Impact of 24‐hr in‐hospital interventional cardiology team on timeliness of reperfusion for ST‐segment elevation myocardial infarction

Abstract

Round-the-clock, in-hospital interventional cardiology team consistently and significantly reduces D2B time, in-hospital cardiovascular mortality, MACE, and 1-year mortality in patients with STEMI.

Does cardiac catheterization laboratory activation by electrocardiography machine auto-interpretation reduce door-to-balloon time?

“…Subsequently, a single page activation of the CCL by the EP was proposed as a strategy to reduce the DTB time [15,18,19,26,27,7,9,13]. Previous studies have shown that CCL activation by a single page improves DTB times [6,15,18,26,27], same as the result shown in our study. We experienced a significant reduction in DTB time and in cases of DTB time more than 90 minutes after implementation of the code heart system.…”

“…⁎ Cardiac catheterization laboratory activation by single page. 6) in the code heart I and II groups, respectively (P = .177) (Fig. 3).…”

“…Currently, the most widely used strategy is to activate the cardiac catheterization laboratory (CCL) through a single page. Several studies report that this system significantly reduced the DTB time [6][7][8][9][10][11][12][13][14][15][16][17][18][19]. Based on this strategy, our institution implemented a 1-call "code heart I" protocol, CCL activation through a single page by emergency physician (EP).…”

Identifying False-positive ST-elevation Myocardial Infarction in Emergency Department Patients

“…We studied the impact of this at a tertiary care facility with an aggressive STEMI protocol that offers fully staffed cardiac catheterization services with an experienced interventional cardiologist in-hospital 24 h a day, 7 days a week (11). Our study objective was to determine the incidence, predictors, and prognosis of false-positive STEMI.…”

Association Between Body Surface Area and Outcomes After Percutaneous Coronary Intervention

“…43 Although our overall event rates may be different from other centers, we do not anticipate a different relationship between BSA and major outcomes. The use of a registry could introduce errors due to missing data and inaccurate data entry.…”