Association of Previous Coronary Artery Bypass Graft Surgery With Door-to-Balloon Time and In-Hospital Outcomes: A Report From the National Cardiovascular Data Registry (NCDR)

摘要

Current American College of Cardiology/American Heart Association (ACC/AHA) guidelines recommend a goal reperfusion time of 90 min or less between medical contact and first intracoronary balloon inflation (i.e., door-to-balloon [DTB] time) in patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI) (1). On the basis of these recommendations, several government agencies and health, care groups, including the Centers for Medicare and Medicaid Services and the Joint Commission on Accreditation of Healthcare Organizations, now expect clinicians and hospitals to meet these recommended performance standards and have designated DTB time as a reportable Core Measure (2).