January 1, 2001Open Access

GRACE (the Global Registry of Acute Coronary Events): the real world side of the cardiovascular clinical practice in acute coronary syndromes

MKMarcos KnobelHospital Israelita Albert Einstein AAA AvezumHospital Israelita Albert Einstein RKR KanekoAssociação Paulista para o Desenvolvimento da Medicina

Structured PICO

Does door-to-balloon time correlate with clinical and prognostic variables in patients with acute MI undergoing primary angioplasty?

Population

Patients with acute myocardial infarction (MI) undergoing primary angioplasty at a single institution

Intervention

Primary angioplasty (evaluation of door-to-balloon time)

Outcome

Door-to-balloon time (DBT) and its relationship with clinical and prognostic variables

This study aimed to evaluate real-world door-to-balloon times and their prognostic implications in acute myocardial infarction.

Abstract

Objectives: In the treatment of acute myocardial infarction (MI), the time delay to achieve reperfusion of the infarction-related artery has been linked to survival rates. Primary or direct angioplasty has been found to be an excellent means of achieving reperfusion in acute ST-elevation MI compared to thrombolytic therapy in randomized trials. However, no mortality benefit of primary angioplasty over thrombolysis was observed in several registries, in which delays in performing primary angioplasty were longer. Our objectives were to evaluate the door-to-balloon time (DBT) in our institution and investigate its relationship with clinical and prognostic variables.

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