorical variables (e.g., gender, employment, comorbidities), and mean ± SD for continuous variables (e.g., age, BMI).

  6 months

Interventions

Observational OTHER

no intervention was required for this cross sectional study

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population consists of adult patients diagnosed with acute myocardial infarction (MI) admitted to the cardiology department. Eligible participants include both male and female patients who meet the clinical and diagnostic criteria for MI and provide informed consent

You may qualify if:

• Adults aged 18 years and older with a confirmed diagnosis of myocardial infarction (STEMI or NSTEMI).
• Ability to provide informed consent (or consent from a legally authorized representative if patient is incapacitated).

You may not qualify if:

• Severe comorbid illness (e.g., advanced cancer, end-stage renal or liver disease) that may limit survival or affect study outcomes.
• Inability to comply with follow-up requirements (e.g., cognitive impairment, lack of contact information, or unwillingness to participate)

Sponsors & Collaborators

• Bacha Khan Medical College: lead

Study Sites (1)

Mardan Medical Comlex, Mardan

Mardan, KPK, 23200, Pakistan

Location

MeSH Terms

Conditions

Myocardial Infarction; Hypertension; Acute Coronary Syndrome; Cardiovascular Diseases

Interventions

Watchful Waiting

Condition Hierarchy (Ancestors)

Myocardial Ischemia; Heart Diseases; Vascular Diseases; Infarction; Ischemia; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Necrosis

Intervention Hierarchy (Ancestors)

Outcome Assessment, Health Care; Outcome and Process Assessment, Health Care; Quality of Health Care; Health Services Administration

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: doctor

Study Record Dates

• First Submitted: August 23, 2025
• First Posted: September 8, 2025
• Study Start: July 1, 2024
• Primary Completion: November 1, 2024
• Study Completion: November 1, 2024
• Last Updated: September 8, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)