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Time to Treatment in Primary Percutaneous Coronary Intervention
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Time to Treatment in Primary Percutaneous Coronary Intervention
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Journal Article
Time to Treatment in Primary Percutaneous Coronary Intervention
2007
Overview
Early administration of reperfusion therapy improves survival among patients with ST-elevation myocardial infarction. For primary percutaneous intervention, a goal of 90 minutes or less for door-to-balloon time is incorporated into many measures of quality performance, but delay remains common, with little improvement in this measure over recent years. This review examines the strategies for reducing door-to-balloon time and for selecting the appropriate reperfusion therapy, especially when a delay is unavoidable.
Early administration of reperfusion therapy improves survival among patients with ST-elevation myocardial infarction. This review examines the strategies for reducing door-to-balloon time and for selecting the appropriate reperfusion therapy, especially when a delay is unavoidable.
Early administration of reperfusion therapy improves survival in patients with ST-elevation myocardial infarction by reestablishing coronary blood flow within the occluded infarct-related artery.
1
Primary percutaneous coronary intervention (PCI) is superior to fibrinolytic therapy when performed rapidly by expert teams,
2
but its effectiveness may be limited by delays in delivery.
3
Recent national efforts are drawing attention to the importance of door-to-balloon time as a key indicator of quality of care for patients with ST-elevation myocardial infarction who are treated with primary PCI.
4
The American College of Cardiology (ACC), in collaboration with the American Heart Association (AHA), the American College of Emergency . . .
Publisher
Massachusetts Medical Society
