Improving Door-to-Balloon Time for Patients With Acute ST-Elevation Myocardial Infarction: A Controlled Clinical
Peyman Namdar1, Leili YekeFallah2, Fatemeh Jalalian3
1Emergency medicine specialist, Assistant Professor, Department of Emergency Medicine, Metabolic Disease Research Center, Qazvin University of Medical Science, Qazvin, Iran.
Current Problems in Cardiology
|August 27, 2020
Summary
Implementing a ST-elevation myocardial infarction (STEMI) code significantly reduced door-to-balloon times for heart attack patients. This rapid intervention improves patient outcomes and emergency department efficiency.
Area of Science:
- Cardiology
- Emergency Medicine
- Health Services Research
Background:
- Timely reperfusion is critical for ST-elevation myocardial infarction (STEMI) patients.
- Current guidelines emphasize rapid angioplasty within 90 minutes to restore blood flow.
- Optimizing treatment pathways is essential for improving patient survival and reducing complications.
Purpose of the Study:
- To evaluate the impact of implementing a STEMI code on door-to-balloon time.
- To assess the effectiveness of a standardized STEMI protocol in a clinical setting.
- To determine if a STEMI code improves efficiency in treating acute myocardial infarction.
Main Methods:
- A clinical trial involving 58 STEMI patients was conducted.
- Patients were divided into control and intervention groups.
- The intervention group utilized a "STEMI code" activated by emergency physicians for confirmed cases.
Main Results:
- The mean door-to-balloon time was significantly reduced in the intervention group (79.3 ± 27.4 minutes) compared to the control group (113.5 ± 43.6 minutes) (P=0.001).
- Reductions in cardiac catheterization laboratory (Cath lab) time and balloon inflation time were also statistically significant (P=0.008).
- The STEMI code minimized parallel work and time wastage during acute myocardial infarction treatment.
Conclusions:
- Implementation of the STEMI code is effective in reducing door-to-balloon time for STEMI patients.
- Shorter treatment times improve emergency department workflow and bed occupancy rates.
- This protocol facilitates timely admission for a greater number of patients.
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