Acute coronary syndrome (ACS) management responds to the imperatives of time, this is articulated around clear deadlines whose reduction is a challenge of which will depend the prognosis, we aimed by this work to evaluate ACS management and its delays in the region of blida and its surroundings.

We conducted a prospective, descriptive, single-center study of 222 patients admitted to the cardiovascular intensive care unit of Blida University hospital for the management of ACS over a four-month period (10/2018–02//2019). We mainly studied the delays and factors involved in their lengthening before and after appearance of the pathology.

76% of our patients were males (sex ratio 3.1), 47% were hypertensive, 39% were diabetic and 38% were smokers. Nearly 55% live in Blida, the rest came frome farther (50 to 450km). 43% were hospitalized for STEMI and 57% NSTEMI. The average time for reperfusion (chest pain-reperfusion) was at 1536min in NSTEMI while 58% of patients received for STEMI were reperfused within 6hours. The average system delay (1st medical contact-reperfusion) was at 314minutes for STEMI and 890minutes for NSTEMI. Only 18% of the patients came directly to our level, 82% were viewed at least by one other center (non-capable of primary PCI or thrombolysis). An under equipated ambulance (45%) and the private vehicle (38%) were the main means of transport, only 01% of patients were transfered by medical emergency transport (SAMU). despite 52% of previous follow-ups in medical consultations, only 15% of the patients had a good knowledge of their cardiovascular pathology and only 18% were sensibilized to the risk of occurrence of ACS.

We have relatively long delays in ACS management in our region, this work identify certain factors affecting directly this delay; in addition to a poorly organized network, there is a real inertia in the sensiblization of these patients despite their previous follow in consultation.