Loading...
Primary percutaneous coronary intervention (PCI) is the preferred method of reperfusion in patients with ST-segment-elevation myocardial infarction (STEMI). Door-to-balloon time should be within 90 minutes to maximize benefit, but only a minority of patients in the U.S. are treated within this time frame. To identify factors associated with delays to PCI, these authors performed a key process analysis of the PCI program at a single academic center in a system without prehospital electrocardiography capability. They evaluated patient and program factors during five time intervals: from symptom onset to emergency department presentation, from arrival at the door to first electrocardiogram, from ECG to activation of on-call catheterization tea…