Special Article
Strategies for Reducing the Door-to-Balloon Time in Acute Myocardial Infarction
N Engl J Med 2006; 355:2308-2320November 30, 2006
- Abstract
Background
Prompt reperfusion treatment is essential for patients who have myocardial infarction with ST-segment elevation. Guidelines recommend that the interval between arrival at the hospital and intracoronary balloon inflation (door-to-balloon time) during primary percutaneous coronary intervention should be 90 minutes or less. However, few hospitals meet this objective. We sought to identify hospital strategies that were significantly associated with a faster door-to-balloon time.
Methods
We surveyed 365 hospitals to determine whether each of 28 specific strategies was in use. We used hierarchical generalized linear models and data on patients from the Centers for Medicare and Medicaid Services to determine the association between hospital strategies and the door-to-balloon time.
Results
In multivariate analysis, six strategies were significantly associated with a faster door-to-balloon time. These strategies included having emergency medicine physicians activate the catheterization laboratory (mean reduction in door-to-balloon time, 8.2 minutes), having a single call to a central page operator activate the laboratory (13.8 minutes), having the emergency department activate the catheterization laboratory while the patient is en route to the hospital (15.4 minutes), expecting staff to arrive in the catheterization laboratory within 20 minutes after being paged (vs. >30 minutes) (19.3 minutes), having an attending cardiologist always on site (14.6 minutes), and having staff in the emergency department and the catheterization laboratory use real-time data feedback (8.6 minutes). Despite the effectiveness of these strategies, only a minority of hospitals surveyed were using them.
Conclusions
Several specific hospital strategies are associated with a significant reduction in the door-to-balloon time in the management of myocardial infarction with ST-segment elevation.
Media in This Article
Figure 1
Frequency Distribution for Median Door-to-Balloon Times among Study Hospitals.Table 1
Characteristics of the Hospitals.Article Activity
- Article
Prompt treatment increases the likelihood of survival for patients who have myocardial infarction with ST-segment elevation.1-3 Hospitals can therefore influence the outcomes for such patients by developing and implementing systems and processes that minimize the interval between arrival at the hospital and the administration of reperfusion therapy. Since percutaneous coronary intervention (PCI) has become the preferred approach for treating myocardial infarction with ST-segment elevation,4 hospitals are seeking ways to reduce the door-to-balloon time, defined as the time between arrival at the hospital and the first balloon inflation during PCI.
The importance of the door-to-balloon time is highlighted by its inclusion as one of the core quality measures collected and reported by the Centers for Medicare and Medicaid Services (CMS) and the Joint Commission on Accreditation of Healthcare Organizations. Concomitant with national efforts to improve the care of patients with acute myocardial infarction have been substantial improvements in performance on many core measures (such as the use of aspirin and beta-blockers). However, performance with respect to the door-to-balloon time continues to lag behind national standards,4-6 which recommend an interval of 90 minutes or less. A minority of hospitals treat patients who present with myocardial infarction with ST-segment elevation within 90 minutes after their arrival,7-10 and hospital performance has not improved substantially in recent years.7
Previous qualitative work has identified some common approaches among hospitals that have achieved a rapid door-to-balloon time.11,12 However, it is not clear which strategies are most effective or how great their effect might be. We sought to identify operational and clinical processes for treating patients who have myocardial infarction with ST-segment elevation and to quantify the association of these measures with hospital door-to-balloon times.
Methods
Study Design
We conducted a cross-sectional study of acute care hospitals in the United States with the use of a Web-based survey to determine the internal processes for identifying and treating patients with myocardial infarction with ST-segment elevation who undergo PCI. Eligible hospitals were those that reported the door-to-balloon time as a CMS performance measure and had reported an annualized volume of at least 25 PCI cases during 2004. From the 818 eligible hospitals, we randomly selected 500 hospitals and contacted the chief executive officer, first by letter and then by e-mail, to explain the goals and procedures of the study and to request the hospital's participation. The chief executive officer provided the contact information for the person in the organization whom they deemed to be the most appropriate respondent for the Web-based survey. This protocol was approved by the institutional review board at the Yale School of Medicine.
Measures and Data Collection
From the hospital contact person, we obtained information about specific hospital strategies relevant to the door-to-balloon time, using a survey developed from our previous qualitative study11 (see the Supplementary Appendix, available with the full text of this article at www.nejm.org). We developed closed-ended, multiple-choice questions for each hospital strategy and field-tested the instrument for clarity and comprehensiveness before implementation. The questionnaire asked about strategies in place at the time of the survey (April through October 2005). The final instrument included 32 items concerning 28 key hospital strategies. Response categories included “no standard approach” for cases of partial adoption of certain practices.
The outcome was the door-to-balloon time for patients with myocardial infarction with ST-segment elevation who underwent PCI between April and September 2005. Data on individual patients were obtained from CMS. On the basis of CMS specifications,13 we included all patients with myocardial infarction with ST-segment elevation who were treated with PCI, except those who were transferred from other hospitals. CMS validates these hospital quality data reports with the use of quarterly validation samples that are abstracted and compared with the reported data.
Statistical Analysis
For each of the 28 hospital strategies, we determined the number and percentage of hospitals in each response category, as well as the average of the median door-to-balloon times of those hospitals. To evaluate the association between specific hospital strategies and the door-to-balloon time, we used hierarchical generalized linear models,14 which account for the clustering of patients within hospitals. We used the logarithm of the door-to-balloon time in our analysis to reduce skewness. For bivariate comparisons, we constructed a separate model for each hospital strategy.
We constructed a multivariate model, including independent variables that added significantly to the fit of the overall model (P<0.10 with the use of the likelihood ratio test for nested models), and sequentially excluded the variables that contributed the least to the fit of the model. Although the correlations among variables were modest (Cramer phi coefficient, <0.20 for 92% of the correlations), two variables were particularly strongly correlated (Cramer phi coefficient, 0.87). These variables were the specialty of the physician who was responsible for activating the catheterization laboratory on day shifts and the specialty of the physician who had that responsibility for night-and-weekend shifts. Therefore, we created a separate dummy variable for the multivariate analysis, which indicated whether emergency medicine physicians were responsible for activating the catheterization laboratory on day shifts as well as on night-and-weekend shifts. We also examined the effects of several hospital characteristics (location, teaching status, number of staffed beds, type of ownership, geographic region, capability of performing coronary-artery bypass grafting [CABG], and participation or nonparticipation in a multihospital system). However, none of these variables materially changed the effects of hospital strategies on the door-to-balloon time, and each was removed from the multivariate model. In reporting the data, we used an alpha level of 0.05 as the criterion for the statistical significance of the estimated effects of individual hospital strategies on the door-to-balloon time.
To facilitate the interpretation of the estimated effects, we centered all independent variables on their means, so that the intercept represented the mean of all independent variables.15,16 Hence, the effect of individual strategies on the door-to-balloon time was calculated as the difference between the door-to-balloon time of hospitals implementing the selected strategy and hospitals not implementing the selected strategy, assuming the average response on all other strategies. We used simulation techniques17-19 to transform estimated effects and confidence intervals in log units back into their natural units (i.e., minutes). All analyses were performed with the use of SAS software, version 9.1 (SAS Institute) and Stata 9 (Stata).
Results
Hospital Survey
We received responses from representatives of 365 of the 500 hospitals contacted (73%) (Table 1Table 1
Characteristics of the Hospitals.). The responding persons for each hospital were typically quality management directors, although cardiovascular nurse managers and medical directors were also involved at many hospitals. Nonrespondent hospitals did not differ significantly from respondent hospitals in terms of the annualized number of PCIs performed, the number of staffed beds, teaching status, geographic region, or median door-to-balloon time; however, rural hospitals were significantly less likely than urban hospitals to respond (P=0.02), and for-profit hospitals were significantly less likely than government or nonprofit hospitals to respond (P=0.01). Among the 365 respondents, 3 hospitals did not report data with regard to door-to-balloon times to CMS during the study period and were excluded from bivariate and multivariate analyses; 2 additional hospitals were missing one or more responses to survey items and were excluded from the multivariate analysis.Hospital Strategies
Figure 1Figure 1
Frequency Distribution for Median Door-to-Balloon Times among Study Hospitals. shows the frequency distribution of median door-to-balloon times for the hospitals studied. The range of median values was wide, with many institutions having median times that exceeded the 90-minute interval recommended in the 2004 guidelines of the American Heart Association and the American College of Cardiology.4 The mean [±SD] of the median door-to-balloon times of all the hospitals was 100.4±23.5 minutes. There was also substantial variation in the prevalence of specific hospital strategies to expedite the door-to-balloon time. A number of strategies had significant unadjusted (bivariate) associations with the door-to-balloon time (Table 2Table 2
Unadjusted Associations between Hospital Strategies and Door-to-Balloon Time.).The multivariate model identified six hospital strategies that added significantly to the fit of the model (P<0.10 for nested models) and were associated with a significantly lower door-to-balloon time. Some associations were particularly strong, indicating an estimated savings in the door-to-balloon time of 10 to 15 minutes (Table 3Table 3
Adjusted Associations between Hospital Strategies and Door-to-Balloon Times.). These strategies were generally implemented in a minority of hospitals. Hospitals that implemented a greater number of effective strategies tended to have a shorter door-to-balloon time (Table 4Table 4
Door-to-Balloon Time According to the Number of Key Strategies Used.).Hospital practices regarding activation of the catheterization laboratory had a significant effect on the door-to-balloon time. The intervals were shorter for hospitals in which emergency medicine physicians activated the catheterization laboratory without consulting a cardiologist; those in which the catheterization laboratory was activated with a single call from the emergency department to a central page operator, who then paged both the interventional cardiologist and the catheterization laboratory staff; and those in which staff were expected to arrive in the catheterization laboratory either within 20 minutes or 21 to 30 minutes after being paged (P=0.002 for the comparison with an interval of 20 minutes or less and P=0.003 for the comparison with an interval of more than 30 minutes). In addition, hospitals that always had an attending cardiologist at the hospital had a faster door-to-balloon time than did hospitals without an attending cardiologist always on site.
Hospitals that used the results of electrocardiography that were called in or transmitted by emergency medical services to activate the catheterization laboratory while the patient was still en route to the hospital had significantly faster door-to-balloon times than did hospitals that waited for the patient to arrive before activating the catheterization laboratory (P=0.001). The hospitals that activated the laboratory while the patient was still en route also had significantly faster door-to-balloon times than did hospitals reporting that emergency medical services never performed electrocardiography (P=0.01). In addition, hospitals reporting that emergency medical services called in or transmitted the results of electrocardiography but also reporting various methods of handling such information had faster door-to-ballooon times than did hospitals that never received such information (P=0.01). Methods of handling the information may have included activating the catheterization laboratory while the patient was en route to the hospital, but with no set protocol for this procedure at the hospital. Finally, hospitals that provided real-time data feedback on the door-to-balloon time to staff members in the emergency department and catheterization laboratory had faster door-to-balloon times than those that did not (P=0.001).
One item in our survey requested an estimate of how frequently in the previous 6 months the catheterization laboratory had been activated for PCI but then had not been needed. This question was used to evaluate the effect of specific hospital policies on the frequency of such false alarms. The median number of false alarms that was reported among hospitals in which emergency medicine physicians activated the catheterization laboratory was 2 (interquartile range, 1 to 4), as compared with 1 false alarm (interquartile range, 0 to 3) for all other hospitals. Among hospitals using electrocardiographic data obtained en route to activate the catheterization laboratory, the median number of false alarms was 2 (interquartile range, 1 to 4) in the previous 6 months.
Hospital policies regarding the performance and assessment of electrocardiography in the emergency department did not have a significant effect on the door-to-balloon time, in either bivariate or multivariate analyses. These policies included the use of written criteria for deciding which patients should undergo immediate electrocardiography, provision of formal training in the assessment of acute coronary syndromes for triage staff members in the emergency department, inclusion of dedicated electrocardiographic technicians in the emergency department, and provision of dedicated space for performing electrocardiography in the triage area. In addition, policies and practices related to transporting patients from the emergency department to the catheterization laboratory (e.g., timing and staff required) were not significantly related to the door-to-balloon time in multivariate analysis. Practices in the catheterization laboratory that were surveyed were also not significantly associated with the door-to-balloon time in either bivariate or multivariate analyses. These practices included rescheduling elective PCI cases as emergency PCI cases, leaving the catheterization laboratory prepared for the next PCI to begin promptly, involving cardiology fellows in performing PCI, and locating the catheterization laboratory on the same floor as the emergency department.
Discussion
In a cross-sectional study of 365 acute care hospitals in the United States, we identified several hospital strategies that were strongly associated with the door-to-balloon time in the performance of PCI for patients with acute myocardial infarction with ST-segment elevation. In some cases, specific practices were associated with time savings of 10 to 15 minutes, a clinically important advantage in a group of institutions with a mean value of 100 minutes for median door-to-balloon times. Many of the strategies are not commonly used in hospitals in the United States, which may account in part for the relatively poor performance of such hospitals in meeting guidelines for the door-to-balloon time.
Although implementation of some of the advantageous strategies would require investment in new resources, other strategies that are currently used by only a minority of hospitals could be implemented with existing resources. For instance, having emergency medicine physicians determine whether a myocardial infarction with ST-segment elevation is present and activate the catheterization team without involvement of a cardiologist was strongly associated with a reduced door-to-balloon time but was used in only about 23% of hospitals during weekdays and in 27% of hospitals at night or on weekends. Furthermore, having the catheterization laboratory activated by a single call from the emergency department to a central page operator, who then paged both the interventional cardiologist and the catheterization laboratory staff, was strongly associated with a faster door-to-balloon time, but the single-call process was used in only about 14% of hospitals in this study. Research on the time to fibrinolytic therapy20 and small, single-hospital studies of the door-to-balloon time21,22 have also indicated that treatment is more rapid if emergency medicine physicians make the treatment decision without the involvement of a cardiologist. Nonetheless, most hospitals still involve a cardiologist in the decision to activate the catheterization laboratory.
In addition to the strategies that focus on processes within the hospital, the hospital's coordination with emergency medical services was strongly associated with the door-to-balloon time. Previous studies23-25 have shown that performing electrocardiography en route to the hospital can reduce the door-to-balloon time, and the National Heart Attack Alert Program Coordinating Committee26 has recommended increased use of such electrocardiographic services. In our study, the percentage of patients with acute coronary syndrome who underwent electrocardiography en route was not associated with the door-to-balloon time. Instead, it was the way that such electrocardiograms were used by hospitals that was important. Hospitals that activated the catheterization laboratory on the basis of electrocardiography performed while the patient was en route and those that had varied strategies to respond to electrocardiographic data transmitted from emergency medical services had an advantage. Determining the optimal approach for incorporating such electrocardiographic data into hospital processes to expedite the door-to-balloon time is an important area for future research.
False alarms were reported to be infrequent in our study, even at hospitals where emergency medicine physicians were responsible for activation of the catheterization laboratory on the basis of electrocardiography performed en route to the hospital. We were not able to obtain independent confirmation of the accuracy of the hospitals' estimates of false alarms. However, we have no evidence to suggest that these data are inaccurate, and we believe that perceptions about the number of false alarms are probably as important as is the true number of false alarms in determining whether noncardiologists are permitted to activate the catheterization laboratory. This issue may be clarified by further study.
Implementation of other strategies that were associated with faster door-to-balloon time may be more complex. The presence of an attending cardiologist at the hospital at all times was associated with a significantly faster door-to-balloon time. These strategies may be impractical or prohibitively expensive to implement in many hospitals.
Several considerations are important in interpreting our results. First, the survey data were reported by a single respondent at the hospital, and the reported policies and practices were not independently confirmed. However, respondents were selected by the chief executive officer of each hospital as the person who was most familiar with activities in this area, and the questions were field-tested before their use to ensure their clarity and completeness.
Second, the hospitals were restricted to those that reported the door-to-balloon time as one of their CMS performance measures. These hospitals may have been more aggressive than others in their efforts to reduce the door-to-balloon time. Therefore, the prevalence of some strategies may be overestimated, but even for this group, the overall rates were low for most of the strategies. In addition, it may not have been possible to detect the influence of some practices because of a high prevalence of the preferred practice (e.g., 97% of surveyed hospitals do not wait for laboratory and radiographic results to activate the catheterization laboratory). Nevertheless, the respondent hospitals did reflect a spectrum of performance in the door-to-balloon time.
Third, with the observational study design, we could not determine whether some of the strategies identified were surrogates for unmeasured care processes that might have been important contributors to a reduced door-to-balloon time. The processes tested, however, emerged from qualitative studies11,12 and have strong face validity for a causal relationship. In addition, some strategies may be important in particular institutions but not across the full sample, and our results should not inhibit innovations that may be effective in particular settings.
Finally, we were unable to examine efforts that may reduce the time from the onset of symptoms to admission or the time after arrival at the first hospital to balloon inflation for patients who were transferred to a hospital in which PCI is performed. These are important topics for future study, because delays in reperfusion therapy are commonplace for transferred patients.27
In conclusion, this study used survey information from 365 acute care hospitals to determine which specific policies and practices were in use for facilitating rapid PCI in patients with acute myocardial infarction with ST-segment elevation. These policies and practices, as reported, were correlated with data on individual patients with regard to the door-to-balloon time, permitting the identification of hospital strategies associated with the most prompt performance of this critical intervention.
Supported by a grant (R01HL072575) from the National Heart, Lung, and Blood Institute in Bethesda, MD, and by a grant (02-102, to Dr. Bradley) from the Patrick and Catherine Weldon Donaghue Medical Research Foundation in Hartford, CT. The analyses on which this article is based were performed under contract HHSM-500-2005-CO001C, entitled “Utilization and Quality Control Quality Improvement Organization for the State of Colorado,” sponsored by the CMS.
The views expressed in this article are those of the authors and do not necessarily reflect the views of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. government.
No potential conflict of interest relevant to this article was reported.
This article was published at www.nejm.org on November 13, 2006.
We thank Steven Jencks, M.D., for his suggestions regarding the manuscript.
Source Information
From the Departments of Epidemiology and Public Health (E.H.B., T.R.W., H.M.K.) and Medicine (J.H., Y.W., J.P.C., R.L.M., H.M.K.), Yale University School of Medicine; Yale–New Haven Hospital (B.A.B., J.A.M., S.A.R., J.P., H.M.K.); and Yale University School of Nursing (J.P.) — all in New Haven, CT; the University of Michigan Medical Center and the Ann Arbor Veterans Affairs Medical Center, Ann Arbor (B.K.N.); Kaiser Permanente and the University of Colorado Health Sciences Center, Denver (D.J.M.); and the Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL (J.M.L.).
- References
References
1
Berger PB ,Ellis SG ,Holmes DR Jr , et al. Relationship between delay in performing direct coronary angioplasty and early clinical outcome in patients with acute myocardial infarction: results from the Global Use of Strategies to Open Occluded Arteries in Acute Coronary Syndromes (GUSTO-IIb) trial. Circulation 1999;100:14-20
Web of Science | Medline2
Cannon CP ,Gibson CM ,Lambrew CT , et al. Relationship of symptom-onset-to-balloon time and door-to-balloon time with mortality in patients undergoing angioplasty for acute myocardial infarction. JAMA 2000;283:2941-2947
CrossRef | Web of Science | Medline3
McNamara RL ,Wang Y ,Herrin J , et al. Effect of door-to-balloon time on mortality in patients with ST-segment elevation myocardial infarction. J Am Coll Cardiol 2006;47:2180-2186
CrossRef | Web of Science | Medline4
Antman EM ,Anbe DT ,Armstrong PW , et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction -- executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines on the Management of Patients with Acute Myocardial Infarction). Circulation 2004;110:588-636
CrossRef | Medline5
Jacobs AK ,Antman EM ,Ellrodt G , et al. Recommendation to develop strategies to increase the number of ST-segment-elevation myocardial infarction patients with timely access to primary percutaneous coronary intervention. Circulation 2006;113:2152-2163
CrossRef | Web of Science | Medline6
Williams SC ,Schmaltz SP ,Morton DJ ,Koss RG ,Loeb JM . Quality of care in U.S. hospitals as reflected by standardized measures, 2002-2004. N Engl J Med 2005;353:255-264
Full Text | Web of Science | Medline7
McNamara RL ,Herrin J ,Bradley EH , et al. Hospital improvement in time to reperfusion in patients with acute myocardial infarction, 1999 to 2002. J Am Coll Cardiol 2006;47:45-51
CrossRef | Web of Science | Medline8
Burwen DR ,Galusha DH ,Lewis JM , et al. National and state trends in quality of care for acute myocardial infarction between 1994-1995 and 1998-1999: the Medicare health care quality improvement program. Arch Intern Med 2003;163:1430-1439
CrossRef | Web of Science | Medline9
Rogers WJ ,Canto JG ,Barron HV ,Boscarino JA ,Shoultz DA ,Every NR . Treatment and outcome of myocardial infarction in hospitals with and without invasive capability. J Am Coll Cardiol 2000;35:371-379
CrossRef | Web of Science | Medline10
Jencks SF ,Huff ED ,Cuerdon T . Change in the quality of care delivered to Medicare beneficiaries, 1998-1999 to 2000-2001. JAMA 2003;289:305-312[Erratum, 2003;289: 2649.]
CrossRef | Web of Science | Medline11
Bradley EH ,Roumanis SA ,Radford MJ , et al. Achieving door-to-balloon times that meet quality guidelines: how do successful hospitals do it? J Am Coll Cardiol 2005;46:1236-1241
CrossRef | Web of Science | Medline12
Bradley EH ,Curry LA ,Webster TR , et al. Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. Circulation 2006;113:1079-1085
CrossRef | Web of Science | Medline13
Joint Commission on Accreditation of Healthcare Organizations. A comprehensive review of development and testing for national implementation of hospital core measures. (Accessed November 2, 2006, at http://www.jointcommission.org/NR/rdonlyres/48DFC95A-9C05-4A44-AB05-1769D5253014/0/AComprehensiveReviewofDevelopmentforCoreMeasures.pdf.)
14
Snijders T, Bosker R. Multilevel analysis: an introduction to basic and advanced multilevel modeling. London: Sage, 1999.
15
Aiken LS, West SG. Multiple regression: testing and interpreting interactions. Newbury Park, CA: Sage, 1991.
16
Kreft I, de Leeuw J. Introducing multilevel modeling. London: Sage, 1998.
17
King G ,Tomz M ,Wittenberg J . Making the most of statistical analyses: improving interpretation and presentation. Am J Pol Sci 2000;44:341-355
CrossRef | Web of Science18
Stern S . Simulation-based estimation. J Econ Lit 1997;35:2006-2039
Web of Science19
Tanner MA. Tools for statistical inference: methods for the exploration of posterior distributions and likelihood functions. 3rd ed. New York: Springer-Verlag, 1996.
20
Lambrew CT ,Bowlby LJ ,Rogers WJ ,Chandra NC ,Weaver WD . Factors influencing the time to thrombolysis in acute myocardial infarction: Time to Thrombolysis Substudy of the National Registry of Myocardial Infarction-1. Arch Intern Med 1997;157:2577-2582
CrossRef | Web of Science | Medline21
Thatcher JL ,Gilseth TA ,Adlis S . Improved efficiency in acute myocardial infarction care through commitment to emergency department-initiated primary PCI. J Invasive Cardiol 2003;15:693-698
Medline22
Jacoby J, Axelband J, Patterson J, Belletti D, Heller M. Cardiac cath lab activation by the emergency physician without prior consultation decreases door-to-balloon time. J Invasive Cardiol 2005;17:154-5.
23
Canto JG ,Zalenski RJ ,Ornato JP , et al. Use of emergency medical services in acute myocardial infarction and subsequent quality of care: observations from the National Registry of Myocardial Infarction 2. Circulation 2002;106:3018-3023
CrossRef | Web of Science | Medline24
Canto JG ,Rogers WJ ,Bowlby LJ ,French WJ ,Pearce DJ ,Weaver WD . The prehospital electrocardiogram in acute myocardial infarction: is its full potential being realized? J Am Coll Cardiol 1997;29:498-505
CrossRef | Web of Science | Medline25
Curtis JP ,Portnay EL ,Wang Y , et al. The pre-hospital electrocardiogram and time to reperfusion in patients with acute myocardial infarction, 2000-2002: findings from the National Registry of Myocardial Infarction-4. J Am Coll Cardiol 2006;47:1544-1552
CrossRef | Web of Science | Medline26
Garvey JL ,MacLeod BA ,Sopko G ,Hand MM . Pre-hospital 12-lead electrocardiography programs: a call for implementation by emergency medical services systems providing advanced life support. J Am Coll Cardiol 2006;47:485-491
CrossRef | Web of Science | Medline27
Nallamothu BK ,Bates ER ,Herrin J ,Wang Y ,Bradley EH ,Krumholz HM . Times to treatment in transfer patients undergoing primary percutaneous coronary intervention in the United States: National Registry of Myocardial Infarction (NRMI)-3/4 analysis. Circulation 2005;111:761-767
CrossRef | Web of Science | Medline
- Citing Articles (171)
Citing Articles
1
Y.-C. Wang, P.-H. Lo, S.-S. Chang, J.-J. Lin, H.-J. Wang, C.-P. Chang, L.-C. Hsieh, Y.-P. Chen, W.-K. Chen, C.-H. Chen, K.-C. Chang, J.-S. Hung. (2012) Reduced door-to-balloon times in acute ST-elevation myocardial infarction patients undergoing primary percutaneous coronary intervention. International Journal of Clinical Practice 66:1, 69-76
CrossRef2
Marco Tubaro, Nicolas Danchin, Patrick Goldstein, Gerasimos Filippatos, Yonathan Hasin, Magda Heras, Petr Jansky, Tone M. Norekval, Eva Swahn, Kristian Thygesen, Christiaan Vrints, Doron Zahger, Hans R. Arntz, Abdelouahab Bellou, Jean E. De La Coussaye, Leonardo De Luca, Kurt Huber, Yves Lambert, Maddalena Lettino, Bertil Lindahl, Scott Mclean, Lutz Nibbe, William F. Peacock, Susanna Price, Tom Quinn, Christian Spaulding, Gabriel Tatu-Chitoiu, Frans Van De Werf. (2012) Tratamiento prehospitalario de los pacientes con IAMCEST. Una declaración científica del Working Group Acute Cardiac Care de la European Society of Cardiology. Revista Española de Cardiología 65:1, 60-70
CrossRef3
Stephen H. Thomas, Annette O. Arthur. (2012) Helicopter EMS: Research Endpoints and Potential Benefits. Emergency Medicine International 2012, 1-14
CrossRef4
Tonga Nfor, Louie Kostopoulos, Hani Hashim, M. Fuad Jan, Anjan Gupta, Tanvir Bajwa, Suhail Allaqaband. (2012) Identifying False-positive ST-elevation Myocardial Infarction in Emergency Department Patients. The Journal of Emergency Medicine
CrossRef5
Jennifer L. Kraschnewski, Heather L. Stuckey, Liza S. Rovniak, Erik B. Lehman, Madhu Reddy, Jennifer M. Poger, Donna K. Kephart, Elliot J. Coups, Christopher N. Sciamanna. (2011) Efficacy of a Weight-Loss Website Based on Positive Deviance. American Journal of Preventive Medicine 41:6, 610-614
CrossRef6
David F. M. Brown. 2011. ST-Segment Elevation Myocardial Infarction. , 38-53.
CrossRef7
Juan M. Ruiz-Nodar, Eloísa Feliu, Jessica Sánchez-Quiñones, José Valencia-Martín, Milagros García, Javier Pineda, Patricia Martín, Vicente Mainar, Pascual Bordes, Santiago Heras, Maria A. Quintanilla, Francisco Sogorb. (2011) Minimum Salvaged Myocardium After Rescue Percutaneous Coronary Intervention: Quantification by Cardiac Magnetic Resonance. Revista Española de Cardiología (English Edition) 64:11, 965-971
CrossRef8
Juan M. Ruiz-Nodar, Eloísa Feliu, Jessica Sánchez-Quiñones, José Valencia-Martín, Milagros García, Javier Pineda, Patricia Martín, Vicente Mainar, Pascual Bordes, Santiago Heras, María A. Quintanilla, Francisco Sogorb. (2011) Miocardio rescatado tras angioplastia coronaria de rescate: cuantificación mediante resonancia magnética cardiaca. Revista Española de Cardiología 64:11, 965-971
CrossRef9
Teresa Camp-Rogers, Siddhartha Dante, Michael C. Kontos, Charlotte S. Roberts, Laura Kreisa, Michael Christopher Kurz. (2011) The impact of prehospital activation of the cardiac catheterization team on time to treatment for patients presenting with ST-segment-elevation myocardial infarction. The American Journal of Emergency Medicine 29:9, 1117-1124
CrossRef10
Li Song, Hongbing Yan, Hanjun Zhao, Jian Wang, Yunpeng Chi, Zheng Wu, Bin Zheng, Shaoping Wang, Hongyu Peng, Chen Liu, Peng Zhou. (2011) Improvement in door-to-balloon times in patients with ST-elevation myocardial infarction at a large urban teaching hospital in China. International Journal of Cardiology 153:1, 81-82
CrossRef11
P. -G. Claret, J. -F. Benezet, G. Cayla, J. E. Coussaye. (2011) Les filières de soins au cours du syndrome coronarien aigu avec sus-décalage permanent du segment ST. Annales françaises de médecine d'urgence
CrossRef12
D. Kade Rasmussen, Aimee Washington, Joseph Dougherty, Lundyn Fetcko. (2011) Door-to-Balloon Time for Primary Percutaneous Coronary Intervention: How Does Northern West Virginia Compare?. The Journal of Emergency Medicine
CrossRef13
Harlan M. Krumholz, Leslie A. Curry, Elizabeth H. Bradley. (2011) Survival after Acute Myocardial Infarction (SAMI) study: The design and implementation of a positive deviance study. American Heart Journal
CrossRef14
Michael C. Kontos, Michael C. Kurz, Charlotte S. Roberts, Sarah E. Joyner, Laura Kreisa, Joseph P. Ornato, George W. Vetrovec. (2011) Emergency physician–initiated cath lab activation reduces door to balloon times in ST-segment elevation myocardial infarction patients. The American Journal of Emergency Medicine 29:8, 868-874
CrossRef15
Wolfgang Scheidt, Christian Thilo. (2011) As time goes by? The fallacy of thrombolysis in STEMI networks. Clinical Research in Cardiology 100:10, 867-877
CrossRef16
Albert W. Chan, Shahrukh N. Bakar, Robert I. Brown, Robin Kuritzky, Akbar Lalani, Wendy Gordon, Carol G. Laberge, Gerald J. Simkus. (2011) In-Hospital Outcomes of a Regional ST-Segment Elevation Myocardial Infarction Acute Transfer and Repatriation Program. Canadian Journal of Cardiology 27:5, 664.e1-664.e8
CrossRef17
Benoit Daneault, Doan Hoa Do, Andrée Maltais, Simon Bérubé, Richard Harvey, André Gervais, Karl Dalery, Michel Nguyen. (2011) Reduction of Delays in Primary Percutaneous Coronary Intervention. Canadian Journal of Cardiology 27:5, 562-566
CrossRef18
Henry D. Huang, Yochai Birnbaum. (2011) ST elevation: differentiation between ST elevation myocardial infarction and nonischemic ST elevation. Journal of Electrocardiology 44:5, 494.e1-494.e12
CrossRef19
Christopher N. Sciamanna, Michaela Kiernan, Barbara J. Rolls, Jarol Boan, Heather Stuckey, Donna Kephart, Carla K. Miller, Gordon Jensen, Terry J. Hartmann, Eric Loken, Kevin O. Hwang, Ronald J. Williams, Melissa A. Clark, Jane R. Schubart, Arthur M. Nezu, Erik Lehman, Cheryl Dellasega. (2011) Practices Associated with Weight Loss Versus Weight-Loss Maintenance. American Journal of Preventive Medicine 41:2, 159-166
CrossRef20
Christof Havel, Wolfgang Schreiber, Günter Christ, Susanne Winkler, Harald Herkner. (2011) Accelerated management of patients with ST-segment elevation myocardial infarction in the ED. The American Journal of Emergency Medicine 29:6, 650-655
CrossRef21
(2011) Acute Coronary Syndromes: Reperfusion Strategy. ARC and NZRC Guideline 2011. Emergency Medicine Australasia 23:3, 312-316
CrossRef22
Boris Bigalke, Konstantinos Stellos, Tobias Geisler, Elisabeth Kremmer, Peter Seizer, Andreas E. May, Stephan Lindemann, Meinrad Gawaz. (2011) Glycoprotein VI for diagnosis of acute coronary syndrome when ECG is ambiguous. International Journal of Cardiology 149:2, 164-168
CrossRef23
M. Tubaro, N. Danchin, P. Goldstein, G. Filippatos, Y. Hasin, M. Heras, P. Jansky, T. M. Norekval, E. Swahn, K. Thygesen, C. Vrints, D. Zahger, H. R. Arntz, A. Bellou, J. E. de La Coussaye, L. de Luca, K. Huber, Y. Lambert, M. Lettino, B. Lindahl, S. McLean, L. Nibbe, W. F. Peacock, S. Price, T. Quinn, C. Spaulding, G. Tatu-Chitoiu, F. van de Werf. (2011) Pre-hospital treatment of STEMI patients. A scientific statement of the Working Group Acute Cardiac Care of the European Society of Cardiology. Acute Cardiac Care 13:2, 56-67
CrossRef24
Martin Studenčan, Vasiľ Hricák, František Kovář, Peter Kurray, Jan Murín, Gabriel Kamenský, Eva Goncalvesová, Branislav Liška, Jaroslav Rosenberger, Anna Baráková, Peter Hlava. (2011) Implementation of ESC-STEMI guidelines into clinical practice: an analysis of the Slovak Registry of Acute Coronary Syndromes (SLOVAKS). Journal of Cardiovascular Medicine 12:5, 353-355
CrossRef25
Haroon Chughtai, Douglas Ratner, Mario Pozo, Joseph A. Crouchman, Barbara Niedz, Richard Merwin, Robert G. Lahita. (2011) Prehospital delay and its impact on time to treatment in ST-elevation myocardial infarction. The American Journal of Emergency Medicine 29:4, 396-400
CrossRef26
Kuan-Chun Chen, David Hung-Tsang Yen, Chen-De Chen, Mason Shing Young, Wei-Hsian Yin. (2011) Effect of Emergency Department In-Hospital Tele-Electrocardiographic Triage and Interventional Cardiologist Activation of the Infarct Team on Door-to-Balloon Times in ST-Segment-Elevation Acute Myocardial Infarction. The American Journal of Cardiology 107:10, 1430-1435
CrossRef27
Sharad Bajaj, Rupen Parikh, Nishant Gupta, Anthony Aldehneh, Mark Rosenberg, Aiman Hamdan, Mahesh Bikkina. (2011) “Code STEMI” Protocol Helps in Achieving Reduced Door-to-balloon Times in Patients Presenting with Acute ST-segment Elevation Myocardial Infarction during Off-hours. The Journal of Emergency Medicine
CrossRef28
Ivan Comelli, Luigi Vignali, Angelo Rolli, Giuseppe Lippi, Gianfranco Cervellin. (2011) Achievement of a median door-to-balloon time of less than 90 minutes by implementation of organizational changes in the ‘Emergency Department to Cath Lab’ pathway: a 5-year analysis. Journal of Evaluation in Clinical Practiceno-no
CrossRef29
Neil Swanson, Anthony Gershlick. 2011. Primary and Rescue PCI in Acute Myocardial Infarction. , 242-261.
CrossRef30
Jefferson T. Miley, Muhammad Zeeshan Memon, Haitham M. Hussein, Douglas A. Valenta, M. Fareed K. Suri, Gabriela Vazquez, Adnan I. Qureshi. (2011) A Multicenter Analysis of “Time to Microcatheter” for Endovascular Therapy in Acute Ischemic Stroke. Journal of Neuroimaging 21:2, 159-164
CrossRef31
Teresa Camp-Rogers, Michael C. Kurz, William J. Brady. (2011) Hospital-based strategies contributing to percutaneous coronary intervention time reduction in the patient with ST-segment elevation myocardiaI infarction: a review of the “system-of-care” approach. The American Journal of Emergency Medicine
CrossRef32
Adam B. Landman, Ivan C. Rokos, Kevin Burns, Carin M. Van Gelder, Roger M. Fisher, James V. Dunford, David C. Cone, Sandy Bogucki. (2011) An Open, Interoperable, and Scalable Prehospital Information Technology Network Architecture. Prehospital Emergency Care 15:2, 149-157
CrossRef33
R. M. West, B. A. Cattle, M. Bouyssie, I. Squire, M. de Belder, K. A. A. Fox, R. Boyle, J. M. McLenachan, P. D. Batin, D. C. Greenwood, C. P. Gale. (2011) Impact of hospital proportion and volume on primary percutaneous coronary intervention performance in England and Wales. European Heart Journal 32:6, 706-711
CrossRef34
Gianni Casella, Filippo Ottani, Paolo Ortolani, Paolo Guastaroba, Andrea Santarelli, Marco Balducelli, Alberto Menozzi, Paolo Magnavacchi, Giuseppe Massimo Sangiorgi, Antonio Manari, Rossana De Palma, Antonio Marzocchi. (2011) Off-Hour Primary Percutaneous Coronary Angioplasty Does Not Affect Outcome of Patients With ST-Segment Elevation Acute Myocardial Infarction Treated Within a Regional Network for Reperfusion. JACC: Cardiovascular Interventions 4:3, 270-278
CrossRef35
Christoph Liebetrau, Sebastian Szardien, Johannes Rixe, Mariella Woelken, Andreas Rolf, Timm Bauer, Holger Nef, Helge Möllmann, Christian Hamm, Michael Weber. (2011) Direct admission versus transfer of AMI patients for primary PCI. Clinical Research in Cardiology 100:3, 217-225
CrossRef36
P. Lebiedz, R. Radke, A. Bohn, E. Hilker, C. Vahlhaus. (2011) Präklinische Strategien zur Optimierung der Behandlung von Patienten mit ST-Hebungsinfarkten. Intensivmedizin und Notfallmedizin 48:2, 130-134
CrossRef37
Frank Towae, Claus Juenger, Harald Mudra, Hans-Georg Glunz, Eugen Hauptmann, Eberhard Grube, Thomas Voigtländer, Timm Bauer, Uwe Zeymer, Jochen Senges, Anselm Kai Gitt, Ralf Zahn. (2011) The development of door-to-angiography time in the last 14 years for patients with acute ST-elevation myocardial infarction treated with primary coronary intervention: Determinants and outcome. Results from the MITRAplus and OPTAMI registry. Acute Cardiac Care 13:1, 35-39
CrossRef38
C. Thilo, A. Blüthgen, B. Kuch, W. Scheidt. (2011) Herzinfarktnetzwerk Region Augsburg (HERA). Notfall + Rettungsmedizin 14:2, 128-134
CrossRef39
C. M. Astley, A. M. Tonkin, L. J. Mahar, P. M. Davidson, A. N. Boyden, D. B. Brieger, M. Pradhan, M. George, S. F. Mattschoss, D. P. Chew. (2011) Clinical effectiveness in everyday practice: improving outcomes for all patients through a national acute coronary syndrome data collaborative. Internal Medicine Journal 41:2, 206-210
CrossRef40
JANE R. SCHUBART, HEATHER L. STUCKEY, AMBIKA GANESHAMOORTHY, CHRISTOPHER N. SCIAMANNA. (2011) Chronic Health Conditions and Internet Behavioral Interventions. CIN: Computers, Informatics, Nursing 29:2, 81-92
CrossRef41
JANE R. SCHUBART, HEATHER L. STUCKEY, AMBIKA GANESHAMOORTHY, CHRISTOPHER N. SCIAMANNA. (2011) Chronic Health Conditions and Internet Behavioral Interventions. CIN: Computers, Informatics, Nursing 29, TC9-TC20
CrossRef42
William B. Borden, Anne M. O'Connor, Robert A. Mulliken, Michelle M. Fennessy, Linda Lee, Sandeep Nathan, Jearlyn Nichols, John J. Lopez. (2011) Quality improvement in the door-to-balloon times for ST-elevation myocardial infarction patients presenting without chest pain. Catheterization and Cardiovascular Interventionsn/a-n/a
CrossRef43
Koyu Sakai, Shinya Nagayama, Kasumi Ihara, Kenji Ando, Shinichi Shirai, Katsuhiro Kondo, Hiroyoshi Yokoi, Masashi Iwabuchi, Hideyuki Nosaka, Masakiyo Nobuyoshi. (2011) Primary percutaneous coronary intervention for acute myocardial infarction in the elderly aged ≥75 years. Catheterization and Cardiovascular Interventions 79:1, 50-56
CrossRef44
Xavier Bosch, Antoni Curós, Josep M. Argimon, Meia Faixedas, Jaume Figueras, F. Xavier Jiménez Fàbrega, Rafael Masià, Josepa Mauri, Ricard Tresserras. (2011) Modelo de intervención coronaria percutánea primaria en Cataluña. Revista Española de Cardiología Suplementos 11, 51-60
CrossRef45
Laurie J Morrison, Valeria E Rac, James M Bowen, Brian Schwartz, Tyrone Perreira, Welson Ryan, Cathy Zahn, Rishab Chadha, Alan Craig, Daria O'Reilly, Ron Goeree. (2011) Prehospital evaluation and economic analysis of different coronary syndrome treatment strategies - PREDICT - Rationale, Development and Implementation. BMC Emergency Medicine 11:1, 4
CrossRef46
James C. Blankenship, Thomas D. Scott, Kimberly A. Skelding, Thomas A. Haldis, Karen Tompkins-Weber, Marie Y. Sledgen, Michael A. Donegan, Jeremy W. Buckley, Jennifer A. Sartorius, John McB. Hodgson, Peter B. Berger. (2011) Door-to-Balloon Times Under 90 Min Can Be Routinely Achieved for Patients Transferred for ST-Segment Elevation Myocardial Infarction Percutaneous Coronary Intervention in a Rural Setting. Journal of the American College of Cardiology 57:3, 272-279
CrossRef47
Alexandra Hodsman, Yoav Ben-Shlomo, Paul Roderick, Charles R.V. Tomson. (2011) The ‘Centre Effect’ in Nephrology: What Do Differences between Nephrology Centres Tell Us about Clinical Performance in Patient Management?. Nephron Clinical Practice 119:1, c10-c17
CrossRef48
Jeng-Feng Lin, Shun-Yi Hsu, Semon Wu, Chiau-Suong Liau, Heng-Chia Chang, Chih-Jen Liu, Hsuan-Li Huang, Yao-Tsan Ho, Shu-Li Weng, Yu-Lin Ko. (2011) Data feedback reduces door-to-balloon time in patients with ST-elevation myocardial infarction undergoing primary percutaneous coronary intervention. Heart and Vessels 26:1, 25-30
CrossRef49
Soo Kim, Sang Oh, Seung Choi, Kyu Park, Young Kim, Chun Youn. (2011) The appropriateness of single page of activation of the cardiac catheterization laboratory by emergency physician for patients with suspected ST-segment elevation myocardial infarction: a cohort study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 19:1, 50
CrossRef50
Ivan C. Rokos, William J. French, Amal Mattu, Graham Nichol, Michael E. Farkouh, James Reiffel, Gregg W. Stone. (2010) Appropriate Cardiac Cath Lab activation: Optimizing electrocardiogram interpretation and clinical decision-making for acute ST-elevation myocardial infarction. American Heart Journal 160:6, 995-1003.e8
CrossRef51
Elizabeth H. Bradley, Ingrid M. Nembhard, Christina T. Yuan, Amy F. Stern, Jeptha P. Curtis, Brahmajee K. Nallamothu, John E. Brush, Harlan M. Krumholz. (2010) What Is the Experience of National Quality Campaigns? Views from the Field. Health Services Research 45:6p1, 1651-1669
CrossRef52
Ivan C. Rokos, Nels D. Sanddal, Arthur M. Pancioli, Catherine Wolff, David F. Gaieski. (2010) Inter-hospital Communications and Transport: Turning One-way Funnels Into Two-way Networks. Academic Emergency Medicine 17:12, 1279-1285
CrossRef53
Natale Daniele Brunetti, Luisa De Gennaro, Gianfranco Amodio, Giulia Dellegrottaglie, Pier Luigi Pellegrino, Matteo Di Biase, Gianfranco Antonelli. (2010) Telecardiology improves quality of diagnosis and reduces delay to treatment in elderly patients with acute myocardial infarction and atypical presentation. European Journal of Cardiovascular Prevention & Rehabilitation 17:6, 615-620
CrossRef54
Michel R. Le May, Richard Dionne, Justin Maloney, Pierre Poirier. (2010) The Role of Paramedics in a Primary PCI Program for ST-Elevation Myocardial Infarction. Progress in Cardiovascular Diseases 53:3, 183-187
CrossRef55
Nathaniel W. Niles, Sheila M. Conley, Rayson C. Yang, Pantila Vanichakarn, Tamara A. Anderson, John R. Butterly, John F. Robb, John E. Jayne, Norman N. Yanofsky, Jean A. Proehl, Donald F. Guadagni, Jeremiah R. Brown. (2010) Primary Percutaneous Coronary Intervention for Patients Presenting With ST-Segment Elevation Myocardial Infarction: Process Improvement in a Rural ST-Segment Elevation Myocardial Infarction Receiving Center. Progress in Cardiovascular Diseases 53:3, 202-209
CrossRef56
F. Schiele, M. Hochadel, M. Tubaro, N. Meneveau, W. Wojakowski, M. Gierlotka, L. Polonski, J.-P. Bassand, K. A. A. Fox, A. K. Gitt. (2010) Reperfusion strategy in Europe: temporal trends in performance measures for reperfusion therapy in ST-elevation myocardial infarction. European Heart Journal 31:21, 2614-2624
CrossRef57
H.-R. Arntz, L.L. Bossaert, N. Danchin, N. Nicolau. (2010) Initiales Management des akuten Koronarsyndroms. Notfall + Rettungsmedizin 13:7, 621-634
CrossRef58
Elizabeth W. Kelly, Jonathan D. Kelly, Brian Hiestand, Kathy Wells-Kiser, Stephanie Starling, James W. Hoekstra. (2010) Six Sigma Process Utilization in Reducing Door-to-Balloon Time at a Single Academic Tertiary Care Center. Progress in Cardiovascular Diseases 53:3, 219-226
CrossRef59
, , W. Wijns, P. Kolh, N. Danchin, C. Di Mario, V. Falk, T. Folliguet, S. Garg, K. Huber, S. James, J. Knuuti, J. Lopez-Sendon, J. Marco, L. Menicanti, M. Ostojic, M. F. Piepoli, C. Pirlet, J. L. Pomar, N. Reifart, F. L. Ribichini, M. J. Schalij, P. Sergeant, P. W. Serruys, S. Silber, M. Sousa Uva, D. Taggart, , A. Vahanian, A. Auricchio, J. Bax, C. Ceconi, V. Dean, G. Filippatos, C. Funck-Brentano, R. Hobbs, P. Kearney, T. McDonagh, B. A. Popescu, Z. Reiner, U. Sechtem, P. A. Sirnes, M. Tendera, P. E. Vardas, P. Widimsky, , P. Kolh, O. Alfieri, J. Dunning, S. Elia, P. Kappetein, U. Lockowandt, G. Sarris, P. Vouhe, , P. Kearney, L. von Segesser, S. Agewall, A. Aladashvili, D. Alexopoulos, M. J. Antunes, E. Atalar, A. Brutel de la Riviere, A. Doganov, J. Eha, J. Fajadet, R. Ferreira, J. Garot, J. Halcox, Y. Hasin, S. Janssens, K. Kervinen, G. Laufer, V. Legrand, S. A. M. Nashef, F.-J. Neumann, K. Niemela, P. Nihoyannopoulos, M. Noc, J. J. Piek, J. Pirk, Y. Rozenman, M. Sabate, R. Starc, M. Thielmann, D. J. Wheatley, S. Windecker, M. Zembala. (2010) Guidelines on myocardial revascularization: The Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). European Heart Journal 31:20, 2501-2555
CrossRef60
Leo Bossaert, Robert E. O’Connor, Hans-Richard Arntz, Steven C. Brooks, Deborah Diercks, Gilson Feitosa-Filho, Jerry P. Nolan, Terry L. Vanden Hoek, Darren L. Walters, Aaron Wong, Michelle Welsford, Karen Woolfrey. (2010) Part 9: Acute coronary syndromes. Resuscitation 81:1, e175-e212
CrossRef61
Hans-Richard Arntz, Leo L. Bossaert, Nicolas Danchin, Nikolaos I. Nikolaou. (2010) European Resuscitation Council Guidelines for Resuscitation 2010 Section 5. Initial management of acute coronary syndromes. Resuscitation 81:10, 1353-1363
CrossRef62
Manuel A. Gonzalez, Itsik Ben-Dor, Kohei Wakabayashi, Gabriel Maluenda, Michael A. Gaglia, Nicholas N. Hanna, Cedric Delhaye, Sara D. Collins, Asmir I. Syed, Lavinia P. Mitulescu, Rebecca Torguson, William O. Suddath, Joseph Lindsay, Augusto D. Pichard, Lowell F. Satler, Ron Waksman. (2010) Does on- versus off-hours presentation impact in-hospital outcomes of ST-segment elevation myocardial infarction patients transferred to a tertiary care center?. Catheterization and Cardiovascular Interventions 76:4, 484-490
CrossRef63
F. Borgia, S. G. Goodman, S. Halvorsen, W. J. Cantor, F. Piscione, M. R. Le May, F. Fernandez-Aviles, P. L. Sanchez, K. Dimopoulos, B. Scheller, P. W. Armstrong, C. Di Mario. (2010) Early routine percutaneous coronary intervention after fibrinolysis vs. standard therapy in ST-segment elevation myocardial infarction: a meta-analysis. European Heart Journal 31:17, 2156-2169
CrossRef64
Chu-Lin Tsai, David J. Magid, Ashley F. Sullivan, James A. Gordon, Rainu Kaushal, P. Michael Ho, Pamela N. Peterson, David Blumenthal, Carlos A. Camargo. (2010) Quality of Care for Acute Myocardial Infarction in 58 U.S. Emergency Departments. Academic Emergency Medicine 17:9, 940-950
CrossRef65
Birga Maier, Steffen Behrens, Claudia Graf-Bothe, Holger Kuckuck, Jens-Uwe Roehnisch, Ralph G. Schoeller, Helmut Schuehlen, Heinz P. Theres. (2010) Time of admission, quality of PCI care, and outcome of patients with ST-elevation myocardial infarction. Clinical Research in Cardiology 99:9, 565-572
CrossRef66
Steven M Ettinger. (2010) Comparing transradial with transfemoral approaches for STEMI patients: the importance of time-to-intervention. Interventional Cardiology 2:4, 455-457
CrossRef67
Rodrigo Estévez-Loureiro, Ramon Calviño-Santos, Jose-Manuel Vázquez-Rodríguez, Raquel Marzoa-Rivas, Eduardo Barge-Caballero, Jorge Salgado-Fernández, Guillermo Aldama-López, Maria Barreiro-Díaz, Jacobo Varela-Portas, Miguel Freire-Tellado, Nicolas Vázquez-González, Alfonso Castro-Beiras. (2010) Direct transfer of ST-elevation myocardial infarction patients for primary percutaneous coronary intervention from short and long transfer distances decreases temporal delays and improves short-term prognosis: the PROGALIAM Registry. EuroIntervention 6:3, 343-349
CrossRef68
I. Meryon, N. Patel, T. Millane, C. Varma. (2010) Normal coronary angiography and primary percutaneous coronary intervention for ST elevation myocardial infarction: a literature review and audit findings. International Journal of Clinical Practice 64:9, 1245-1251
CrossRef69
Eisuke Kagawa, Ichiro Inoue, Takuji Kawagoe, Masaharu Ishihara, Yuji Shimatani, Satoshi Kurisu, Yasuharu Nakama, Kazuoki Dai, Otani Takayuki, Hiroki Ikenaga, Yoshimasa Morimoto, Kentaro Ejiri, Nozomu Oda. (2010) Assessment of outcomes and differences between in- and out-of-hospital cardiac arrest patients treated with cardiopulmonary resuscitation using extracorporeal life support. Resuscitation 81:8, 968-973
CrossRef70
Rahul K. Khare, D. Mark Courtney, Raymond Kang, James G. Adams, Joseph Feinglass. (2010) The Relationship Between the Emergent Primary Percutaneous Coronary Intervention Quality Measure and Inpatient Myocardial Infarction Mortality. Academic Emergency Medicine 17:8, 793-800
CrossRef71
Hendrik-Jan Dieker, Stephan S.B. Liem, Hamza El Aidi, Pierre van Grunsven, Wim R.M. Aengevaeren, Marc A. Brouwer, Freek W.A. Verheugt. (2010) Pre-Hospital Triage for Primary Angioplasty. JACC: Cardiovascular Interventions 3:7, 705-711
CrossRef72
Peter H. Van Ness, Peter A. Charpentier, Edward H. Ip, Xiaoyan Leng, Terrence E. Murphy, Janet A. Tooze, Heather G. Allore. (2010) Gerontologic Biostatistics: The Statistical Challenges of Clinical Research with Older Study Participants. Journal of the American Geriatrics Society 58:7, 1386-1392
CrossRef73
Kazuo Kimura, Masami Kosuge, Jyun Okuda. (2010) Percutaneous coronary intervention in ST-segment elevation myocardial infarction. Cardiovascular Intervention and Therapeutics 25:2, 53-59
CrossRef74
Brendan G. Carr, Patrick H. Conway, Zachary F. Meisel, Claudia A. Steiner, Carolyn Clancy. (2010) Defining the Emergency Care Sensitive Condition: A Health Policy Research Agenda in Emergency Medicine. Annals of Emergency Medicine 56:1, 49-51
CrossRef75
Harlan M. Krumholz. (2010) Oportunidades para mejorar la asistencia de los pacientes con infarto de miocardio con elevación del segmento ST: enfoque sobre la prestación de la asistencia. Revista Española de Cardiología 63:5, 509-512
CrossRef76
Cynthia Arslanian-Engoren, Bonnie Hagerty, Cathy L. Antonakos, Kim A. Eagle. (2010) The feasibility and utility of the aid to cardiac triage intervention to improve nurses' cardiac triage decisions. Heart & Lung: The Journal of Acute and Critical Care 39:3, 201-207
CrossRef77
Christopher H. Lee, Carin M. Van Gelder, David C. Cone. (2010) Early Cardiac Catheterization Laboratory Activation by Paramedics for Patients with ST-segment Elevation Myocardial Infarction on Prehospital 12-Lead Electrocardiograms. Prehospital Emergency Care 14:2, 153-158
CrossRef78
Ross, Joseph S., Normand, Sharon-Lise T., Wang, Yun, Ko, Dennis T., Chen, Jersey, Drye, Elizabeth E., Keenan, Patricia S., Lichtman, Judith H., Bueno, Héctor, Schreiner, Geoffrey C., Krumholz, Harlan M., . (2010) Hospital Volume and 30-Day Mortality for Three Common Medical Conditions. New England Journal of Medicine 362:12, 1110-1118
Full Text79
J. Mark Peterman, Soren Bisgaard. (2010) Door-to-Balloon Time: Performance Improvement in the Multidisciplinary Treatment of Myocardial Infarction. Journal for Healthcare Quality
CrossRef80
Anjani Rao, Youssef Kardouh, Saba Darda, Devang Desai, Lingareddy Devireddy, Thomas Lalonde, Howard Rosman, Shukri David. (2010) Impact of the prehospital ECG on door-to-balloon time in ST elevation myocardial infarction. Catheterization and Cardiovascular Interventions 75:2, 174-178
CrossRef81
Therese A. Stukel, David A. Alter, Michael J. Schull, Dennis T. Ko, Ping Li. (2010) Association Between Hospital Cardiac Management and Outcomes for Acute Myocardial Infarction Patients. Medical Care 48:2, 157-165
CrossRef82
Pierre-Frédéric Keller, Marco Roffi. 2010. Acute Coronary Syndromes. , 1-22.
CrossRef83
Ingo Eitel, Annegret Franke, Gerhard Schuler, Holger Thiele. (2010) ST-segment resolution and prognosis after facilitated versus primary percutaneous coronary intervention in acute myocardial infarction: a meta-analysis. Clinical Research in Cardiology 99:1, 1-11
CrossRef84
Suhail Allaqaband, M. Fuad Jan, Wamiq Y. Banday, Angela Schlemm, S. Hinan Ahmed, Naoyo Mori, Neil Oldridge, Anjan Gupta, Tanvir Bajwa. (2010) Impact of 24-hr in-hospital interventional cardiology team on timeliness of reperfusion for ST-segment elevation myocardial infarction. Catheterization and Cardiovascular InterventionsNA-NA
CrossRef85
Michael T. Cudnik, W. Frank Peacock, Deborah B. Diercks, Matthew T. Roe, Anita Y. Chen. (2009) Prehospital Electrocardiograms (ECGs) Do Not Improve the Process of Emergency Department Care in Hospitals with Higher Usage of ECGs in NonâST-segment Elevation Myocardial Infarction Patients. Clinical Cardiology 32:12, 668-675
CrossRef86
P. K. Kong, D. Connolly, C. Varma, G. Lip, T. Millane, R. Davis, R. Ahmad. (2009) High-risk myocardial infarction patients appear to derive more mortality benefit from short door-to-balloon time than low-risk patients. International Journal of Clinical Practice 63:12, 1693-1701
CrossRef87
Scott G. Weiner, John T. Wu, Preety Bhatti, Jessica D. Goetz. (2009) Mode of arrival does not predict myocardial infarction in patients who present to the ED with chest pain. International Journal of Emergency Medicine 2:4, 241-245
CrossRef88
Elizabeth H. Bradley, Brahmajee K. Nallamothu, Jeph Herrin, Henry H. Ting, Amy F. Stern, Ingrid M. Nembhard, Christina T. Yuan, Jeremy C. Green, Eva Kline-Rogers, Yongfei Wang, Jeptha P. Curtis, Tashonna R. Webster, Frederick A. Masoudi, Gregg C. Fonarow, John E. Brush, Harlan M. Krumholz. (2009) National Efforts to Improve Door-to-Balloon Time. Journal of the American College of Cardiology 54:25, 2423-2429
CrossRef89
Christian Hagl, Nawid Khaladj, Sven Peterss, Andreas Martens, Ingo Kutschka, Heidi Goerler, Malakh Shrestha, Axel Haverich. (2009) Acute Treatment of ST-Segment-Elevation Myocardial Infarction: Is There a Role for the Cardiac Surgeon?. The Annals of Thoracic Surgery 88:6, 1786-1792
CrossRef90
James C. Blankenship. (2009) Quality metrics for each component of the STEMI care system. Catheterization and Cardiovascular Interventions 74:6, 835-836
CrossRef91
François Charbonneau. (2009) Creating synergy in our health system: The challenges of primary angioplasty. Canadian Journal of Cardiology 25:11, e387-e388
CrossRef92
Kevin M. Takakuwa, Gregory A. Burek, Adrian T. Estepa, Frances S. Shofer. (2009) A Method for Improving Arrival-to-electrocardiogram Time in Emergency Department Chest Pain Patients and the Effect on Door-to-balloon Time for ST-segment Elevation Myocardial Infarction. Academic Emergency Medicine 16:10, 921-927
CrossRef93
Paolo Ortolani, Bernhard Reimers, Marco Tubaro, Giovanni Sesana. (2009) How to reduce the time windows for primary percutaneous coronary intervention. Journal of Cardiovascular Medicine 10:Suppl 1, S7-S11
CrossRef94
Nicolas Danchin. (2009) Systems of Care for ST-Segment Elevation Myocardial Infarction. JACC: Cardiovascular Interventions 2:10, 901-908
CrossRef95
CHI-HANG LEE, BEE-CHOO TAI, CINDY LAU, ZHAOJIN CHEN, ADRIAN F. LOW, SWEE-GUAN TEO, HUAY-CHEEM TAN. (2009) Relation between Door-to-Balloon Time and Microvascular Perfusion as Evaluated by Myocardial Blush Grade, Corrected TIMI Frame Count, and ST-segment Resolution in Treatment of Acute Myocardial Infarction. Journal of Interventional Cardiology 22:5, 437-443
CrossRef96
Daniel M. Frendl, Sebastian T. Palmeri, J. Robert Clapp, David Hampton, Maria Sejersten, Dwayne Young, Barbara Drew, Robert Farrell, Jan Innes, James Russell, G. Ian Rowlandson, Yanina Purim-Shem-Tov, B. Kevin Underhill, Sophia Zhou, Galen S. Wagner. (2009) Overcoming barriers to developing seamless ST-segment elevation myocardial infarction care systems in the United States: recommendations from a comprehensive Prehospital 12-lead Electrocardiogram Working Group. Journal of Electrocardiology 42:5, 426-431
CrossRef97
Alexis Matteau, Marc Dorais, Stéphane Rinfret, Jacques LeLorier, François Reeves. (2009) Effectiveness of a change in reperfusion strategy to primary percutaneous coronary intervention in a nonselected population. Canadian Journal of Cardiology 25:8, e279-e283
CrossRef98
Iqbal Bata, Paul W. Armstrong, Cynthia M. Westerhout, Andrew Travers, Sunil Sookram, Edward Caine, James Christenson, Robert C. Welsh. (2009) Time from first medical contact to reperfusion in ST elevation myocardial infarction: A Which Early ST Elevation Myocardial Infarction Therapy (WEST) substudy. Canadian Journal of Cardiology 25:8, 463-468
CrossRef99
Jesse M. Pines, Charles V. Pollack, Deborah B. Diercks, Anna Marie Chang, Frances S. Shofer, Judd E. Hollander. (2009) The Association Between Emergency Department Crowding and Adverse Cardiovascular Outcomes in Patients with Chest Pain. Academic Emergency Medicine 16:7, 617-625
CrossRef100
Clare L. Atzema, Peter C. Austin, Jack V. Tu, Michael J. Schull. (2009) Emergency Department Triage of Acute Myocardial Infarction Patients and the Effect on Outcomes. Annals of Emergency Medicine 53:6, 736-745
CrossRef101
Guglielmo Bernardi, Antonio Di Chiara, Ilaria Armellini. (2009) The Acute Myocardial Infarction with ST Segment Elevation Udine Registry (Come-to-Udine): predictors of 3 years mortality. Journal of Cardiovascular Medicine 10:6, 474-484
CrossRef102
Theodore J. Iwashyna, Andrew A. Kramer, Jeremy M. Kahn. (2009) Intensive care unit occupancy and patient outcomes*. Critical Care Medicine 37:5, 1545-1557
CrossRef103
Chao-Lun Lai, Chieh-Min Fan, Pen-Chih Liao, Kuang-Chau Tsai, Chi-Yu Yang, Shu-Hsun Chu, Kuo-Liong Chien. (2009) Impact of an Audit Program and Other Factors on Door-to-balloon Times in Acute ST-elevation Myocardial Infarction Patients Destined for Primary Coronary Intervention. Academic Emergency Medicine 16:4, 333-342
CrossRef104
Brahmajee K. Nallamothu, Harlan M. Krumholz, Eric D. Peterson, Wenqin Pan, Elizabeth Bradley, Amy F. Stern, Frederick A. Masoudi, David M. Janicke, Adrian F. Hernandez, Christopher P. Cannon, Gregg C. Fonarow. (2009) Door-to-Balloon Times in Hospitals Within the Get-With-The-Guidelines Registry After Initiation of the Door-to-Balloon (D2B) Alliance. The American Journal of Cardiology 103:8, 1051-1055
CrossRef105
Ivan C. Rokos, William J. French, William J. Koenig, Samuel J. Stratton, Beverly Nighswonger, Brian Strunk, Jackie Jewell, Ehtisham Mahmud, James V. Dunford, Jon Hokanson, Stephen W. Smith, Kenneth W. Baran, Robert Swor, Aaron Berman, B. Hadley Wilson, Akinyele O. Aluko, Brian W. Gross, Paul S. Rostykus, Angelo Salvucci, Vishva Dev, Bryan McNally, Steven V. Manoukian, Spencer B. King. (2009) Integration of Pre-Hospital Electrocardiograms and ST-Elevation Myocardial Infarction Receiving Center (SRC) Networks. JACC: Cardiovascular Interventions 2:4, 339-346
CrossRef106
Robert J. Goldberg, Frederick A. Spencer, Keith A.A. Fox, David Brieger, Ph. Gabriel Steg, Enrique Gurfinkel, Rebecca Dedrick, Joel M. Gore. (2009) Prehospital Delay in Patients With Acute Coronary Syndromes (from the Global Registry of Acute Coronary Events [GRACE]). The American Journal of Cardiology 103:5, 598-603
CrossRef107
Veena Rao, Basmah Safdar, Janet Parkosewich, L Veronica Lee, Gail DʼOnofrio, JoAnne M. Foody. (2009) Improvements in Time to Reperfusion. Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine 8:1, 38-42
CrossRef108
R. Parikh, R. Faillace, A. Hamdan, D. Adinaro, J. Pruden, V. DeBari, M. Bikkina. (2009) An emergency physician activated protocol, ‘Code STEMI’ reduces door-to-balloon time and length of stay of patients presenting with ST-segment elevation myocardial infarction. International Journal of Clinical Practice 63:3, 398-406
CrossRef109
Henry E. Wang, Oscar C. Marroquin, Kenneth J. Smith. (2009) Direct Paramedic Transport of Acute Myocardial Infarction Patients to Percutaneous Coronary Intervention Centers: A Decision Analysis. Annals of Emergency Medicine 53:2, 233-240.e5
CrossRef110
Paul Knaapen, Maarten Mulder, Friso M. Zant, Hans O. Peels, Jos W. R. Twisk, Albert C. Rossum, Jan H. Cornel, Victor A. W. M. Umans. (2009) Infarct size in primary angioplasty without on-site cardiac surgical backup versus transferal to a tertiary center: a single photon emission computed tomography study. European Journal of Nuclear Medicine and Molecular Imaging 36:2, 237-243
CrossRef111
Marc Eckstein, Elizabeth Cooper, Tue Nguyen, Franklin D. Pratt. (2009) Impact of Paramedic Transport with Prehospital 12-Lead Electrocardiography on Door-to-Balloon Times for Patients with ST-Segment Elevation Myocardial Infarction. Prehospital Emergency Care 13:2, 203-206
CrossRef112
Robert C. Welsh, Andrew Travers, Thao Huynh, Warren J. Cantor. (2009) Canadian Cardiovascular Society Working Group: Providing a perspective on the 2007 focused update of the American College of Cardiology and American Heart Association 2004 guidelines for the management of ST elevation myocardial infarction. Canadian Journal of Cardiology 25:1, 25-32
CrossRef113
Susana Mingo, Javier Goicolea, Luis Nombela, Elena Sufrate, Ana Blasco, Isabel Millán, Raymundo Ocaranza, José A. Fernández-Díaz, Javier Ortigosa, Yolanda Romero, Luis Alonso-Pulpón. (2009) Angioplastia primaria en nuestro medio. Análisis de los retrasos hasta la reperfusión, sus condicionantes y su implicación pronóstica. Revista Española de Cardiología 62:1, 15-22
CrossRef114
Marc Eckstein, William Koenig, Amy Kaji, Richard Tadeo. (2009) Implementation of Specialty Centers for Patients with ST-Segment Elevation Myocardial Infarction. Prehospital Emergency Care 13:2, 215-222
CrossRef115
Brent C. Pottenger, Deborah B. Diercks, Deepak L. Bhatt. (2008) Regionalization of Care for ST-Segment Elevation Myocardial Infarction: Is It Too Soon?. Annals of Emergency Medicine 52:6, 677-685.e1
CrossRef116
Ruchira Glaser, Srihari S. Naidu, Faith Selzer, Alice K. Jacobs, Warren K. Laskey, Vankeepuram S. Srinivas, James N. Slater, Robert L. Wilensky. (2008) Factors Associated With Poorer Prognosis for Patients Undergoing Primary Percutaneous Coronary Intervention During Off-Hours. JACC: Cardiovascular Interventions 1:6, 681-688
CrossRef117
Frederick A. Masoudi, Robert O. Bonow, Ralph G. Brindis, Christopher P. Cannon, Jo DeBuhr, Susan Fitzgerald, Paul A. Heidenreich, Kalon K.L. Ho, Harlan M. Krumholz, Chris Leber, David J. Magid, David S. Nilasena, John S. Rumsfeld, Sidney C. Smith, Thomas P. Wharton. (2008) ACC/AHA 2008 Statement on Performance Measurement and Reperfusion Therapy. Journal of the American College of Cardiology 52:24, 2100-2112
CrossRef118
Christopher P. Cannon. (2008) Updated Strategies and Therapies for Reducing Ischemic and Vascular Events (STRIVE) ST-Segment Elevation Myocardial Infarction Critical Pathway Toolkit. Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine 7:4, 223-231
CrossRef119
Robert P. From, Jennifer Tretsven, Cormac O'Sullivan. (2008) Heightened awareness of the thrombosis potential of drug-eluting stents may save lives. Journal of Clinical Anesthesia 20:8, 624-625
CrossRef120
C. Michael Gibson, Yuri B. Pride, Paul D. Frederick, Charles V. Pollack, John G. Canto, Alan J. Tiefenbrunn, W. Douglas Weaver, Costas T. Lambrew, William J. French, Eric D. Peterson, William J. Rogers. (2008) Trends in reperfusion strategies, door-to-needle and door-to-balloon times, and in-hospital mortality among patients with ST-segment elevation myocardial infarction enrolled in the National Registry of Myocardial Infarction from 1990 to 2006. American Heart Journal 156:6, 1035-1044
CrossRef121
Dennis T. Ko, Linda R. Donovan, Thao Huynh, Stéphane Rinfret, Derek Y. So, Michael P. Love, Diane Galbraith, Jack V. Tu. (2008) A survey of primary percutaneous coronary intervention for patients with ST segment elevation myocardial infarction in Canadian hospitals. Canadian Journal of Cardiology 24:11, 839-843
CrossRef122
CHI-HANG LEE, SHIRLEY B.S. OOI, EDGAR L. TAY, ADRIAN F. LOW, SWEE-GUAN TEO, CINDY LAU, BEE-CHOO TAI, IRENE LIM, SUSAN LAM, ING-HAAN LIM, PING CHAI, HUAY-CHEEM TAN. (2008) Shortening of Median Door-to-Balloon Time in Primary Percutaneous Coronary Intervention in Singapore by Simple and Inexpensive Operational Measures: Clinical Practice Improvement Program. Journal of Interventional Cardiology 21:5, 414-423
CrossRef123
Anita L. Tucker, Sara J. Singer, Jennifer E. Hayes, Alyson Falwell. (2008) Front-Line Staff Perspectives on Opportunities for Improving the Safety and Efficiency of Hospital Work Systems. Health Services Research 43:5p2, 1807-1829
CrossRef124
Patricia Krüth, Uwe Zeymer, Anselm Gitt, Claus Jünger, Harm Wienbergen, Franz Niedermeier, Hans-Georg Glunz, Jochen Senges, Ralf Zahn. (2008) Influence of presentation at the weekend on treatment and outcome in ST-elevation myocardial infarction in hospitals with catheterization laboratories. Clinical Research in Cardiology 97:10, 742-747
CrossRef125
Amy H. Kaji, William Koenig, Marc Eckstein, Scott Youngquist, Richard Tadeo, James T. Niemann. (2008) The Need for Uniform Definitions in the Regionalized Care of ST-segment Elevation Myocardial Infarction. Academic Emergency Medicine 15:8, 759-761
CrossRef126
Brendan J. Carmody. (2008) A Novel Approach to Transmission of the Out-of-Hospital EKG in Patients With ST Segment Elevation Myocardial Infarction. Annals of Emergency Medicine 52:2, 183-184
CrossRef127
Harvey D White, Derek P Chew. (2008) Acute myocardial infarction. The Lancet 372:9638, 570-584
CrossRef128
A. Manari, P. Ortolani, P. Guastaroba, G. Casella, L. Vignali, E. Varani, G. Piovaccari, V. Guiducci, G. Percoco, S. Tondi, F. Passerini, A. Santarelli, A. Marzocchi. (2008) Clinical impact of an inter-hospital transfer strategy in patients with ST-elevation myocardial infarction undergoing primary angioplasty: the Emilia-Romagna ST-segment elevation acute myocardial infarction network. European Heart Journal 29:15, 1834-1842
CrossRef129
David P. Faxon. (2008) New data on early management of patients with ST-elevation myocardial infarction. Current Cardiology Reports 10:4, 291-298
CrossRef130
Rajendra H. Mehta, Vincent J. Bufalino, Wenqin Pan, Adrian F. Hernandez, Christopher P. Cannon, Gregg C. Fonarow, Eric D. Peterson. (2008) Achieving rapid reperfusion with primary percutaneous coronary intervention remains a challenge: Insights from American Heart Association's Get With the Guidelines program. American Heart Journal 155:6, 1059-1067
CrossRef131
Maria Sejersten, Martin Sillesen, Peter R. Hansen, Søren Loumann Nielsen, Henrik Nielsen, Sven Trautner, David Hampton, Galen S. Wagner, Peter Clemmensen. (2008) Effect on Treatment Delay of Prehospital Teletransmission of 12-Lead Electrocardiogram to a Cardiologist for Immediate Triage and Direct Referral of Patients With ST-Segment Elevation Acute Myocardial Infarction to Primary Percutaneous Coronary Intervention. The American Journal of Cardiology 101:7, 941-946
CrossRef132
Henry H. Ting, Elizabeth H. Bradley, Yongfei Wang, Brahmajee K. Nallamothu, Bernard J. Gersh, Veronique L. Roger, Judith H. Lichtman, Jeptha P. Curtis, Harlan M. Krumholz. (2008) Delay in Presentation and Reperfusion Therapy in ST-Elevation Myocardial Infarction. The American Journal of Medicine 121:4, 316-323
CrossRef133
Maryanne Crowther. (2008) Time = MUSCLE the case for STEMI care improvements. Nursing Management (Springhouse) 39:4, 41
CrossRef134
Robert C Welsh, Paul W Armstrong. 2008. Treatment Opportunities with Fibrinolytic Therapy. , 71-90.
CrossRef135
Thomas P Wharton. 2008. Primary PCI with Off-Site Cardiac Surgery Backup. , 155-166.
CrossRef136
James Blankenship. (2008) Jump on the bandwagon now or chase the rocket later. Catheterization and Cardiovascular Interventions 71:2, 158-159
CrossRef137
Carlo Di Mario, Dariusz Dudek, Federico Piscione, Waldemar Mielecki, Stefano Savonitto, Ernesto Murena, Konstantinos Dimopoulos, Antonio Manari, Achille Gaspardone, Andrzej Ochala, Krzysztof Zmudka, Leonardo Bolognese, Philippe Gabriel Steg, Marcus Flather. (2008) Immediate angioplasty versus standard therapy with rescue angioplasty after thrombolysis in the Combined Abciximab REteplase Stent Study in Acute Myocardial Infarction (CARESS-in-AMI): an open, prospective, randomised, multicentre trial. The Lancet 371:9612, 559-568
CrossRef138
Shailja V. Parikh, Joshua A. Jacobi, Edwin Chu, Tayo A. Addo, John J. Warner, Kathleen A. Delaney, Darren K. McGuire, James A. deLemos, Joaquin E. Cigarroa, Sabina A. Murphy, Ellen C. Keeley. (2008) Treatment delay in patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction: A key process analysis of patient and program factors. American Heart Journal 155:2, 290-297
CrossRef139
Le May, Michel R., So, Derek Y., Dionne, Richard, Glover, Chris A., Froeschl, Michael P.V., Wells, George A., Davies, Richard F., Sherrard, Heather L., Maloney, Justin, Marquis, Jean-François, O'Brien, Edward R., Trickett, John, Poirier, Pierre, Ryan, Sheila C., Ha, Andrew, Joseph, Phil G., Labinaz, Marino, . (2008) A Citywide Protocol for Primary PCI in ST-Segment Elevation Myocardial Infarction. New England Journal of Medicine 358:3, 231-240
Full Text140
William S. Weintraub, Deborah Ehrenthal. (2008) Establishing the effectiveness of coronary intervention for acute myocardial infarction. American Heart Journal 155:1, 6-8
CrossRef141
Dean J. Kereiakes. (2008) Specialized Centers and Systems for Heart Attack Care. The American Heart Hospital Journal 6:1, 14-20
CrossRef142
Marco Zimarino, Daniele Sacchetta, Giulia Renda, Raffaele De Caterina. (2008) Facilitated PCI: Rationale, Current Evidence, Open Questions, and Future Directions. Journal of Cardiovascular Pharmacology 51:1, 3-10
CrossRef143
Hiroko Suzuki, Mitsunagqa Iwata, Satoshi Nonoue, Yoshitomo Nishikawa, Taketo Watase, Yoshimi Kitagawa, Rinya Kato. (2008) Evaluation of the Quality of the Management of Patients with Acute Myocardial Infarction in an Emergency Department in Japan. Nihon Kyukyu Igakukai Zasshi 19:3, 150-155
CrossRef144
Karl Heinrich Scholz, Reinhard Hilgers, Dorothe Ahlersmann, Holger Duwald, Rolf Nitsche, Georg von Knobelsdorff, Berthold Volger, Karsten Möller, Friederike K. Keating. (2008) Contact-to-Balloon Time and Door-to-Balloon Time After Initiation of a Formalized Data Feedback in Patients With Acute ST-Elevation Myocardial Infarction. The American Journal of Cardiology 101:1, 46-52
CrossRef145
Jason P. Brown, Ehtisham Mahmud, James V. Dunford, Ori Ben-Yehuda. (2008) Effect of Prehospital 12-Lead Electrocardiogram on Activation of the Cardiac Catheterization Laboratory and Door-to-Balloon Time in ST-Segment Elevation Acute Myocardial Infarction. The American Journal of Cardiology 101:2, 158-161
CrossRef146
Thomas W. Concannon, David M. Kent, Sharon-Lise Normand, Joseph P. Newhouse, John L. Griffith, Robin Ruthazer, Joni R. Beshansky, John B. Wong, Thomas Aversano, Harry P. Selker. (2008) A Geospatial Analysis of Emergency Transport and Inter-Hospital Transfer in ST-Segment Elevation Myocardial Infarction. The American Journal of Cardiology 101:1, 69-74
CrossRef147
Derek P. Chew. (2008) The Last Mile: Improving Patient Outcomes within Modern Cardiovascular Medicine. Heart, Lung and Circulation 17, S10-S13
CrossRef148
Arthur L. Riba. (2008) Evidence-Based Performance and Quality Improvement in the Acute Cardiac Care Setting. Critical Care Clinics 24:1, 201-229
CrossRef149
Elliott M. Antman, Mary Hand, Paul W. Armstrong, Eric R. Bates, Lee A. Green, Lakshmi K. Halasyamani, Judith S. Hochman, Harlan M. Krumholz, Gervasio A. Lamas, Charles J. Mullany, David L. Pearle, Michael A. Sloan, Sidney C. Smith. (2008) 2007 Focused Update of the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction. Journal of the American College of Cardiology 51:2, 210-247
CrossRef150
Javier Ortigosa Aso, Lorenzo Silva Melchor. (2008) Estrategias de reperfusión en el infarto agudo. Revista Española de Cardiología 61:1, 6-9
CrossRef151
Harlan M. Krumholz, Frederick A. Masoudi. (2007) The Year in Epidemiology, Health Services Research, and Outcomes Research. Journal of the American College of Cardiology 50:23, 2254-2262
CrossRef152
David Magid, Elizabeth H. Bradley. (2007) Emergency Physician Activation of the Cath Lab: Saving Time, Saving Lives. Annals of Emergency Medicine 50:5, 535-537
CrossRef153
Michael Christopher Kurz, Christine Babcock, Shashank Sinha, Janis P. Tupesis, John Allegretti. (2007) The Impact of Emergency Physician–Initiated Primary Percutaneous Coronary Intervention on Mean Door-to-Balloon Time in Patients With ST-Segment-Elevation Myocardial Infarction. Annals of Emergency Medicine 50:5, 527-534
CrossRef154
Adam J. Singer, Amit Shembekar, Farid Visram, Joshua Schiller, Valerie Russo, William Lawson, Carol A. Gomes, Carolyn Santora, Mary Maliszewski, Lisa Wilbert, Eileen Dowdy, Peter Viccellio, Mark C. Henry. (2007) Emergency Department Activation of an Interventional Cardiology Team Reduces Door-to-Balloon Times in ST-Segment-Elevation Myocardial Infarction. Annals of Emergency Medicine 50:5, 538-544
CrossRef155
Phillip L. Kraft, Stacey Newman, Danette Hanson, William Anderson, Aveh Bastani. (2007) Emergency Physician Discretion to Activate the Cardiac Catheterization Team Decreases Door-to-Balloon Time for Acute ST-Elevation Myocardial Infarction. Annals of Emergency Medicine 50:5, 520-526
CrossRef156
Hans O. Peels, Hans de Swart, Tjeerd v.d. Ploeg, Raymond W. Hautvast, Jan H. Cornel, Alf E. Arnold, Thomas P. Wharton, Victor A. Umans. (2007) Percutaneous Coronary Intervention With Off-Site Cardiac Surgery Backup for Acute Myocardial Infarction as a Strategy to Reduce Door-to-Balloon Time. The American Journal of Cardiology 100:9, 1353-1358
CrossRef157
David J. Carlbom, Gordon D. Rubenfeld. (2007) Barriers to implementing protocol-based sepsis resuscitation in the emergency department—Results of a national survey*. Critical Care Medicine 35:11, 2525-2532
CrossRef158
Nallamothu, Brahmajee K., Bradley, Elizabeth H., Krumholz, Harlan M., . (2007) Time to Treatment in Primary Percutaneous Coronary Intervention. New England Journal of Medicine 357:16, 1631-1638
Full Text159
W. Ahmar, T. Quarin, A. Ajani, M. Kennedy, L. Grigg. (2007) Improvement in door-to-balloon times in management of acute ST-segment elevation myocardial infarction STEMI through the initiation of ‘Code AMI’. Internal Medicine Journal 0:0, 071018054112005-???
CrossRef160
James C. Blankenship, Thomas A. Haldis, G. Craig Wood, Kimberly A. Skelding, Thomas Scott, Francis J. Menapace. (2007) Rapid Triage and Transport of Patients With ST-Elevation Myocardial Infarction for Percutaneous Coronary Intervention in a Rural Health System. The American Journal of Cardiology 100:6, 944-948
CrossRef161
Elizabeth H. Bradley, Brahmajee K. Nallamothu, Jeptha P. Curtis, Tashonna R. Webster, David J. Magid, Christopher B. Granger, Mauro Moscucci, Harlan M. Krumholz. (2007) Summary of Evidence Regarding Hospital Strategies to Reduce Door-to-Balloon Times for Patients With ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention. Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine 6:3, 91-97
CrossRef162
Auerbach, Andrew D., Landefeld, C. Seth, Shojania, Kaveh G., . (2007) The Tension between Needing to Improve Care and Knowing How to Do It. New England Journal of Medicine 357:6, 608-613
Full Text163
Vivek N. Dhruva, Samir I. Abdelhadi, Ather Anis, William Gluckman, David Hom, William Dougan, Edo Kaluski, Bunyad Haider, Marc Klapholz. (2007) ST-Segment Analysis Using Wireless Technology in Acute Myocardial Infarction (STAT-MI) Trial. Journal of the American College of Cardiology 50:6, 509-513
CrossRef164
Maria Sejersten, Rasmus S. Ripa, Charles Maynard, Peer Grande, Henning Rud Andersen, Galen S. Wagner, Peter Clemmensen. (2007) Timing of ischemic onset estimated from the electrocardiogram is better than historical timing for predicting outcome after reperfusion therapy for acute anterior myocardial infarction: A DANish trial in Acute Myocardial Infarction 2 (DANAMI-2) substudy. American Heart Journal 154:1, 61.e1-61.e8
CrossRef165
Simon R. Dixon, Cindy L. Grines, William W. O’Neill. (2007) The Year in Interventional Cardiology. Journal of the American College of Cardiology 50:3, 270-285
CrossRef166
J. Douglas Kirk. (2007) Reducing the door to balloon time: Is bypassing the emergency department really the answer?. International Journal of Cardiology 119:3, 359-361
CrossRef167
(2007) Door-to-Balloon Time in Acute Myocardial Infarction. New England Journal of Medicine 356:14, 1475-1479
Full Text168
(2007) Minimizing door-to-balloon time in patients with STEMI. Nature Clinical Practice Cardiovascular Medicine 4:4, 176-176
CrossRef169
Steven E. Nissen. (2007) Saving lives in acute ST-elevation myocardial infarction: The door-to-balloon initiative. Current Cardiology Reports 9:2, 79-81
CrossRef170
W.H. Frishman. (2007) Strategies for Reducing the Door-to-Balloon Time in Acute Myocardial Infarction. Yearbook of Medicine 2007, 341-343
CrossRef171
Moscucci, Mauro, Eagle, Kim A., . (2006) Reducing the Door-to-Balloon Time for Myocardial Infarction with ST-Segment Elevation. New England Journal of Medicine 355:22, 2364-2365
Full Text
- Letters
