Angina, a common symptom of coronary artery disease, often serves as a precursor to acute coronary events. Timely medical intervention is critical for angina patients, yet many individuals experiencing angina delay seeking medical care. This review article delves into the psychology of pre-hospital delay, exploring the cognitive, emotional, and social factors influencing patient decision-making. By understanding these factors, healthcare providers can develop targeted interventions to reduce pre-hospital delay, improve patient outcomes, and alleviate the strain on healthcare systems.