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Minimization of door-to-balloon time for ST-elevation acute myocardial infarction: a case report

Naoyuki Akashi1, Kenichi Sakakura1, Kei Yamamoto1

  • 1Division of Cardiovascular Medicine Saitama Medical Center Jichi Medical University Omiya-ku Saitama Japan.

Clinical Case Reports
|June 8, 2017
PubMed

Insights

Minimizing emergency department procedures is crucial for reducing door-to-balloon time in ST-elevation acute myocardial infarction treatment. This case report details strategies for streamlining care without compromising patient safety.

Area of Science:

  • Cardiology
  • Emergency Medicine
  • Interventional Cardiology

Background:

  • Rapid reperfusion is critical for ST-elevation acute myocardial infarction (STEMI) outcomes.
  • Minimizing delays in primary percutaneous coronary intervention (PCI) directly impacts myocardial salvage and patient prognosis.

Observation:

  • This case report focuses on a STEMI patient requiring urgent treatment.
  • Strategies were implemented to streamline both emergency department (ED) and catheterization laboratory workflows.
  • The primary goal was to reduce the door-to-balloon (D2B) time through procedural minimization.

Findings:

  • Efforts were made to optimize each step of the patient pathway from ED arrival to balloon inflation in the coronary artery.
  • Procedural efficiency was enhanced in the ED, potentially reducing time spent on non-critical interventions.
  • Catheter laboratory procedures were also streamlined to expedite PCI delivery.

Implications:

  • Implementing ED minimization strategies can significantly reduce D2B times in STEMI patients.
  • Streamlined care pathways in STEMI management are essential for improving clinical outcomes.
  • This approach highlights the importance of interdepartmental collaboration to enhance emergency cardiac care.

Keywords:
Door‐to‐balloon timeST‐elevation myocardial infarctionpercutaneous coronary intervention

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