2025, Vol. 8, Issue 2, Part A

Background: Cardiovascular Diseases (CVDs) are the leading causes of death. Prompt reperfusion access is essential for patients who have Myocardial Infarction (MI) with ST-segment elevation as they are at a relatively high risk of death. Primary Percutaneous Coronary Intervention (PCI), using a catheter with an inflatable balloon, aims to restore blood flow by reopening blocked arteries reducing door-to-balloon (D2B) time for ST-Segment Elevation Myocardial Infarction (STEMI) has been shown to improve outcomes. Delays still occur due to various factors such as time to laboratory activation and diagnostic clarification in equivocal cases. We propose that early communication through early communication between emergency medical services (EMS) and in-hospital providers can reduce EMS-to-balloon time and provide coordinated care to impact D2B time.

Methods: Focus groups Involved all the patients who were had a symptoms of STEMI, NSTEMI and diagnosed, than underwent cath lab procedures.

Results: The study revealed that the improved door to balloon time which was more than 90 minutes is reduced to less than 90 minutes. Standing orders for ER was very helpful to reduce the door to balloon time. Educating and proper counselling was done on ER patients who all are came with the complaints of chest pain or suspected for STEMI.

Conclusion: Shortening D2B time was significantly associated with survival benefit, and the survival benefit of shortening D2B time was consistently observed, even <60 to 90 minutes. Mortality and non-fatal complications did not differ significantly between STEMI patients before and after a quality improvement intervention. However, the number of patients treated within 55?min from arrival was significantly higher after the intervention; and coronary intervention within this time was associated with a lower death rate.