Importance of Acute Coronary Syndrome Knowledge to Improve Early Detection and Reduce Prehospital Delay in Patient with Acute Coronary Syndrome: A Systematic Review

BACKGROUND: Acute coronary syndrome (ACS) is still a global cause of mortality and morbidity. Early detection of ACS is crucial management in preventing the high mortality rate. Several research results show that the perception of the severity of the symptoms is also one of the factors that prompt them to immediately seek help at the hospital. The higher the knowledge of the patient at risk of recognizing the signs and symptoms of ACS, the faster the time required for early detection will trigger a shorter time to seek help. AIM: This study will focus on the effect of knowledge about ACS on early detection and pre-hospital delay. METHODS: A systematic literature search was conducted in the following databases: PubMed, ProQuest, and Science Direct. Keywords used for the search included “knowledge,” “education,” “early detection,” “prehospital delay,” and “acute coronary syndrome” to identify studies published between 2018 and 2022. 709 citations of journal articles written between 2018 and 2020 have been reviewed and 20 studies were meet all of the inclusion criteria. RESULTS: The result shows that knowledge about ACS symptom and the risk factor is important to improve early detection with decreased misinterpretation and misdiagnosis, this condition will lead reduce prehospital delay because increase the need for treatment-seeking as soon as possible. CONCLUSION: Knowledge about ACS symptom and the risk factor is important to improve early detection with decreased misinterpretation and misdiagnosis, this condition will lead reduce prehospital delay because increase the need for treatment-seeking as soon as possible.