Door-to-Balloon Time in Primary Percutaneous Coronary Intervention

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Trends in door-to-balloon time and mortality in patients with ST-elevation myocardial infarction undergoing primary percutaneous coronary intervention.

BACKGROUND In patients with acute ST-elevation myocardial infarction (STEMI) who are undergoing percutaneous coronary intervention, current guidelines for reperfusion therapy recommend a door-to-balloon (DTB) time of less than 90 minutes. Considerable effort has focused on reducing DTB time with the assumption that a reduction in DTB time translates into a significant reduction in mortality; ho...

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Causes of delay in door-to-balloon time in south-east Asian patients undergoing primary percutaneous coronary intervention

OBJECTIVE To evaluate causes and impact of delay in the door-to-balloon (D2B) time for patients undergoing primary percutaneous coronary intervention (PPCI). SUBJECTS AND METHODS From January 2009 to December 2012, 1268 patients (86% male, mean age of 58 ± 12 years) presented to our hospital for ST-elevation myocardial infarction (STEMI) and underwent PPCI. They were divided into two groups: ...

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Door-to-balloon time in primary percutaneous coronary intervention: is the 90-minute gold standard an unreachable chimera?

Over the past decade, primary percutaneous coronary intervention (PCI) has emerged as an effective treatment strategy for acute ST-segment–elevation myocardial infarction (STEMI). Compared with thrombolytic therapy, the benefits of primary PCI include a reduction in the frequency of total stroke and hemorrhagic stroke, a reduction in the frequency of reinfarction, and an increase in the frequen...

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Primary Percutaneous Coronary Intervention for ST–Elevation Myocardial Infarction and Door-to-Balloon Time: A Catheterization Laboratory Perspective

Rapid reperfusion improves mortality in patients with acute STelevation myocardial infarction (STEMI). Moreover, achieving reperfusion by primary percutaneous coronary intervention (PCI) instead of fibrinolytic therapy is preferred because patients have less strokes, less nonfatal reinfarctions, and a lower mortality rate (Keeley et al., 2003). However, because achieving perfusion with primary ...

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Percutaneous Coronary Intervention Impact of Prolonged Door-to-Balloon Times on the Diastolic Function in Acute ST-Elevation Myocardial Infarction Patients Undergoing Primary Percutaneous Coronary Intervention

Background: Emerging evidence indicates that diastolic left ventricular (LV) function is a powerful outcome predictor after acute ST-elevation myocardial infarction (STEMI). We hypothesized that shorter door-to-balloon (D2B) times with early restoration of coronary perfusion may preserve diastolic LV function in STEMI patients undergoing primary percutaneous coronary intervention (PPCI). Method...

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ژورنال

عنوان ژورنال: Circulation

سال: 2006

ISSN: 0009-7322,1524-4539

DOI: 10.1161/circulationaha.105.606905