Abstract
Background: Primary angioplasty decreases mortality and improves long-term outcomes for patients with STEMI. To be most effective, it needs to be performed expediently, with door-to-balloon times (D2B) less than 90 min. Methods: From January 2005 to presently, 420 short D2B STEMI interventions were performed at 5 community hospitals by a single experienced operator creating the SINCERE (Single INdividual Community Experience REgistry) database. Results: Median D2B time was 78 min, median procedure time (local anesthesia to recanalization) was 13 min; 85.2% of procedures had D2B time <90 min; 95% of the procedures were successful - relief of chest pain, >70% ST segment resolution, TIMI 3 flow and Myocardial Perfusion Grade 3. Conclusions: Primary PCI with high success rates and predictable short D2B times can be performed with standardized techniques in community hospitals.
Original language | English (US) |
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Pages (from-to) | 229-243 |
Number of pages | 15 |
Journal | Journal of the Saudi Heart Association |
Volume | 21 |
Issue number | 4 |
DOIs | |
State | Published - Oct 2009 |
Keywords
- Door-to-balloon times
- Primary PCI
- STEMI
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine