Current concepts - Time to treatment in primary percutaneous coronary intervention

被引：223
作者：
Nallamothu, Brahmajee K.
Bradley, Elizabeth H.
Krumholz, Harlan M.
机构：
[1] Ann Arbor Vet Affairs Med Ctr, Hlth Serv Res & Dev Ctr Excellence, Ann Arbor, MI USA
[2] Univ Michigan, Sch Med, Dept Internal Med, Div Cardiovasc Dis, Ann Arbor, MI USA
[3] Yale Univ, Sch Med, Dept Epidemiol & Publ Hlth, Sect Hlth Policy & Adm, New Haven, CT 06510 USA
[4] Yale Univ, Sch Med, Robert Wood Johnson Clin Scholars Program, Dept Med, New Haven, CT 06510 USA
[5] Yale Univ, Sch Med, Dept Med, Cardiovasc Med Sect, New Haven, CT 06510 USA
[6] Yale New Haven Med Ctr, Ctr Outcomes Res & Evaluat, New Haven, CT 06504 USA
来源：
NEW ENGLAND JOURNAL OF MEDICINE | 2007年 / 357卷 / 16期
关键词：
D O I：
10.1056/NEJMra065985
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Early administration of reperfusion therapy improves survival among patients with ST-elevation myocardial infarction. For primary percutaneous intervention, a goal of 90 minutes or less for door-to-balloon time is incorporated into many measures of quality performance, but delay remains common, with little improvement in this measure over recent years. This review examines the strategies for reducing door-to-balloon time and for selecting the appropriate reperfusion therapy, especially when a delay is unavoidable. Copyright © 2007 Massachusetts Medical Society.
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收藏
页码：1631 / 1638
页数：8
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