Sameer Mehta, Estefanía Oliveros, Carlos E.

Alfonso, Esther Falcão, Faisal

Shamshad, Ana I. Flores, Salomon Cohen,
Optimizing door-to-balloon times for STEMI interventions – Results from the SINCERE
database,
Journal of the Saudi Heart Association,
Volume 21, Issue 4,
2009,
Pages 229-243,
ISSN 1016-7315,
https://doi.org/10.1016/j.jsha.2009.10.006.
(https://www.sciencedirect.com/science/article/pii/S1319921809000404)
Abstract: Background
Primary angioplasty decreases mortality and improves long-term outcomes for
patients with STEMI. To be most effective, it needs to be performed expediently,
with door-to-balloon times (D2B) less than 90min.
Methods
From January 2005 to presently, 420 short D2B STEMI interventions were performed at
5 community hospitals by a single experienced operator creating the SINCERE (Single
INdividual Community Experience REgistry) database.
Results
Median D2B time was 78min, median procedure time (local anesthesia to
recanalization) was 13min; 85.2% of procedures had D2B time <90min; 95% of the
procedures were successful – relief of chest pain, >70% ST segment resolution, TIMI
3 flow and Myocardial Perfusion Grade 3.
Conclusions
Primary PCI with high success rates and predictable short D2B times can be
performed with standardized techniques in community hospitals.
Keywords: STEMI; Door-to-balloon times; Primary PCI