Abstract
The management and outcome of acute myocardial infarction have not been well studied in developing countries, albeit segment information from the World Health Organization show that creating nations contribute a significant offer to the worldwide weight of cardiovascular ailment. Point: To set up the greatness of pre emergency clinic and medical clinic delays in determination and in starting thrombolytic treatment in qualified patients with intense ST rise myocardial dead tissue. Patients &Methods: An observational-cross sectional investigation led in the coronary consideration unit of Baghdad showing emergency clinic from January 2018 to July 2018. Detailed in-medical clinic history, including age, sex, coronary corridor infection chance factors, the primary spot of referral after the torment started, beginning of the agony and reasons for delay in referral. The finding of intense myocardial localized necrosis (AMI) depended on the meanings of the American College of Cardiology. An ECG was recorded not long before beginning the Tenecteplase and it was rehashed an hour and a half after thrombolytic treatment, later survey the nearness of reperfusion lists (Reduction of half in ST portion rise in the infarct lead and missing of chest torment notwithstanding heart compounds changes). Results: Seventy-nine patients were enrolled for this investigation with mean time of 56.2± 12.5 years; 86% were men, 91% of the patients gave chest torment. The predominance of Diabetes mellitus, smoking, Hypertension, and dyslipidemia were 40%, 55%, 32%, and 7% of the examination populace separately. The middle deferral between side effect beginning and emergency clinic appearance was 22.2 hours, Thrombolytic treatment was utilized for 56•9% of patients. In-clinic mortality was 5.9%. In-emergency clinic results included cardiovascular breakdown 41.2% for the individuals who didn't get thrombolytic treatment VS 2.2% for the individuals who get it, arrhythmia 5.9% for the individuals who didn't get thrombolytic treatment VS 4.4% for the individuals who got it. End: Underutilization of thrombolytic treatment in qualified patients with intense myocardial dead tissue because of deferral in looking for clinical consideration and referral delay. Utilization of thrombolysis in intense myocardial localized necrosis was related with huge abatement in-emergency clinic mortality and dreariness.

Key words: Chest Pain, Myocardial Infarction, Thrombolytic Therapy, Dyslipidemia.