• JACC Cardiovasc Interv · Apr 2009

    Multicenter Study

    Integration of pre-hospital electrocardiograms and ST-elevation myocardial infarction receiving center (SRC) networks: impact on Door-to-Balloon times across 10 independent regions.

    • Ivan C Rokos, William J French, William J Koenig, Samuel J Stratton, Beverly Nighswonger, Brian Strunk, Jackie Jewell, Ehtisham Mahmud, James V Dunford, Jon Hokanson, Stephen W Smith, Kenneth W Baran, Robert Swor, Aaron Berman, B Hadley Wilson, Akinyele O Aluko, Brian W Gross, Paul S Rostykus, Angelo Salvucci, Vishva Dev, Bryan McNally, Steven V Manoukian, and Spencer B King.
    • Geffen School of Medicine at UCLA, UCLA-Olive View Medical Center, Department of Emergency Medicine, Sylmar, California 91342-1495, USA. irokos@earthlink.net
    • JACC Cardiovasc Interv. 2009 Apr 1;2(4):339-46.

    ObjectivesThe aim of this study was to evaluate the rate of timely reperfusion for ST-elevation myocardial infarction (STEMI) with primary percutaneous coronary intervention (PPCI) in regional STEMI Receiving Center (SRC) networks.BackgroundThe American College of Cardiology Door-to-Balloon (D2B) Alliance target is a >75% rate of D2B MethodsA pooled analysis of 10 independent, prospective, observational registries involving 72 hospitals was performed. Data were collected on all consecutive patients with a PH-ECG diagnosis of STEMI. The D2B and emergency medical services (EMS)-to-balloon (E2B) times were recorded.ResultsParamedics transported 2,712 patients with a PH-ECG diagnosis of STEMI directly to the nearest SRC. A PPCI was performed in 2,053 patients (76%) with an 86% rate of D2B ConclusionsTen independent regional SRC networks demonstrated a combined 86% rate of D2B

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