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Aim: The aim of this article is to assess the socio-demographic, personal, situational and time-related factors infl uencing the duration of the process of decision making of patients with acute coronary syndrome (ACS) when calling for help. Methods: 83 consecutive patients were included in our study while they were hospitalized at our ward during the period from 12/2018 to 3/2019 because of ST elevation myocardial infarction (STEMI). The patients fi lled in a questionnaire while its items were related to their knowledge of ACS and the reasons for the delay before they were admitted to the hospital (delay). Results: In total, 83 patients were included in our research (63 men and 20 women), the age median of the set was 63 years. Only 15 patients (18.1%) had their coronary arteries previously intervened. 38 patients (45.8%) were aware of ACS symptoms and the rest (43.4%, i.e. 36 patients) knew about at least two risk factors of coronary heart disease (CHD). Klíčová slova: Akutní koronární syndrom Přednemocniční zdržení STEMI 017_020_Puvodni sdelen Grezl.indd 17 17/02/2020 12:18:50 18 Přednemocniční zdržení u STEMI

(The reasons of pre-hospital delay in patients with STEMI)