American Journal of Cardiology
Volume 104, Issue 9 , Pages 1198-1203 , 1 November 2009

Association of Door-to-Balloon Time and Mortality in Patients ≥65 Years With ST-Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention

  • Saif S. Rathore, MPH

      Affiliations

    • Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut
    • Corresponding Author InformationCorresponding author: Tel: 203-737-1675; fax: 203-737-1718
  • ,
  • Jeptha P. Curtis, MD

      Affiliations

    • Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut
  • ,
  • Brahmajee K. Nallamothu, MD, MPH

      Affiliations

    • Health Services Research and Development Center of Excellence, Ann Arbor Veterans Administration Medical Center, Ann Arbor, Michigan
    • Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan
  • ,
  • Yongfei Wang, MS

      Affiliations

    • Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut
  • ,
  • JoAnne Micale Foody, MD

      Affiliations

    • Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut
    • West Haven Veterans Administration Medical Center, West Haven, Connecticut
  • ,
  • Mikhail Kosiborod, MD

      Affiliations

    • Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut
  • ,
  • Frederick A. Masoudi, MD, MSPH

      Affiliations

    • Division of Geriatric Medicine, Department of Medicine, Denver Health Medical Center, Denver, Colorado
    • Division of Cardiology, Department of Medicine, Denver Health Medical Center, Denver, Colorado
    • Division of Cardiology, Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado
    • Colorado Foundation for Medical Care, Aurora, Colorado
  • ,
  • Edward P. Havranek, MD

      Affiliations

    • Division of Cardiology, Department of Medicine, Denver Health Medical Center, Denver, Colorado
    • Division of Cardiology, Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado
    • Colorado Foundation for Medical Care, Aurora, Colorado
  • ,
  • Harlan M. Krumholz, MD

      Affiliations

    • Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut
    • Section of Health Policy and Administration, Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut
    • Robert Wood Johnson Clinical Scholars Program, Yale University School of Medicine, New Haven, Connecticut
    • Yale–New Haven Hospital Center for Outcomes Research and Evaluation, New Haven, Connecticut

Received 21 April 2009 ,Revised 14 June 2009 ,Accepted 14 June 2009.

References 

  1. De Luca G, Suryapranata H, Zijlstra F, van't Hof AWJ, Hoorntje JCA, Gosselink ATM, et al. Symptom-onset-to-ballon time and mortality in patients with acute myocardial infarction treated by primary angioplasty. J Am Coll Cardiol. 2003;42:991–997
  2. Antoniucci D, Valenti R, Migliorini A, Moschi G, Trapani M, Buonamici P, et al. Relation of time to treatment and mortality in patients with acute myocardial infarction undergoing primary coronary angioplasty. Am J Cardiol. 2002;89:1248–1252
  3. Schomig A, Ndrepepa G, Mehilli J, Schwaiger M, Schulen H, Nekolla S, et al. Therapy-dependent influence of time-to-treatment interval on myocardial salvage in patients with acute myocardial infarction treated with coronary artery stenting or thrombolysis. Circulation. 2003;108:1084–1088
  4. Brodie BR, Stone GW, Morice M-C, Cox DA, Garcia E, Mattos LA, et al. Importance of time to reperfusion on outcomes with primary coronary angioplasty for acute myocardial infarction. Am J Cardiol. 2001;188:1085–1090
  5. Brodie BR, Stuckey TD, Muncy DB, Hansen CJ, Wall TC, Pulsipher M, et al. Importance of time-to-reperfusion in patients with acute myocardial infarction with and without cardiogenic shock treated with primary percutaneous coronary intervention. Am Heart J. 2003;145:708–715
  6. De Luca G, Suryapranata H, Ottervanger JP, Antman EM. Time delay to treatment and mortality in primary angioplasty for acute myocardial infarction: every minute of delay counts. Circulation. 2004;109:1223–1225
  7. van't Hof G, De Luca AWJ, de Boer M-J, Ottervanger JP, Hoorntje JCA, Gosselink ATM, et al. Time-to-treatment significantly affects the extent of ST-segment blush resolution and myocardial blush in patients with acute myocardial infarction treated by primary angioplasty. Eur Heart J. 2004;25:1009–1013
  8. Berger PB, Ellis SG, Holmes DRJ, Granger CB, Criger DA, Betriu A, et al. Relationship between delay in performing direct coronary angioplasty and early clinical outcome in patients with acute myocardial infarction. Circulation. 1999;100:14–20
  9. van't Hof AWJ, Liem A, Suryapranata H, Hoorntje JCA, de Boer M-J, Zijlstra F. Clinical presentation and outcome of patients with early, intermediate, and late reperfusion therapy by primary coronary angioplasty for acute myocardial infarction. Eur Heart J. 1998;19:118–123
  10. McNamara RL, Wang Y, Herrin J, Curtis JP, Bradley EH, Magid DJ, et al. Effect of door-to-balloon time on mortality in patients with ST-segment elevation myocardial infarction. J Am Coll Cardiol. 2006;47:2180–2186
  11. Stone GW, O'Keefe J, Brodie BR, O'Neill WW, Grines CL. Lack of relation between the time to reperfusion and short-term mortality after primary infarct angioplasty [abstract]. J Am Coll Cardiol. 1998;31:271A
  12. Brodie BR, Stuckey TD, Wall TC, Kissling G, Hansen CJ, Muncy DB, et al. Importance of time to reperfusion for 30-day and late survival and recovery of left ventricular function after primary angioplasty for acute myocardial infarction. J Am Coll Cardiol. 1998;32:1312–1319
  13. Juliard J-M, Feldman LJ, Golmard J-L, Himbert D, Benamer H, Haghighat T, et al. Relation of mortality of primary angioplasty during acute myocardial infarction to door-to–Thrombolysis in Myocardial Infarction (TIMI) time. Am J Cardiol. 2003;91:1401–1405
  14. Cannon CP, Gibson CM, Lambrew CT, Shoultz DA, Levy D, French WJ, et al. Relationship of symptom-onset-to-balloon time and door-to-balloon time with mortality in patients undergoing angioplasty for acute myocardial infarction. JAMA. 2000;283:2941–2947
  15. Marciniak TA, Ellerbeck EF, Radford MJ, Kresowik TF, Gold JA, Krumholz HM, et al. Improving the quality of care for Medicare patients with acute myocardial infarction (Results from the Cooperative Cardiovascular Project). JAMA. 1998;279:1351–1357
  16. Royston P, Ambler G, Saurbrei W. The use of fractional polynomials to model continuous risk variables in epidemiology. Int J Epidemiol. 1999;28:964–974
  17. Chen J, Rathore SS, Radford MJ, Wang Y, Krumholz HM. Racial differences in the use of cardiac catheterization after acute myocardial infarction. N Engl J Med. 2001;344:1443–1449
  18. White HA. A heteroskedasticity-consistent covariance matrix estimator and a direct test for heteroskedasticity. Econometrica. 1980;48:817–838
  19. Reimer KA, Lowe JE, Rasmussen MM, Jennings RB. The wavefront phenomenon of ischemic cell death: myocardial infarct size vs. duration of coronary occlusion in dogs. Circulation. 1977;56:786–794
  20. Milavetz JJ, Giebel DW, Christian TF, Schwartz RS, Holmes DRJ, Gibbons RJ. Time to therapy and salvage in myocardial infarction. J Am Coll Cardiol. 1998;31:1246–1251
  21. Antman EM, Hand M, Armstrong PW, Bates ER, Green LA, Halasyamani LK, et al. 2007 Focused updated of the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing group to review new evidence and update the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction). J Am Coll Cardiol. 2008;151:210–247
  22. Grines CL, Cox DA, Stone GW, Garcia E, Mattos LA, Giambartolomei A, et al. Coronary angioplasty with or without stent implantation for acute myocardial infarction: the Stent Primary Angioplasty in Myocardial Infarction Study Group. N Engl J Med. 1999;341:1949–1956
  23. Montalescot G, Barragan P, Wittenberg O, Ecollan P, Elhadad S, Villain P, et al. Platelet glycoprotein IIb/IIIa inhibition with coronary stenting for acute myocardial infarction. N Engl J Med. 2001;344:1895–1903
  24. Angeja BG, Gibson CM, Chin R, Frederick PD, Every NR, Ross AM, et al. Predictors of door-to-balloon delay in primary angioplasty. Am J Cardiol. 2002;89:1156–1161

 Mr. Rathore is supported by Medical Scientist Training Grant GM07205 from the National Institutes of Health, Bethesda, Maryland. Dr. Nallamothu is supported as a clinical scholar under K12 Grant RR017607-01 from the National Institutes of Health. Dr. Foody is supported by Research Career Award K08-AG20623-01 from the National Institute on Aging, Bethesda, Maryland, and a National Institute on Aging/Hartford Foundation Fellowship in Geriatrics, Bethesda, Maryland. Dr. Masoudi is supported by Research Career Award K08-AG01011 from the National Institute on Aging. This research was supported by Grant R01 HL072575 from the National Heart, Lung and Blood Institute, Bethesda, Maryland. The analyses on which this publication is based were performed under Contract 500-02-CO-01, entitled “Utilization and Quality Control Peer Review Organization for the State of Colorado,” sponsored by the Centers for Medicare and Medicaid Services (formerly Health Care Financing Administration), US Department of Health and Human Services, Baltimore, Maryland. The content of this publication does not necessarily reflect the views or policies of the U.S. Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government. The authors assume full responsibility for the accuracy and completeness of the ideas presented. This publication is a direct result of the Health Care Quality Improvement Program initiated by the Health Care Financing Administration, which has encouraged identification of quality improvement projects derived from analysis of patterns of care, and therefore required no special funding on the part of this Contractor. Ideas and contributions to the author concerning experience in engaging with issues presented are welcomed.

PII: S0002-9149(09)01260-0

doi: 10.1016/j.amjcard.2009.06.034

American Journal of Cardiology
Volume 104, Issue 9 , Pages 1198-1203 , 1 November 2009