Table 2 Reasons not to undergo diagnostic coronary angiography (CAG) for indicated patients (n = 201).

From: Adherence to guideline recommendations for coronary angiography in a poor South-East Asian setting: Impact on short- and medium-term clinical outcomes

Reasons/motivations

Frequency (%)

High costs without possibility to cover these expenses (no funds or insurance)

1 (0.5)

Fear of side effects of the procedure that will be debilitating, cause disability, and life-threatening

28 (13.9)

Fear that the procedure is a major/big surgical procedure and patient is not ready for all the potential risks

22 (10.9)

Family’s refusal for the patient to undergo the procedure

5 (2.5)

Reduced symptoms on current medication and patient is convinced that additional procedures or treatments are not necessary

46 (22.9)

Denial of a heart disease (e.g. belief that symptoms are caused by other reasons)

1 (0.5)

Personal uncertainty concerning the beneficial impact on clinical outcomes or quality of life

23 (11.4)

Preference to the procedure at a larger tertiary center (the National Heart Center in Jakarta)

1 (0.5)

Other reasons (e.g. older age; preference for traditional medications or natural healing; relatives/friends’ negative information, belief, etc.)

15 (7.5)

Unknown or personal reasons

10 (5.0)

Constrained by limited resources (i.e. poor transportation, complicated administration, or limited cardiologists)

49 (24.4)

Total

201 (100.0)