What is the ideal door to balloon time?
The current optimal door to balloon time is 90 minutes, but in practice often exceeds 120 minutes. Additionally, patients often do not come to the hospital after the onset of symptoms for a heart attack, suggesting that ischemic times in the patient population are more in the order of three hours.
What is door to balloon time for PCI?
Background. Current guidelines for the treatment of ST-segment elevation myocardial infarction recommend a door-to-balloon time of 90 minutes or less for patients undergoing primary percutaneous coronary intervention (PCI).
What is the goal for first medical contact to balloon time for a patient receiving percutaneous coronary intervention?
The 2004 American College of Cardiology/American Heart Association STEMI guidelines re-emphasized the importance of time to treatment and defined the goal times to reperfusion from first medical contact at 30 min for fibrinolysis and 90 min for primary PCI, respectively (6,7).
How long does stemi pain last?
The pain generally lasts more than 10 minutes and may radiate to either arm, the neck, or the jaw. The pain may be associated with dyspnea, nausea or vomiting, syncope, fatigue, or diaphoresis.
When should patient be sent to cath lab?
Cath labs are an important part of treating heart conditions. A doctor may send a patient to a cath lab to diagnose and treat coronary artery disease, heart attacks, chest pain, congestive heart failure, peripheral (limb) vascular disease, pulmonary hypertension and even pulmonary embolisms, also known as blood clots.
Which is worse NSTEMI or STEMI?
NSTEMI: What You Need to Know. NSTEMI stands for non-ST segment elevation myocardial infarction, which is a type of heart attack. Compared to the more common type of heart attack known as STEMI, an NSTEMI is typically less damaging to your heart.
What is door-to-balloon time?
Door-to-balloon time is an integral process metric for measuring cardiovascular quality. Since its inclusion in the ACC/AHA Guidelines for STEMI management as a Class 1A recommendation, 1 door-to-balloon time has evolved into a national quality metric.
Does door-to-balloon time affect ischemic damage and outcomes?
Intuitively, reducing such time should reduce the degree of ischemic damage and ultimately improve patient outcomes. Indeed, in observational studies, shorter door-to-balloon times for individual patients are associated with lower mortality in-hospital, 2-4 at 30-days, 5 and at 1 year. 6
What is door-to-balloon in ECC?
Door-to-balloon is a time measurement in emergency cardiac care (ECC), specifically in the treatment of ST segment elevation myocardial infarction (or STEMI). The interval starts with the patient’s arrival in the emergency department, and ends when a catheter guidewire crosses the culprit lesion in the cardiac cath lab.
Is door-to-balloon time an important cardiovascular time metric?
Additionally, while door-to-balloon time is important, it represents only a fraction of overall ischemic time, and emphasis on this metric should be made in concert with other efforts to improve cardiovascular care.