Access the full text.
Sign up today, get DeepDyve free for 14 days.
T. Henry, S. Sharkey, M. Burke, Ivan Chavez, K. Graham, C. Henry, D. Lips, J. Madison, Katie Menssen, M. Mooney, M. Newell, W. Pedersen, A. Poulose, J. Traverse, Barbara Unger, Yale Wang, D. Larson (2007)
A Regional System to Provide Timely Access to Percutaneous Coronary Intervention for ST-Elevation Myocardial InfarctionCirculation, 116
E. Bradley, J. Herrin, Yongfei Wang, B. Barton, Tashonna Webster, J. Mattera, S. Roumanis, J. Curtis, B. Nallamothu, D. Magid, R. McNamara, J. Parkosewich, J. Loeb, H. Krumholz (2006)
Strategies for reducing the door-to-balloon time in acute myocardial infarction.The New England journal of medicine, 355 22
D. Magid, Yongfei Wang, J. Herrin, R. McNamara, E. Bradley, J. Curtis, C. Pollack, W. French, M. Blaney, H. Krumholz (2005)
Relationship between time of day, day of week, timeliness of reperfusion, and in-hospital mortality for patients with acute ST-segment elevation myocardial infarction.JAMA, 294 7
E. Antman, M. Hand, P. Armstrong, E. Bates, L. Green, L. Halasyamani, J. Hochman, H. Krumholz, G. Lamas, C. Mullany, D. Pearle, M. Sloan, Sidney Smith, D. Anbe, F. Kushner, J. Ornato, A. Jacobs, C. Adams, Jeffrey Anderson, C. Buller, M. Creager, S. Ettinger, J. Halperin, S. Hunt, B. Lytle, R. Md, R. Page, B. Riegel, L. Tarkington, C. Yancy (2008)
2007 Focused Update of the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology/American Heart Association Task Force on Practice GuidelinesCirculation, 117
S. Silber, P. Albertsson, F. Avilés, P. Camici, A. Colombo, C. Hamm, E. Jørgensen, J. Marco, J. Nordrehaug, W. Rużyłło, P. Urban, G. Stone, W. Wijns (2005)
Guidelines for percutaneous coronary interventions. The Task Force for Percutaneous Coronary Interventions of the European Society of Cardiology.European heart journal, 26 8
U. Khot, Michele Johnson, Curtis Ramsey, Monica Khot, R. Todd, Saeed Shaikh, W. Berg (2007)
Emergency Department Physician Activation of the Catheterization Laboratory and Immediate Transfer to an Immediately Available Catheterization Laboratory Reduce Door-to-Balloon Time in ST-Elevation Myocardial InfarctionCirculation, 116
J. Curtis, E. Portnay, Yongfei Wang, R. McNamara, J. Herrin, E. Bradley, D. Magid, M. Blaney, J. Canto, H. Krumholz (2006)
The pre-hospital electrocardiogram and time to reperfusion in patients with acute myocardial infarction, 2000-2002: findings from the National Registry of Myocardial Infarction-4.Journal of the American College of Cardiology, 47 8
J. Jacoby, J. Axelband, J. Patterson, D. Belletti, M. Heller (2005)
Cardiac cath lab activation by the emergency physician without prior consultation decreases door-to-balloon time.The Journal of invasive cardiology, 17 3
C. Soon, W. Chan, H. Tan (2004)
The impact of time-to-balloon on outcomes in patients undergoing modern primary angioplasty for acute myocardial infarction.Singapore medical journal, 48 2
M. May, D. So, Richard Dionne, C. Glover, M. Froeschl, G. Wells, R. Davies, H. Sherrard, J. Maloney, J. Marquis, E. O’Brien, J. Trickett, P. Poirier, Sheila Ryan, A. Ha, Phil Joseph, M. Labinaz (2008)
A citywide protocol for primary PCI in ST-segment elevation myocardial infarction.The New England journal of medicine, 358 3
Bosede Afolabi, G. Novaro, S. Pinski, Kenneth Fromkin, H. Bush (2007)
Use of the prehospital ECG improves door-to-balloon times in ST segment elevation myocardial infarction irrespective of time of day or day of weekEmergency Medicine Journal, 24
A. Singer, A. Shembekar, F. Visram, J. Schiller, V. Russo, W. Lawson, Carol Gomes, C. Santora, M. Maliszewski, L. Wilbert, Eileen Dowdy, P. Viccellio, M. Henry (2007)
Emergency department activation of an interventional cardiology team reduces door-to-balloon times in ST-segment-elevation myocardial infarction.Annals of emergency medicine, 50 5
Duane Pinto, A. Kirtane, B. Nallamothu, S. Murphy, D. Cohen, R. Laham, D. Cutlip, E. Bates, P. Frederick, David Miller, J. Carrozza, E. Antman, C. Cannon, C. Gibson (2006)
Hospital Delays in Reperfusion for ST-Elevation Myocardial Infarction: Implications When Selecting a Reperfusion StrategyCirculation, 114
B. Nallamothu, E. Bates, J. Herrin, Yongfei Wang, E. Bradley, H. Krumholz (2005)
Times to Treatment in Transfer Patients Undergoing Primary Percutaneous Coronary Intervention in the United States: National Registry of Myocardial Infarction (NRMI)-3/4 AnalysisCirculation, 111
H. Dieker, M. Brouwer, F. Verheugt (2005)
ESC guidelines for percutaneous coronary interventions.European heart journal, 26 22
George Adams, Paul Campbell, John Adams, D. Strauss, K. Wall, Janet Patterson, Kathy Shuping, C. Maynard, D. Young, Craig Corey, Alan Thompson, Benjamin Lee, G. Wagner (2006)
Effectiveness of prehospital wireless transmission of electrocardiograms to a cardiologist via hand-held device for patients with acute myocardial infarction (from the Timely Intervention in Myocardial Emergency, NorthEast Experience [TIME-NE]).The American journal of cardiology, 98 9
M. Kurz, C. Babcock, S. Sinha, J. Tupesis, J. Allegretti (2007)
The impact of emergency physician-initiated primary percutaneous coronary intervention on mean door-to-balloon time in patients with ST-segment-elevation myocardial infarction.Annals of emergency medicine, 50 5
K. Kalla, G. Christ, R. Karnik, R. Malzer, G. Norman, H. Prachar, W. Schreiber, G. Unger, H. Glogar, A. Kaff, A. Laggner, G. Maurer, J. Mlczoch, J. Slany, H. Weber, K. Huber (2006)
Implementation of Guidelines Improves the Standard of Care: The Viennese Registry on Reperfusion Strategies in ST-Elevation Myocardial Infarction (Vienna STEMI Registry)Circulation, 113
E. Boersma (2006)
Does time matter? A pooled analysis of randomized clinical trials comparing primary percutaneous coronary intervention and in-hospital fibrinolysis in acute myocardial infarction patients.European heart journal, 27 7
K. Eagle, B. Nallamothu, R. Mehta, C. Granger, P. Steg, F. Werf, J. López-Sendón, S. Goodman, Ann Quill, K. Fox (2008)
Trends in acute reperfusion therapy for ST-segment elevation myocardial infarction from 1999 to 2006: we are getting better but we have got a long way to go.European heart journal, 29 5
John Young, H. Phillips, S. Marso, J. Granada, J. Mcpherson, R. Waksman, S. Steinhubl, R. Schwartz, G. Stone (2008)
Vulnerable plaque intervention: State of the artCatheterization and Cardiovascular Interventions, 71
J. Brown, E. Mahmud, J. Dunford, O. Ben-Yehuda (2008)
Effect of prehospital 12-lead electrocardiogram on activation of the cardiac catheterization laboratory and door-to-balloon time in ST-segment elevation acute myocardial infarction.The American journal of cardiology, 101 2
H. Ting, C. Rihal, B. Gersh, L. Haro, Christine Bjerke, R. Lennon, Choon-Chern Lim, J. Bresnahan, A. Jaffe, D. Holmes, M. Bell (2007)
Regional Systems of Care to Optimize Timeliness of Reperfusion Therapy for ST-Elevation Myocardial Infarction: The Mayo Clinic STEMI ProtocolCirculation, 116
R. Wilson, B. Harrison (2002)
What is clinical practice improvement?Internal Medicine Journal, 32
Silber (2005)
Task Force for Percutaneous Coronary Interventions of the European Society of Cardiology. Guidelines for percutaneous coronary interventions. The Task Force for Percutaneous Coronary Interventions of the European Society of CardiologyEur Heart J, 26
E. Keeley, J. Boura, C. Grines (2003)
Primary angioplasty versus intravenous thrombolytic therapy for acute myocardial infarction: a quantitative review of 23 randomised trialsThe Lancet, 361
Background: Primary percutaneous coronary intervention is the standard reperfusion strategy for ST‐segment elevation myocardial infarction in our center. We aimed to shorten the median door‐to‐balloon time from over 100 minutes to 90 minutes or less. Methods: We have been using three strategies since March 2007 to shorten the door‐to‐balloon time: (1) the intervention team is now activated by emergency department physicians (where previously it had been activated by coronary care unit); (2) all members of the intervention team have converted from using pagers to using cell phones; and (3) as soon as the intervention team is activated, patients are transferred immediately to the cardiac catheterization laboratory (where previously they had waited in the emergency department for the intervention team to arrive). An in‐house physician and a nurse would stay with the patients before arrival of the intervention team. Results: During 12 months, 285 nontransfer patients (analyzed, n = 270) underwent primary PCI. The shortest monthly median door‐to‐balloon time was 59 minutes; the longest monthly median door‐to‐balloon time was 111 minutes. The overall median door‐to‐balloon time for the entire 12 months was 72 minutes. On a per‐month basis, the median door‐to‐balloon time was 90 minutes or less in 10 of 12 months. On a per‐patient basis, the median door‐to‐balloon time was 90 minutes or less in 182 patients (67.4%). There was 1 case (0.4%) of inappropriate activation by the emergency department. While waiting for the intervention team to convene, 1 patient (0.4%) deteriorated and had to be resuscitated in the cardiac catheterization laboratory. Conclusions: Improved health care delivery can be achieved by changing simple and inexpensive operational processes.
Journal of Interventional Cardiology – Wiley
Published: Oct 1, 2008
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.