Rationale: Cardiovascular disease in Mongolia reached 1,321 per 10,000 population in 2019, an increase of 304 from the average of the last 10 years and of 172 from the previous year.
If diagnosis and treatment of acute MI will be carried out in a timely manner, it will increase the possibilities to prevent complications, reduce mortality, and improve the quality of life of patients with MI. Purpose: The purpose of this study was to Investigating the relationship of time to delivery to the hospital from symptoms of patients with acute heart infarction Methodology: A questionnaire with 31-item developed by Li S. Chai, Zabidah Putit, Sidiah Siop, 2016 was used. Data from 80 out of a total of 157 patients from the emergency department and myocardial Infarction department of the Third Central State Hospital were collected from December 2021 to January 25, 2022. Research results: According to the result of the study, 67.5 percent of respondents came to the Emergency Department within 24 hours, and 45 percent came from a distance of 200 km. The intensity of pain and time to visit the hospital have a negative correlation (r=-0.709**, p=0.01), and the awareness of having a heart attack and seeking medical help have a positive correlation (r=0.263*, p=0.05). Conclusions The longer a client is away from a hospital in Ulaanbaatar where coronary artery disease can be treated, the longer it will take to receive care.
Another factor contributing to delays in medical care is the client’s poor clinical symptoms and poor health education for cardiovascular disease. The more severe the pain, the faster the time to go to the hospital.

Rationale: Cardiovascular disease in Mongolia reached 1,321 per 10,000 population in 2019, an increase of 304 from the average of the last 10 years and of 172 from the previous year. In terms of gender, the mortality rate in 2010 was 8 for men (3 times higher than for women), while in 2019, the male mortality rate decreased by 1 from 2010 (7 times higher than for women). Purpose: The purpose of this study was to Determination of risk factors affecting heart attack in mongolia people Methodology: A qualitative study and descriptive survey model was used in this study. Research results: The average duration of pain symptom was 62.5 minutes (range of pain duration 20 minutes to 2 hours). The most common risk factor for MI among the participants was hypertension (70%). Age group of 51-65 were 50 %, male was 66.2%, arriving at the emergency department within 3-6 hours was 30%, chest pain was 35%, pain intensity scores 4 out of 10 was 38,5%. 92.3% of 13 patients who had pain intensity score of more than 8 has arrived at the emergency department within 2 hours while 84.6% of 13 patients who had pain intensity score of less than 2 arrived 24 hours later. Conclusions Most patients spend a lot of time not knowing what their symptoms are because they do not have clear information about their symptoms. This indicates poor health education.