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Door-to-Balloon Time and Mortality among Patients Undergoing Primary PCI
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Door-to-Balloon Time and Mortality among Patients Undergoing Primary PCI
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Journal Article
Door-to-Balloon Time and Mortality among Patients Undergoing Primary PCI
2013
Overview
An analysis of national cardiovascular data showed that median door-to-balloon times for primary PCI declined from 83 minutes in 2005 to 67 minutes in 2009, whereas in-hospital mortality remained unchanged during this period.
Primary percutaneous coronary intervention (PCI) is currently the preferred treatment for acute ST-segment elevation myocardial infarction. Previous observational studies have shown a strong association between prompt performance of primary PCI, as assessed in terms of the door-to-balloon time (the interval from the patient's arrival at the hospital to inflation of the balloon to restore flow), and reduced mortality.
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On the basis of these data, current joint clinical practice guidelines of the American College of Cardiology and the American Heart Association (ACC–AHA) endorse a door-to-balloon time of 90 minutes or less as the goal, giving it a Class I (highest . . .
Publisher
Massachusetts Medical Society
Subject
/ Angioplasty, Balloon, Coronary - standards
/ Angioplasty, Balloon, Coronary - trends
/ Biological and medical sciences
/ Female
/ Humans
/ Male
/ Myocardial Infarction - mortality
/ Myocardial Infarction - therapy
/ Patients
/ Practice Guidelines as Topic
/ Shock, Cardiogenic - mortality
