An Approach to Shorten Time to Infarct Artery Patency in Patients With ST-Segment Elevation Myocardial Infarction

Brian W. Gross, Kent W. Dauterman, Mark G. Moran, Todd S. Kotler, Stephen J. Schnugg, Paul S. Rostykus, Amy Ross, W. Douglas Weaver

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

We developed a regional strategy to decrease the time to percutaneous coronary intervention (PCI) for patients with acute ST-segment elevation myocardial infarction (STEMI). Protocols were created for paramedics and referring hospitals to identify and directly triage all patients with STEMI to a single PCI center. Time to PCI reperfusion and in-hospital mortality were assessed in 233 consecutive patients with STEMI. Ninety-minute initial hospital door-to-patent infarct artery was achieved in 58.3% of paramedic-diagnosed and directly triaged patients compared with 37.5% of "walk-ins" to the PCI hospital and with only 5.2% of those transferred from another hospital emergency department (ED; p

Original languageEnglish (US)
Pages (from-to)1360-1363
Number of pages4
JournalAmerican Journal of Cardiology
Volume99
Issue number10
DOIs
StatePublished - May 15 2007
Externally publishedYes

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Percutaneous Coronary Intervention
Arteries
Allied Health Personnel
Myocardial Infarction
Myocardial Reperfusion
Triage
Hospital Departments
Hospital Mortality
Hospital Emergency Service
ST Elevation Myocardial Infarction

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Gross, B. W., Dauterman, K. W., Moran, M. G., Kotler, T. S., Schnugg, S. J., Rostykus, P. S., ... Weaver, W. D. (2007). An Approach to Shorten Time to Infarct Artery Patency in Patients With ST-Segment Elevation Myocardial Infarction. American Journal of Cardiology, 99(10), 1360-1363. https://doi.org/10.1016/j.amjcard.2006.12.058

An Approach to Shorten Time to Infarct Artery Patency in Patients With ST-Segment Elevation Myocardial Infarction. / Gross, Brian W.; Dauterman, Kent W.; Moran, Mark G.; Kotler, Todd S.; Schnugg, Stephen J.; Rostykus, Paul S.; Ross, Amy; Weaver, W. Douglas.

In: American Journal of Cardiology, Vol. 99, No. 10, 15.05.2007, p. 1360-1363.

Research output: Contribution to journalArticle

Gross, BW, Dauterman, KW, Moran, MG, Kotler, TS, Schnugg, SJ, Rostykus, PS, Ross, A & Weaver, WD 2007, 'An Approach to Shorten Time to Infarct Artery Patency in Patients With ST-Segment Elevation Myocardial Infarction', American Journal of Cardiology, vol. 99, no. 10, pp. 1360-1363. https://doi.org/10.1016/j.amjcard.2006.12.058
Gross, Brian W. ; Dauterman, Kent W. ; Moran, Mark G. ; Kotler, Todd S. ; Schnugg, Stephen J. ; Rostykus, Paul S. ; Ross, Amy ; Weaver, W. Douglas. / An Approach to Shorten Time to Infarct Artery Patency in Patients With ST-Segment Elevation Myocardial Infarction. In: American Journal of Cardiology. 2007 ; Vol. 99, No. 10. pp. 1360-1363.
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