National Efforts to Improve Door-to-Balloon Time

Tyranny of Door-to-Balloon Time.

Improving Door-to-balloon Time by Decreasing Door-to-ECG time for Walk-in STEMI Patients

INTRODUCTION The American Heart Association/American College of Cardiology guidelines recommend rapid door-to-electrocardiography (ECG) times for patients with ST-segment elevation myocardial infarction (STEMI). Previous quality improvement research at our institution revealed that we were not meeting this benchmark for walk-in STEMI patients. The objective is to investigate whether simple, dir...

Four steps to reducing door-to-balloon time.

Door-to-balloon time and ST-segment elevation myocardial infarction.

I would like to congratulate the authors for their paper in the mini-focus issue on the ST-segment elevation myocardial infarction (STEMI) (1), for calling attention to the fact that door-toballoon time might not be the best metric to assess successful treatment of STEMI (2). In their State-of-the-Art paper, the authors clearly point out that measuring door-to-balloon time ignores, for the most...

Effect of door-to-balloon time on patient mortality.

abnormal. Excluding borderline abnormal EFs from systolic heart failure leads to a more homogeneous population wherein management is substantially evidence-based. However, including borderline abnormal EFs in PSF renders the terminology selfcontradictory, because systolic function is normal in diastolic heart failure (2). Rather than imposing a definition, if the authors query the frequency dis...