BACKGROUND: Primary angioplasty decreases mortality and improves long-term outcomes for patients with STEMI. To be most effective, it needs to be performed expediently, with door-to-balloon times (D2B) less than 90 min. METHODS: From January 2005 to presently, 420 short D2B STEMI interventions were performed at 5 community hospitals by a single experienced operator creating the SINCERE (Single INdividual Community Experience REgistry) database. RESULTS: Median D2B time was 78 min, median procedure time (local anesthesia to recanalization) was 13 min; 85.2% of procedures had D2B time <90 min; 95% of the procedures were successful - relief of chest pain, >70% ST segment resolution, TIMI 3 flow and Myocardial Perfusion Grade 3. CONCLUSIONS: Primary PCI with high success rates and predictable short D2B times can be performed with standardized techniques in community hospitals.
BACKGROUND: Primary angioplasty decreases mortality and improves long-term outcomes for patients with STEMI. To be most effective, it needs to be performed expediently, with door-to-balloon times (D2B) less than 90 min. METHODS: From January 2005 to presently, 420 short D2B STEMI interventions were performed at 5 community hospitals by a single experienced operator creating the SINCERE (Single INdividual Community Experience REgistry) database. RESULTS: Median D2B time was 78 min, median procedure time (local anesthesia to recanalization) was 13 min; 85.2% of procedures had D2B time <90 min; 95% of the procedures were successful - relief of chest pain, >70% ST segment resolution, TIMI 3 flow and Myocardial Perfusion Grade 3. CONCLUSIONS: Primary PCI with high success rates and predictable short D2B times can be performed with standardized techniques in community hospitals.
Authors: Henry H Ting; Charanjit S Rihal; Bernard J Gersh; Luis H Haro; Christine M Bjerke; Ryan J Lennon; Choon-Chern Lim; John F Bresnahan; Allan S Jaffe; David R Holmes; Malcolm R Bell Journal: Circulation Date: 2007-08-01 Impact factor: 29.690
Authors: D C Goff; H A Feldman; P G McGovern; R J Goldberg; D G Simons-Morton; C E Cornell; S K Osganian; L S Cooper; J R Hedges Journal: Am Heart J Date: 1999-12 Impact factor: 4.749
Authors: Elizabeth H Bradley; Sarah A Roumanis; Martha J Radford; Tashonna R Webster; Robert L McNamara; Jennifer A Mattera; Barbara A Barton; David N Berg; Edward L Portnay; Harry Moscovitz; Janet Parkosewich; Eric S Holmboe; Martha Blaney; Harlan M Krumholz Journal: J Am Coll Cardiol Date: 2005-10-04 Impact factor: 24.094
Authors: A L Brown; N C Mann; M Daya; R Goldberg; H Meischke; J Taylor; K Smith; S Osganian; L Cooper Journal: Circulation Date: 2000-07-11 Impact factor: 29.690
Authors: W J Rogers; J G Canto; C T Lambrew; A J Tiefenbrunn; B Kinkaid; D A Shoultz; P D Frederick; N Every Journal: J Am Coll Cardiol Date: 2000-12 Impact factor: 24.094
Authors: Elliott M Antman; Daniel T Anbe; Paul Wayne Armstrong; Eric R Bates; Lee A Green; Mary Hand; Judith S Hochman; Harlan M Krumholz; Frederick G Kushner; Gervasio A Lamas; Charles J Mullany; Joseph P Ornato; David L Pearle; Michael A Sloan; Sidney C Smith; Joseph S Alpert; Jeffrey L Anderson; David P Faxon; Valentin Fuster; Raymond J Gibbons; Gabriel Gregoratos; Jonathan L Halperin; Loren F Hiratzka; Sharon Ann Hunt; Alice K Jacobs Journal: Circulation Date: 2004-08-31 Impact factor: 29.690