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Abstract
Purpose: Time is crucial in the management of acute ST elevation myocardial infarction (STEMI). Delays in presentation and treatment reduce the efficacy of reperfusion therapy and the chance of myocardial salvage. The delay varies widely across different countries because of different patients’ profile and different healthcare capabilities. The pre-hospital delay, hospital delay and total ischemic time have not been reported in Egyptian tertiary care facilities. Conclusion: The delay is considerably longer than that reported in literature. The priority to improve pre-hospital delay should be given to facilitate transportation through ambulances. Efforts to shorten hospital delay should focus on better bed management and more supply of consumables