ISSN: 2155-9880
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Nancy Davis
Tanzania
Research Article
Effect of Early Door to Balloon Time on Treatment with Adjunctive Therapy and Resultant Procedural Success in STEMI
Author(s): Jeffrey Cook, Rajinder Marok, Peter Stecy, Kathleen Magurany, Nancy Davis and Lloyd W. Klein
Jeffrey Cook, Rajinder Marok, Peter Stecy, Kathleen Magurany, Nancy Davis and Lloyd W. Klein
Objectives: We studied whether earlier door-to-balloon (DTB) times affected use of standard adjunct medications (Rx), and the effect of differential Rx on PCI success. Background: Striving for earlier DTB times in STEMI is important, but rushing may negatively impact pt management. We studied whether earlier DTB times negatively affected use of standard adjunct Rx, pre-PCI chest x-ray (CXR), and the effect on PCI success.
Methods: 227 pts diagnosed with STEMI were taken directly for angiography. Rx use between 3 grps were compared: Grp A=DTB>90 (n=156), Grp B=DTB<90 (n=71), Grp C =DTB<60 (n=12). Differential Rx patterns were evaluated for effect on PCI success. Optimal PCI result was defined as post-PCI TIMI 3 flow and stenosis <50% in the infarct vessel.
Results: Fewer pts received all Rx pre-PCI in Gr.. View More»
DOI:
10.4172/2155-9880.1000171