Door-to-balloon: Difference between revisions

Latest revision as of 06:31, 16 February 2025

Door-to-Balloon Time[edit]

Door-to-balloon time (D2B) is a critical measure in the treatment of ST-Elevation Myocardial Infarction (STEMI), a severe form of heart attack. It refers to the time interval from a patient's arrival at the hospital to the moment they receive percutaneous coronary intervention (PCI), specifically balloon angioplasty.

Importance[edit]

Reducing door-to-balloon time is crucial because the sooner a blocked coronary artery is opened, the better the patient's chances of survival and recovery. The American College of Cardiology and the American Heart Association recommend a door-to-balloon time of 90 minutes or less.

Process[edit]

The process of minimizing door-to-balloon time involves several coordinated steps:

Prehospital ECG Transmission: As shown in the image, prehospital electrocardiogram (ECG) transmission allows emergency medical services (EMS) to send ECG results to the hospital before the patient arrives. This enables the hospital team to prepare for immediate intervention.

Emergency Department Protocols: Upon arrival, the patient is quickly assessed and diagnosed. If STEMI is confirmed, the patient is rapidly transferred to the catheterization laboratory.

Catheterization Laboratory Activation: The catheterization team is alerted and prepared to perform PCI as soon as the patient arrives.

Strategies to Reduce Time[edit]

Hospitals employ various strategies to reduce door-to-balloon time, including:

Streamlined Communication: Effective communication between EMS, emergency department staff, and the catheterization lab team is essential.

Prehospital Notification: EMS can notify the hospital of an incoming STEMI patient, allowing the catheterization lab to be ready upon the patient's arrival.

Standardized Protocols: Implementing standardized protocols for STEMI treatment helps ensure that all team members know their roles and responsibilities.

Challenges[edit]

Despite efforts to reduce door-to-balloon time, challenges remain, such as:

Geographical Barriers: Patients in rural areas may face longer transport times to hospitals equipped with PCI facilities.

Resource Limitations: Not all hospitals have 24/7 access to a catheterization lab, which can delay treatment.

Related Pages[edit]

@@ Line 1: / Line 1: @@
-'''Door-to-balloon''' is a term in [[emergency medicine]] that refers to the time period from a patient's arrival at the [[hospital]] to the time of inflation of a [[balloon catheter]] within the patient's blocked [[coronary artery]]. This is a critical measure in [[cardiology]], as it is a key factor in the survival rates of patients suffering from [[myocardial infarction]], commonly known as a heart attack.
+== Door-to-Balloon Time ==
-==Overview==
+[[File:STEMI_Prehospital_ECG_Xmit.jpg|thumb|right|Prehospital ECG transmission for STEMI patients]]
-The door-to-balloon initiative was developed to reduce the time it takes to treat heart attack patients upon their arrival at the hospital. The goal is to have a door-to-balloon time of 90 minutes or less, as studies have shown that quicker treatment times can significantly improve patient outcomes. The initiative involves a coordinated effort between [[emergency medical services]], emergency department staff, and the [[cardiac catheterization]] lab team.
-==Procedure==
+'''Door-to-balloon time''' (D2B) is a critical measure in the treatment of [[ST-Elevation Myocardial Infarction]] (STEMI), a severe form of [[heart attack]]. It refers to the time interval from a patient's arrival at the hospital to the moment they receive [[percutaneous coronary intervention]] (PCI), specifically [[balloon angioplasty]].
-Upon arrival at the hospital, the patient is quickly assessed and diagnosed with a [[electrocardiogram]] (ECG). If the ECG indicates a myocardial infarction, the patient is immediately taken to the cardiac catheterization lab. Here, a balloon catheter is inserted into the patient's blocked coronary artery. The balloon is then inflated to open up the blockage and restore blood flow to the heart muscle.
-==Importance==
+== Importance ==
-The door-to-balloon time is a critical factor in the treatment of heart attack patients. Studies have shown that a shorter door-to-balloon time can significantly improve patient outcomes. The American Heart Association and the American College of Cardiology recommend a door-to-balloon time of 90 minutes or less for the best patient outcomes.
-==See also==
+Reducing door-to-balloon time is crucial because the sooner a blocked coronary artery is opened, the better the patient's chances of survival and recovery. The American College of Cardiology and the American Heart Association recommend a door-to-balloon time of 90 minutes or less.
-* [[Cardiology]]
-* [[Emergency medicine]]
+== Process ==
-* [[Myocardial infarction]]
-* [[Coronary artery]]
+The process of minimizing door-to-balloon time involves several coordinated steps:
-* [[Balloon catheter]]
+* '''Prehospital ECG Transmission''': As shown in the image, prehospital [[electrocardiogram]] (ECG) transmission allows emergency medical services (EMS) to send ECG results to the hospital before the patient arrives. This enables the hospital team to prepare for immediate intervention.
+* '''Emergency Department Protocols''': Upon arrival, the patient is quickly assessed and diagnosed. If STEMI is confirmed, the patient is rapidly transferred to the [[catheterization laboratory]].
+* '''Catheterization Laboratory Activation''': The catheterization team is alerted and prepared to perform PCI as soon as the patient arrives.
+== Strategies to Reduce Time ==
+Hospitals employ various strategies to reduce door-to-balloon time, including:
+* '''Streamlined Communication''': Effective communication between EMS, emergency department staff, and the catheterization lab team is essential.
+* '''Prehospital Notification''': EMS can notify the hospital of an incoming STEMI patient, allowing the catheterization lab to be ready upon the patient's arrival.
+* '''Standardized Protocols''': Implementing standardized protocols for STEMI treatment helps ensure that all team members know their roles and responsibilities.
+== Challenges ==
+Despite efforts to reduce door-to-balloon time, challenges remain, such as:
+* '''Geographical Barriers''': Patients in rural areas may face longer transport times to hospitals equipped with PCI facilities.
+* '''Resource Limitations''': Not all hospitals have 24/7 access to a catheterization lab, which can delay treatment.
+== Related Pages ==
+* [[Myocardial Infarction]]
+* [[Percutaneous Coronary Intervention]]
+* [[Electrocardiogram]]
+* [[Emergency Medical Services]]
-[[Category:Emergency medicine]]
 [[Category:Cardiology]]
-[[Category:Medical terminology]]
-{{medicine-stub}}