Table 8.

Reasons for Delay in STEMI Care.

1	Lack of awareness of symptoms
2	Attribution of symptoms to gastro-intestinal disorders
3	Self medication
4	Family members’ inability to appreciate the gravity of situation
5	Silent or painless MI
6	Delays in call for medical attention/ambulance
7	Transportation difficulty-especially in rural areas
8	Inaccessibility of remote areas to medical care 24 × 7
9	Poor telemedicine technology
10	Delay in hospital/ambulance response times
11	Poorly trained paramedics/technicians
12	Poorly equipped ambulances
13	Transportation/traffic delays
14	Lack of primary PCI facilities
15	Lack of round the clock staff and cath lab access
16	Economic affordability/lack of health insurance schemes
17	Delays in patient consent