The impact of door-to-electrocardiogram time on door-to-balloon time after achieving the guideline-recommended target rate

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...

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...

Door-to-balloon time: are we evaluating the wrong metric?

Decreased Door to Balloon Time: Better Outcome for the Patient?

Recently the American College of Cardiology and the American Heart Association instituted DTB of 90 minutes or less as a class I recommendation. Since 2006 the percentage of patient meeting this metric has substantially increased, although research has demonstrated discrepancies in whether or not this objective is associated with better patient outcome. Here, we reviewed seven studies in effort...