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Aggressive Measures to Decrease Door to Balloon Time May Increase the Incidence of Unnecessary Cardiac

Zaher Fanari, Niksad Abraham, Sumaya Hammami

    Delaware Medical Journal
    |October 28, 2015
    PubMed

    Insights

    Aggressively reducing door-to-balloon time for ST-elevation myocardial infarction (STEMI) may increase false positives and mortality. Careful monitoring is needed to avoid unnecessary procedures in critically ill patients without STEMI.

    Area of Science:

    • Cardiology
    • Emergency Medicine
    • Healthcare Quality Improvement

    Background:

    • Door-to-balloon (DTB) time is a critical metric for ST-segment elevation myocardial infarction (STEMI) care.
    • Aggressive reduction of DTB time is a common quality improvement goal.
    • Potential adverse effects of overly aggressive DTB time reduction are not fully understood.

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