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Acute coronary syndromes

Reducing door-to-balloon time for STEMI—success at a price

To achieve timely restoration of coronary flow in patients with acute myocardial infarction, the decision to call in the cardiac catheterization team has moved ever earlier, and is often made before cardiologist evaluation. Door-to-balloon times have been reduced, but the price of this success is an increase in 'false alarms'.

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References

  1. Van de Werf, F. et al. Management of acute myocardial infarction in patients presenting with ST-segment elevation. The Task Force on the Management of Acute Myocardial Infarction of the European Society of Cardiology. Eur. Heart J. 29, 2909–2945 (2008).

    Article  CAS  Google Scholar 

  2. Nallamothu, B. K., Bradley, E. H. & Krumholz, H. M. Time to treatment in primary percutaneous coronary intervention. N. Engl. J. Med. 357, 1631–1638 (2007).

    Article  CAS  Google Scholar 

  3. McCabe, J. M. et al. Prevalence and factors associated with false-positive ST-segment elevation myocardial infarction diagnoses at primary percutaneous coronary intervention-capable centers: a report from the Activate-SF registry. Arch. Intern. Med. 172, 864–871 (2012).

    Article  Google Scholar 

  4. Larson, D. M. et al. “False-positive” cardiac catheterization laboratory activation among patients with suspected ST-segment elevation myocardial infarction. JAMA 298, 2754–2760 (2007).

    Article  CAS  Google Scholar 

  5. Mixon, T. A. et al. Retrospective description and analysis of consecutive catheterization laboratory ST-segment elevation myocardial infarction activations with proposal, rationale, and use of a new classification scheme. Circ. Cardiovasc. Qual. Outcomes 5, 62–69 (2012).

    Article  Google Scholar 

  6. Jollis, J. G. et al. False positive catheterization laboratory activation rates in the RACE Regional ST elevation myocardial infarction program [abstract 1101–286]. J. Am. Coll. Cardiol. 55, A109.E1016 (2010).

    Article  Google Scholar 

  7. Levine, G. N. et al. 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation 124, 2574–2609 (2011).

    Article  Google Scholar 

  8. Wijns, W. et al. Guidelines on myocardial revascularization. Eur. Heart J. 31, 2501–2555 (2010).

    Article  Google Scholar 

  9. Roe, M. T. et al. Treatments, trends, and outcomes of acute myocardial infarction and percutaneous coronary intervention. J. Am. Coll. Cardiol. 56, 254–263 (2010).

    Article  Google Scholar 

  10. Mehta, R. H. et al. Achieving rapid reperfusion with primary percutaneous coronary intervention remains a challenge: insights from American Heart Association's Get With The Guidelines program. Am. Heart J. 155, 1059–1067 (2008).

    Article  Google Scholar 

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Correspondence to David A. Morrow.

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Desai, N., Morrow, D. Reducing door-to-balloon time for STEMI—success at a price. Nat Rev Cardiol 9, 437–438 (2012). https://doi.org/10.1038/nrcardio.2012.95

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