Delay in seeking medical care following symptoms onset in patients with acute myocardial infarction lead to increased morbidity and mortality. Aim: to identify the factors associated with pre-hospital delay among patients with AMI. Subjects and methods: the study was conducted in the coronary care unit in the internal medicine department & emergency department. Study design: descriptive correlation design was utilized in this study. The subjects of this study consisted of 100 patients who were admitted in the mentioned settings. Tools: Tool one: Structured Interview questionnaire sheet, Tool two: The Modified Response to Symptoms Questionnaire (MRSQ).Results: the majority of the studied patients were male (83%), (84%) were married, (44%) illiterate, (47%) their age (≥ 60 years), (44%) unemployed. Conclusions: a highly statistical significant relation was found between distance, mode of transportation, nature of pain and prehospital delay. The study findings also concluded that significant relation exists between levels of anxiety, ability to control symptoms, seriousness of symptoms and prehospital delay. Significant relation was also present between symptoms attribution to the heart, indigestion and pre hospital delay. Recommendations: utilizing the mass media and health classes in different health agencies to increase awareness of people about the disease .