A systematic review of factors predicting door to balloon time in ST-segment elevation myocardial infarction treated with percutaneous intervention

Referral pathways for reperfusion of STEMI – developing strategies for appropriate intervention

“…Patient, system and other delays contribute to the inability to meet quality targets. (4)(5)(6) Factors contributing to extended referral pathways, such as cath lab activation times and door-to-balloon time, need to be identified and specifically targeted to ensure improved patient outcomes.…”

Location of the Culprit Coronary Lesion and Its Association With Delay in Door-to-Balloon Time (from a Multicenter Registry of Primary Percutaneous Coronary Intervention)

“…Acute anterior wall myocardial infarction does not usually affect DBT. 1,2 A small study demonstrated that lesions of the left main trunk (LMT) might result in longer DBTs. 3 In a small series of myocardial infarction, patients who underwent emergent PCI, a previous study showed the left circumflex artery (LC) to be less likely to present with ST elevation, 4 and STsegment elevation is detected in <50% of cases with LC territory occlusion because of a lack of corresponding electrocardiographic leads 5 ; however, its association with DBT and outcome was unclear.…”

Prehospital activation of cardiac catheterization teams in ST-segment elevation myocardial infarction

“…Furthermore, it is directly related to in-hospital mortality in STEMI. 5,14,15 Our new protocol achieved a 35-min reduction in CLAD and a 37-min reduction in SD. There were no significant differences between the sum of diagnosis delay plus transfer time, or in the duration of primary PCI, which implies that the observed SD reduction was mainly driven by the improvement in CLAD.…”