A STUDY OF DOOR-TO-BALLOON TIME IN PRIMARY PERCUTANEOUS CORONARY INTERVENTION IN ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION PATIENTS AT THANH HOA GENERAL HOSPITAL IN 2023

Thế Anh Lê, Huy Hiệu Hoàng, Quang Hiệp Dương, Thị Xuân Lê

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Abstract

Percutaneous coronary intervention for acute myocardial infarction patients has significantly reduced mortality and morbidity rates; however, the door-to-balloon time often exceeds the recommended 120 minutes according to the 2023 ACC/AHA and ESC guidelines. Objectives: This study aims to investigate the door-to-balloon time achieved in primary coronary intervention for patients with ST-segment elevation acute myocardial infarction at Thanh Hoa General Hospital and evaluate the outcomes of implementing the VSTEMI program in Thanh Hoa Province. Subject and Methods: A retrospective cross-sectional study was conducted on patients with ST-segment elevation acute myocardial infarction underwent percutaneous coronary intervention from April 2023 to April 2024 at Thanh Hoa General Hospital. Results: The study included 201 patients, the average age was 67.16 ± 10.83 years; 70.65% were male. The majority of cases were inferior wall myocardial infarctions with 36.32%, the percentage  of cases classified as Killip I was 83.58%. The average of door-to-balloon time was 329.48 ± 313.90 minutes, with only 30.85% of cases achieving a door-to-balloon time under 120 minutes. Conclusion: The door-to-balloon time for patients remains prolonged, with the majority experiencing delays. Process improvements are necessary to shorten the door-to-balloon time for patients with acute myocardial infarction undergoing coronary intervention.

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References

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