The Effect of Direct Communication between Emergency Physicians and Interventional Cardiologists on Door to Balloon Times in STEMI.
10.3346/jkms.2008.23.4.706
- Author:
Min Ji KWAK
1
;
Kyuseok KIM
;
Joong Eui RHEE
;
Jung Ho SHIN
;
Gil Joon SUH
;
Young Seok JO
;
Tae Jin YOUN
;
Woo Young CHUNG
;
In Ho CHAE
;
Dong Ju CHOI
;
Christopher C LEE
;
Adam J SINGER
Author Information
1. Department of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. dremkks@snubh.org
- Publication Type:Original Article
- Keywords:
Cornea;
Myocardial infarction;
Reperfusion;
Electrocardiography
- MeSH:
Aged;
*Angioplasty, Transluminal, Percutaneous Coronary;
Communication;
Electrocardiography;
Emergency Service, Hospital/*organization & administration;
Female;
Humans;
Male;
Middle Aged;
Myocardial Infarction/*therapy;
Patient Care Team/*organization & administration;
Physicians;
Time Factors
- From:Journal of Korean Medical Science
2008;23(4):706-710
- CountryRepublic of Korea
- Language:English
-
Abstract:
We developed an institutional protocol mandating emergency physicians to contact the interventional cardiologist directly in all cases of ST-segment elevation myocardial infarction (STEMI) and hypothesized that this would reduce door-to-balloontimes (DTBT). From January 2004 to July 2006, 208 patients with STEMI were treated with primary percutaneous coronary intervention (PCI). A total of 144 patients were treated before implementing the new protocol ("before") and 64 patients were treated after the implementation ("after"). The DTBT was significantly reduced from 148+/-101 min to 108+/-56 min (p<0.05). While only 25% of the "before'' patients received PCI within 90 min after arrival, 50% of the "after'' patients received PCI within 90 min (p<0.05). There were no significant differences between two groups in other outcomes (postprocedural TIMI flow, mortality, subsequent stroke, heart failure, shock, reinfarction, length of stay in intensive care unit, and the total hospital length of stay). In conclusion, mandating emergency physicians to directly notify interventional cardiologists of all STEMI patients reduces DTBT.
