Date of Award

Spring 4-19-2018

Document Type


Degree Name

Bachelor of Arts


Modern Languages & Literature

First Advisor

James McGavran

Second Advisor

Anna Aydinyan

Third Advisor

Amy Ferketich


Myocardial infarction [MI] also known as a heart attack is triaged as ACS [acute coronary syndrome], the number one cause of death in the United States, the Russian Federation and many other countries across the globe. It is a very well researched topic. The medical community has developed effective minimally invasive emergent treatment options. Risk factors, symptom clusters, and diagnostic techniques are relatively well understood. Yet millions of Russians and Americans die each year from ACS because of delays in emergent care. These delays are amplified in the rural setting where resources are limited and ground transport times are long. This paper analyzes ACS from a clinical and epidemiological perspective in rural areas of both countries in order to determine the primary issues in prophylactic and emergent care and propose solutions.

Rights Statement

All rights reserved. This copy is provided to the Kenyon Community solely for individual academic use. For any other use, please contact the copyright holder for permission.