Volume : VIII, Issue : VIII, August - 2019

Improvement in door–to–balloon times by emergency physician activation of the cardiac catheterisation laboratory in ST– segment elevation myocardial infarction patients

Rafiq Ahmed Bhat, Chuanyu Gao, Raja Saqib Iqbal

Abstract :

Objective: The present study was to find out if by introducing CODE STEMI protocol in emergency department of tertiary care teaching hospital, helps to reduce door to balloon time of patients presenting with ST elevation myocardial infarction. Material & Methods: A total of 91 consecutive STEMI patients were evaluated from August 2017 to July 2018. The emergency physician activated Code STEMI required simultaneous activation of cardiac catheterisation personnel and the on–call interventional cardiologist by the emergency physician. These patients were compared with our staff cardiologist activated primary angioplasty protocol from August 2016 to July 2017 for 91 consecutive STEMI patients. Results: Median door–to–balloon time decreased overall (102 vs. 60 min, p < 0.001). Of the three components of door–to–balloon time analysed, the ECG to cardiac catheterization laboratory time showed the largest area of improvement with 31 min absolute reduction in median door–to–balloon time. Median hospital length of stay (5 vs. 3 days, p < 0.01) also decreased. We did not see any statistically significant difference in all–cause in–hospital mortality (p = 0.32). Conclusions: Emergency physician activation of the Code STEMI significantly reduces door–to balloon time to within national standards of care, and length of stay in STEMI patients.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

IMPROVEMENT IN DOOR-TO-BALLOON TIMES BY EMERGENCY PHYSICIAN ACTIVATION OF THE CARDIAC CATHETERISATION LABORATORY IN ST- SEGMENT ELEVATION MYOCARDIAL INFARCTION PATIENTS, Rafiq Ahmed Bhat, Chuanyu Gao, Raja Saqib Iqbal INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-8 | August-2019

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