A palpable pulse does not exclude radial artery occlusion in patients with previous arterial cannulation
Khoueiry, G; Geha, F; Meghani, M; Abi, Rafeh N; Azab, B; Malpeso, JV
PMID: 22020522
ISSN: 1129-7298
CID: 160219
A STEMI code protocol improves door-to-balloon time on weekdays and weekends
Abi Rafeh, Nidal; Abi-Fadel, Dina; Wetz, Robert V; Khoueiry, Georges; Azab, Basem; Edwards, Adam; Ardolic, Brahim; El-Sayegh, Suzanne; Baldari, Duccio; Malpeso, James V; Costantino, Thomas
Primary percutaneous coronary intervention (PCI) has emerged as the standard of care for the management of ST-elevation myocardial infarctions (STEMI). Only 32% of patients with STEMI receive this procedure within the recommended 90 min for door-to-balloon time (DTB). We reviewed all STEMI cases that presented to our institution before and after the implementation of a STEMI Code protocol. Before the STEMI Code protocol, 27.1% of weekday cases and 6.3% of weekend cases were performed within 90 min. After the STEMI Code protocol, there was a threefold increase in the number of patients who received PCI within 90 min (p<.0001). A STEMI Code protocol dramatically improves DTB and equalizes disparities between weekday and weekend care.
PMID: 19957462
ISSN: 1062-2551
CID: 160220