Related Experiment Video

Updated: Jul 21, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

11.9K

Major Delay in Door-to-Ballon Time for Primary Percutaneous Coronary Intervention is Not Related to Interventional

Mohammad R Movahed1,2, Rana Irilouzadian1

  • 1Department of Medicine, University of Arizona Sarver Heart Center, College of Medicine, Tucson, Arizona.

The International Journal of Angiology : Official Publication of the International College of Angiology, Inc
|February 13, 2025
PubMed

Insights

Interventional cardiologists are not the cause of delays in door-to-balloon time (DBT) for ST-elevation myocardial infarction (STEMI) patients. Our study found the longest delays occurred before the interventional cardiologist was involved.

Area of Science:

  • Cardiology
  • Healthcare Management

Background:

  • Door-to-balloon time (DBT) is a critical metric for ST-elevation myocardial infarction (STEMI) treatment.
  • Interventional cardiologists are often held accountable for DBT delays, despite their position late in the STEMI activation chain.

Purpose of the Study:

  • To analyze DBT data and identify specific time delays within the STEMI activation process.
  • To assess the contribution of interventional cardiologist availability to overall DBT.

Main Methods:

  • Retrospective analysis of DBT data from STEMI cases at the University of Arizona Medical Center (UAMC) over two fiscal years (2011-2012).
  • Calculation of 'time to start procedure' (TSP) for interventional cardiologists and other time intervals within the DBT pathway.

Main Results:

  • The mean TSP for interventional cardiologists was 4 minutes and 24 seconds, indicating minimal delay.
  • The longest delay was observed in the STEMI team's arrival, averaging 17 minutes and 38 seconds.
  • This study is the first to demonstrate that interventional cardiologist arrival is not the primary cause of DBT delays.

Conclusions:

  • Interventional cardiologists are not the main source of delays in achieving optimal door-to-balloon times for STEMI patients.
  • Focusing on earlier stages of the STEMI activation pathway, such as team arrival, is crucial for improving DBT.
  • Detailed time analysis of the DBT process is essential for accurate identification of bottlenecks.

Keywords:
STEMIcoronary revascularizationdoor-to-balloon timeprimary PCIprimary angioplastyprimary stentingtiming

More Related Videos

Improvement of a Closed Chest Porcine Myocardial Infarction Model by Standardization of Tissue and Blood Sampling Procedures10:01

Improvement of a Closed Chest Porcine Myocardial Infarction Model by Standardization of Tissue and Blood Sampling Procedures

Published on: March 12, 2018

10.8K
Left Anterior Descending Coronary Artery Ligation for Ischemia-Reperfusion Research: Model Improvement via Technical Modifications and Quality Control05:41

Left Anterior Descending Coronary Artery Ligation for Ischemia-Reperfusion Research: Model Improvement via Technical Modifications and Quality Control

Published on: December 16, 2022

3.3K

Related Concept Videos

Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...