PMID- 21055287
OWN - NLM
STAT- MEDLINE
DCOM- 20111017
LR  - 20101108
IS  - 0253-3758 (Print)
IS  - 0253-3758 (Linking)
VI  - 38
IP  - 7
DP  - 2010 Jul
TI  - [Impact of early catheterization laboratory activation on door-to-balloon time in 
      patients with ST-segment elevation acute myocardial infarction].
PG  - 625-8
AB  - OBJECTIVE: To determine whether early catheterization laboratory activation would 
      reduce median door-to-balloon time in patients with ST elevation myocardial 
      infarction (STEMI). METHODS: Consecutive patients with STEMI underwent primary 
      percutaneous coronary intervention (PCI) from January 2006 to December 2008 in 
      Beijing Anzhen Hospital were analyzed. Patients were divided into three groups. 
      Group A included patients without prehospital ECG (n = 168), group B included 
      patients with prehospital ECG (n = 224) and group C included patients with 
      prehospital ECG and early telephonic notification to activate catheterization 
      laboratory (n = 114). Primary end point was door-to-balloon time, secondary end 
      points included peak Troponin I elevation, left ventricular ejection fraction, 
      length of hospital stay, hospital mortality and 30 days follow-up mortality. 
      RESULTS: Baseline characteristics were similar among groups. Door-to-balloon time 
      and door-to-catheter laboratory time (110 minutes, 94 minutes and 85 minutes, 
      respectively, all P < 0.01; 91 minutes, 74 minutes and 64 minutes, respectively, 
      all P < 0.01) were significantly shorter in group B and C than those in group A. 
      The percentage of patients with door-to-balloon time less than 90 minutes 
      increased significantly from 32% in group A to 43% in group B and 59% in group C 
      (P < 0.01). CONCLUSION: Early activation of catheterization laboratory by 
      prehospital ECG and telephonic notification could markedly reduce door-to-balloon 
      time in patients with STEMI.
FAU - Cheng, Shu-juan
AU  - Cheng SJ
AD  - 28th Division, Beijing Anzhen Hospital, Capital Medical University, Beijing 
      100029, China.
FAU - Yan, Hong-bing
AU  - Yan HB
FAU - Hu, Da-yi
AU  - Hu DY
FAU - Wang, Jian
AU  - Wang J
FAU - Zhao, Han-jun
AU  - Zhao HJ
FAU - Li, Qing-xiang
AU  - Li QX
FAU - Li, Shi-ying
AU  - Li SY
FAU - Zheng, Bin
AU  - Zheng B
FAU - Song, Li
AU  - Song L
FAU - Chi, Yun-peng
AU  - Chi YP
FAU - Wu, Zheng
AU  - Wu Z
LA  - chi
PT  - Controlled Clinical Trial
PT  - English Abstract
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - China
TA  - Zhonghua Xin Xue Guan Bing Za Zhi
JT  - Zhonghua xin xue guan bing za zhi
JID - 7910682
SB  - IM
MH  - Aged
MH  - Angioplasty, Balloon, Coronary
MH  - Electrocardiography
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/*physiopathology/*therapy
MH  - Time Factors
EDAT- 2010/11/09 06:00
MHDA- 2011/10/18 06:00
CRDT- 2010/11/09 06:00
PHST- 2010/11/09 06:00 [entrez]
PHST- 2010/11/09 06:00 [pubmed]
PHST- 2011/10/18 06:00 [medline]
PST - ppublish
SO  - Zhonghua Xin Xue Guan Bing Za Zhi. 2010 Jul;38(7):625-8.