Evaluation the Door-to-Balloon Time in Patient with STElevation Myocardial Infraction (STEMI) in King Abdullah Medical City (KAMC) in Makkah Almukarramah: A Retrospective Single Center Study
Keywords:Ischemic heart disease, ST-Elevation Myocardial Infarction, percutaneous coronary intervention, Door-to balloon time, door-to-needle time.
Background: ST-Elevation Myocardial Infarctionis a time-sensitive emergency condition. Thus, guidelines
recommended 90 minutes or less for door-to-balloon time at a percutaneous coronary intervention-capable
hospital and with in 120 minutes or less if transferred from per cutaneous coronary intervention-Uncapable
Hospital. The main objective was to evaluate the recommended time needed forreperfusion therapy
particularly percutaneous coronary intervention inpatients with ST-Elevation Myocardial Infarctionat King
Abdullah Medical City.
Method and Results: A retrospective single center study. Data were obtained from 47 patients records
diagnosed with ST-Elevation Myocardial Infarction and treated with percutaneous coronary interventionat
King Abdullah Medical Cityfrom Jan 2018 through March 2019. About 36.4% of patients received
percutaneous coronary intervention in more than 90 Minutes eventhough they arrived directly at King
Abdullah Medical City. For patients who were transferred to King Abdullah Medical City, 63.9% of those
patients did not achieve the recommended door-to-balloon time.
Conclusion: High percentage of patients with ST-Elevation Myocardial Infarctionat King Abdullah Medical
City did notreceive percutaneous coronary intervention within the recommended timeline.
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