PMID- 30595273
OWN - NLM
STAT- MEDLINE
DCOM- 20190208
LR  - 20240420
IS  - 2213-3763 (Electronic)
IS  - 0019-4832 (Print)
IS  - 0019-4832 (Linking)
VI  - 70 Suppl 3
IP  - Suppl 3
DP  - 2018 Dec
TI  - Determinants of total ischemic time in primary percutaneous coronary 
      interventions: A prospective analysis.
PG  - S275-S279
LID - S0019-4832(17)30947-1 [pii]
LID - 10.1016/j.ihj.2018.05.005 [doi]
AB  - OBJECTIVE: To assess the factors contributing to longer total ischemic times in 
      ST elevation myocardial infarction (STEMI) patients undergoing primary 
      percutaneous coronary intervention (PPCI). METHODS: Three hundred forty-six 
      patients who underwent PPCI from July 2016 to June 2017 were studied. From time 
      for the patient to recognize the symptoms, time was divided into 11 stages, any 
      reason for delay was observed. RESULTS: Mean window period was 6.7 +/- 9.8 hours. 
      Mean time to recognize the symptoms, reach first medical contact and prehospital 
      management were 150.2 +/- 140.5 min, 58.5 +/- 57.0 min and 36.3 +/- 38.0 min, 
      respectively. Mean time for the patients brought in ambulance was 82.4 +/- 59.8 min 
      whereas for those transported in other vehicles was 130.4 +/- 59.7 min 
      (p = < 0.0001). Mean door to electrocardiogram (ECG) time, decision for PPCI, 
      consent time and STEMI team activation time were 6.2 +/- 3.1 min, 8.3 +/- 4.5 min, 
      12.6 +/- 16.2 min and 10.7 +/- 8.2 min, respectively. Mean time for financial process 
      and mean sheath to balloon time were 9.1 +/- 6.9 min and 21.8 +/- 11.7 min, 
      respectively. Door to balloon time (DTB) was <90 min in 81% of the patients, mean 
      DTB was 72.0 +/- 33.0 min. Mean DTB for cases performed during night was 
      72.6 +/- 32.9 min, whereas for those performed during day was 60.3 +/- 30.2 min 
      (p < 0.05). Total 30 day mortality was 2.9%. Mortality among DTB <90 min was 
      1.4%, mortality among DTB > 90 min was 9% (p < 0.05). CONCLUSIONS: The main 
      contributor for longer total ischemic time was the time taken for the patient to 
      recognize the symptoms. DTB of <90 min can be achieved with effective hospital 
      strategies.
CI  - Copyright (c) 2018. Published by Elsevier B.V.
FAU - Doddipalli, Sreenivasa Reddy
AU  - Doddipalli SR
AD  - Department of Cardiology, SVIMS, Tirupati, Andhra Pradesh, India. Electronic 
      address: drsreenivasadoddipalli@gmail.com.
FAU - Rajasekhar, D
AU  - Rajasekhar D
AD  - Department of Cardiology, SVIMS, Tirupati, Andhra Pradesh, India. Electronic 
      address: cardiologysvims@gmail.com.
FAU - Vanajakshamma, V
AU  - Vanajakshamma V
AD  - Department of Cardiology, SVIMS, Tirupati, Andhra Pradesh, India. Electronic 
      address: vvanaja1966@yahoo.in.
FAU - Sreedhar Naik, K
AU  - Sreedhar Naik K
AD  - Department of Cardiology, SVIMS, Tirupati, Andhra Pradesh, India. Electronic 
      address: sreedhar.k98@gmail.com.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20180507
PL  - India
TA  - Indian Heart J
JT  - Indian heart journal
JID - 0374675
SB  - IM
MH  - Coronary Angiography/*methods
MH  - *Electrocardiography
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Percutaneous Coronary Intervention/*methods
MH  - Prospective Studies
MH  - Risk Factors
MH  - ST Elevation Myocardial Infarction/*diagnosis/surgery
MH  - Time Factors
MH  - *Time-to-Treatment
MH  - Treatment Outcome
PMC - PMC6309146
OTO - NOTNLM
OT  - Door to balloon time
OT  - Primary percutaneous coronary intervention
OT  - Time intervals
OT  - Total ischemic time
EDAT- 2019/01/01 06:00
MHDA- 2019/02/09 06:00
PMCR- 2019/12/01
CRDT- 2019/01/01 06:00
PHST- 2017/11/22 00:00 [received]
PHST- 2018/04/23 00:00 [revised]
PHST- 2018/05/05 00:00 [accepted]
PHST- 2019/01/01 06:00 [entrez]
PHST- 2019/01/01 06:00 [pubmed]
PHST- 2019/02/09 06:00 [medline]
PHST- 2019/12/01 00:00 [pmc-release]
AID - S0019-4832(17)30947-1 [pii]
AID - 10.1016/j.ihj.2018.05.005 [doi]
PST - ppublish
SO  - Indian Heart J. 2018 Dec;70 Suppl 3(Suppl 3):S275-S279. doi: 
      10.1016/j.ihj.2018.05.005. Epub 2018 May 7.