Optimizing door-to-balloon times for STEMI interventions - Results from the SINCERE database

Sameer Mehta; Estefanía Oliveros; Carlos E. Alfonso; Esther Falcão; Faisal Shamshad; Ana I. Flores; Salomon Cohen

doi:10.1016/j.jsha.2009.10.006

Optimizing door-to-balloon times for STEMI interventions - Results from the SINCERE database

Sameer Mehta, Estefanía Oliveros, Carlos E. Alfonso, Esther Falcão, Faisal Shamshad, Ana I. Flores, Salomon Cohen

Medicine

Research output: Contribution to journal › Article › peer-review

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)
Pages (from-to)	229-243
Number of pages	15
Journal	Journal of the Saudi Heart Association
Volume	21
Issue number	4
DOIs	https://doi.org/10.1016/j.jsha.2009.10.006
State	Published - Oct 2009

Keywords

Door-to-balloon times
Primary PCI
STEMI

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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title = "Optimizing door-to-balloon times for STEMI interventions - Results from the SINCERE database",

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.",

keywords = "Door-to-balloon times, Primary PCI, STEMI",

author = "Sameer Mehta and Estefan{\'i}a Oliveros and Alfonso, {Carlos E.} and Esther Falc{\~a}o and Faisal Shamshad and Flores, {Ana I.} and Salomon Cohen",

year = "2009",

month = oct,

doi = "10.1016/j.jsha.2009.10.006",

language = "English (US)",

volume = "21",

pages = "229--243",

journal = "Journal of the Saudi Heart Association",

issn = "1016-7315",

publisher = "King Saud University Press",

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}

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AU - Mehta, Sameer

AU - Oliveros, Estefanía

AU - Alfonso, Carlos E.

AU - Falcão, Esther

AU - Shamshad, Faisal

AU - Flores, Ana I.

AU - Cohen, Salomon

PY - 2009/10

Y1 - 2009/10

N2 - 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.

AB - 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.

KW - Door-to-balloon times

KW - Primary PCI

KW - STEMI

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Optimizing door-to-balloon times for STEMI interventions - Results from the SINCERE database

Abstract

Keywords

ASJC Scopus subject areas

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