Journal article

Trends in door-to-balloon time and outcomes following primary percutaneous coronary intervention for ST-elevation myocardial infarction: An Australian perspective

AL Brennan, N Andrianopoulos, SJ Duffy, CM Reid, DJ Clark, P Loane, G New, A Black, BP Yan, M Brooks, L Roberts, EA Carroll, J Lefkovits, AE Ajani

Internal Medicine Journal | WILEY | Published : 2014

Abstract

Background: Guidelines for patients with ST-elevation myocardial infarction include a door-to-balloon time (DTBT) of ≤90min for primary percutaneous coronary intervention. Aim: The aim of this study was to assess temporal trends (2006-2010) in DTBT and determine if a reduction in DTBT was associated with improved clinical outcomes. Methods: We compared annual median DTBT in 1926 STEMI patients undergoing primary percutaneous coronary intervention from the Melbourne Interventional Group registry. ST-elevation myocardial infarction presenting >12h and rescue percutaneous coronary intervention was excluded. Major adverse cardiac events were analysed according to DTBT (dichotomised as ≤90min vs ..

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Grants

Funding Acknowledgements

The MIG acknowledges funding from Abbott, Astra-Zeneca, Biotronik, Boston Scientific, Bristol-Myers Squibb, Cordis Johnson & Johnson, CSL, Medtronic, MSD, Pfizer, Sanofi-Aventis, Servier, and Schering-Plough. These companies do not have access to data and do not have the right to review manuscripts or abstracts before publication. C. M. Reid's work is supported by a NHMRC Senior Research Fellowship and NHMRC Program Grant.