Associated factors with delayed door to balloon time in STEMI patients

Bijan Zamani; Saeid Ghadimi; Fereshteh Moradoghli; Maryam Chenaghlou; Ahmad Separham; Zahra Amirajam; Malek Abazari; Mohsen Abbasnezhad; Negin Zamani

doi:10.5812/intjcardiovascpract-131479

International Journal of Cardiovascular Practice

Current Issue All Issues In Press Accepted Manuscripts Search

Journal Information Editors & Boards Indexing and Listing Sources Journal Metrics Open Peer Review (OPR)Publication Ethics and Malpractice Statement Reviewer and AE Registration Form Support Contact Us

Authors Guide Submit Manuscript

Image Credit:Int J Cardiovasc Pract

https://doi.org/10.5812/intjcardiovascpract-131479

Associated factors with delayed door to balloon time in STEMI patients

Author(s):

Bijan Zamani¹,

Saeid Ghadimi²,

Fereshteh Moradoghli³,

Maryam Chenaghlou^4,*,

Ahmad Separham⁵,

Zahra Amirajam⁶,

Malek Abazari⁷,

Mohsen Abbasnezhad⁸,

Negin Zamani⁹

1Interventional Cardiologist, Department of Cardiology, Ardabil University of Medical Sciences, Ardabil, Iran

2General Practitioner, Ardabil University of Medical Sciences, Ardabil, Iran

3Shahid Beheshti University of Medical Sciences, Tehran, Iran

4Cardiologist, Fellowship of Heart Failure and Transplantation, Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

5Interventional Cardiologist, Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

6Cardiologist, Department of Cardiology and Infectious Diseases, Faculty of Medicine, Ardabil University of Medical Science, Ardabil, Iran

7Department of Public Health, Ardabil University of Medical Sciences, Ardabil, Iran

8Cardiologist, Fellowship of Electrophysiology, Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

9Medical Student, Tabriz University of Medical Sciences, Tabriz, Iran

International Journal of Cardiovascular Practice:Vol. 6, issue 1; e131479

Published online:Feb 14, 2021

Article type:Research Article

Received:Jun 13, 2020

Accepted:Dec 29, 2020

How to Cite:Bijan ZamaniSaeid GhadimiFereshteh MoradoghliMaryam ChenaghlouAhmad SeparhamZahra AmirajamMalek AbazariMohsen AbbasnezhadNegin Zamaniet al.Associated factors with delayed door to balloon time in STEMI patients.Int J Cardiovasc Pract.2021;6(1):e131479.https://doi.org/10.5812/intjcardiovascpract-131479.

Abstract

Introduction: Door to balloon time is a marker of primary Percutaneous Coronary Intervention (PCI) timeliness. Door to balloon time duration, associated factors and it's relation to outcomes are not similar in various centers. Herein we aimed to define these issues in our region.

Methods: In this study, 188 patients with ST-Elevation Myocardial infarction (STEMI) diagnosis eligible for primary PCI were included. Demographic, clinical, and time intervals from arrival in the hospital to patients' catheterization data were recorded. Patients were followed for six-month in terms of mortality and admission.

Results: After excluding patients with missed data, 174 patients were entered into the study. The mean age of patients was 60.8 ± 11.81 years, and 78% of patients were male. Median DBT was 70 minutes (IQR 25-75: 55-97 minute). One hundred and twentythree patients (71%) had a timely door to balloon time. Patients with delayed door to balloon time had lower age, lower prevalence of typical chest pain, and higher prevalence of PCI on Left Circumflex Artery (LCX) than the timely group, but these differences were not significant. (P-values were 0.068, 0.074 and 0.070 respectively). Delayed DBT was evident in three segments of the door to ECG, ECG to code, and code to cath times (P-values were < 0.0001, 0.009, and < 0.0001, respectively), but the cath to balloon time was not significantly different between the two groups (P-value: 0.159). Although in-hospital mortality was higher in the delayed group than the timely group, the difference was not meaningful. (11.7% vs 4.9%, P-value: 0.103). Six-month mortality and admission rate were not different between the two groups.

Conclusions: Door to balloon time was acceptable in this study and was comparable to developed countries. Albeit there is room for improvement due to modifiable delayed parts.

Keywords

Door to balloon time

ST-elevation Myocardial

Infarction

Primary percutaneous

Intervention

Fulltext

Full-text is available in the PDF file.

comments

Crossmark

Checking

Share on

Comments

Number of Comments:0

Cited by

CrossRef 0

Metrics

Get Permission (article level)

Purchasing Reprints

Copyright Clearance Center (CCC) handles bulk orders for article reprints for Brieflands. To place an order for reprints, please click here ( https://www.copyright.com/landing/reprintsinquiryform/ ). Clicking this link will bring you to a CCC request form where you can provide the details of your order. Once complete, please click the ‘Submit Request’ button and CCC’s Reprints Services team will generate a quote for your review.

Search Relations

Author(s):

Bijan Zamani:[PubMed][Scholar]
Saeid Ghadimi:[PubMed][Scholar]
Fereshteh Moradoghli:[PubMed][Scholar]
Maryam Chenaghlou:[PubMed][Scholar]
Ahmad Separham:[PubMed][Scholar]
Zahra Amirajam:[PubMed][Scholar]
Malek Abazari:[PubMed][Scholar]
Mohsen Abbasnezhad:[PubMed][Scholar]
Negin Zamani:[PubMed][Scholar]