Prompt reperfusion treatment is essential for patients who have myocardial infarction with ST-segment elevation. Guidelines recommend that the interval between arrival at the hospital and intracoronary balloon inflation (door-to-balloon time) during primary percutaneous coronary intervention should be 90 minutes or less. However, few hospitals meet this objective. We sought to identify hospital strategies that were significantly associated with a faster door-to-balloon time.
Dalby M, Roughton, Ilsley Door-to-balloon time in acute myocardial infarction. (Letter) N Engl J Med. 2007 Apr 5; 356(14):1475-6