Systems of Care to Improve Timeliness of Reperfusion Therapy for ST-Segment Elevation Myocardial Infarction During Off Hours

• Published in: JACC. Cardiovascular interventions Vol. 1; no. 1; pp. 88 - 96
• Main Authors: Holmes, David R., MD, FACC, Bell, Malcolm R., MBBS, FACC, Gersh, Bernard J., MB, ChB, DPhil, FACC, Rihal, Charanjit S., MD, MBA, FACC, Haro, Luis H., MD, Bjerke, Christine M., RN, Lennon, Ryan J., MS, Lim, Choon-Chern, BS, Ting, Henry H., MD, MBA, FACC
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01.02.2008
• Subjects: Cardiovascular; CHF; percutaneous coronary intervention; myocardial infarction; PCI; STEMI; congestive heart failure; coronary artery bypass graft; IQR; interquartile range; ST-segment elevation myocardial infarction; CABG; MI
• ISSN: 1936-8798; 1876-7605
• DOI: 10.1016/j.jcin.2007.10.002

Systems of Care to Improve Timeliness of Reperfusion Therapy for ST-Segment Elevation Myocardial Infarction During Off Hours: The Mayo Clinic STEMI Protocol David R. Holmes, Jr, Malcolm R. Bell, Bernard J. Gersh, Charanjit S. Rihal, Luis H. Haro, Christine M. Bjerke, Ryan J. Lennon, Choon-Chern Lim, Henry H. Ting We implemented the Mayo Clinic ST-segment elevation myocardial infarction (STEMI) protocol and evaluated the timeliness of reperfusion therapy for STEMI patients presenting during off hours versus regular hours. Among 258 patients who presented to Saint Marys Hospital, median door-to-balloon time was 65 min during regular hours versus 74 min during off hours (p = 0.085). Among 105 patients transferred from regional hospitals for primary percutaneous coronary intervention, median door-to-balloon time was 118 min during regular hours versus 114 min during off hours (p = 0.15). Among 131 patients treated with fibrinolytic therapy at regional hospitals, median door-to-needle time was 21 min during regular hours versus 26 min during off hours (p = 0.067).