As many as 53% of SKA patients spend more than 90 minutes to get PCI treatment.

The average patient who has been proven to have SKA contacted an ambulance after 140
minutes of onset. Public education through the mass media can increase public awareness and
awareness of health and cardiac emergency, so that it is expected to reduce the time from
onset to health services in the ED. The application of the ECG transmission system to a
referral hospital can prevent sudden death in heart failure patients.
In our hospital, it turns out there are varied character and descriptions of chest pain
reports. Cases of coronary heart disease are also fairly high in Aceh Province. Preventive
management and lifestyle modification need to be done to reduce the incidence of CHD in
Aceh. Lifestyle modification can be a solution in cardiovascular cases. Rosiek and
Lekskowski in the study found 39%, 11%, and 10% reduction in mortality, respectively, in
reducing cholesterol, stopping smoking and increasing physical activity. A comparative study
of CHD patients in the normal group, found that a decrease in TDS, cholesterol levels, and
smoking cessation was associated with a reduction in death due to IHD (primary prevention
79%, secondary prevention 21%).

Table 3. SKA Risk Factor Classification 9

Individual Factor Biochemical and Physiological Lifestyle

Factors
Age Hypertension Smoking
Gender Increased total cholesterol - LDL Unhealthy diet
Family Disease History Low HDL levels Physical
Inactivity
Genetic marker Diabetes
Obesity
Procoagulant Factors
Chronic Inflammatory Markers
ECG monitoring