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Door-to-Balloon Delays with PCI in Acute Myocardial Infarction.
MedLine Citation:
PMID:  15023286     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
In the treatment of acute myocardial infarction (AMI), the length of time from symptom onset to revascularization is a crucial determinant of clinical outcomes such as mortality and reinfarction. Direct, or primary, percutaneous transluminal coronary angioplasty (PTCA) produces higher rates of infarct-related artery patency and improved clinical outcomes compared to thrombolytic therapy. However, primary PTCA is associated with an increased time interval from hospital arrival to revascularization, the so-called door-to-balloon time. Numerous data support the theory that increased door-to-balloon time reduces the benefits of primary PTCA in the treatment of AMI. Therefore, institutions that offer PTCA must strive to decrease door-to-balloon delays through the use of established treatment protocols and frequent assessment of performance.
Authors:
Daniel R. Guerra; C. Michael Gibson
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Current treatment options in cardiovascular medicine     Volume:  6     ISSN:  1534-3189     ISO Abbreviation:  Curr Treat Options Cardiovasc Med     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-Mar-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815942     Medline TA:  Curr Treat Options Cardiovasc Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  69-77     Citation Subset:  -    
Affiliation:
TIMI Data Coordinating Center and Angiographic Core Laboratory, 350 Longwood Avenue, First Floor, Boston, MA 02115, USA. mgibson@perfuse.org
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