Heart Views

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 21  |  Issue : 4  |  Page : 256--262

Clinical review: Management of patients with acute ST-elevation myocardial infarction


Fatema Ahmed Ali1, Hasan Altahoo1, Mary Lynch2 
1 Department of Medicine, College of Medicine, Royal College of Surgeons in Ireland-Medical University of Bahrain, Busaiteen, Kingdom of Bahrain
2 Department of Cardiology, Sh. Mohammed Bin Khalifa Cardiac Center, Bahrain Defence Force Royal Medical Services, Kingdom of Bahrain

Correspondence Address:
Prof. Mary Lynch
Department of Cardiology, Sh. Mohammed Bin Khalifa Cardiac Center, Bahrain Defence Force Royal Medical Services
Kingdom of Bahrain

Aims: The aim was to assess the quality of practice provided to acute ST-elevation myocardial infarction (STEMI) patients at the cardiac center, within a specified time frame and identify possible areas of improvement. Settings and Design: This is a retrospective standards-based clinical review, including adults diagnosed with acute STEMI between January 1, 2016 and January 1, 2017 of cases admitted and managed at the respective cardiac center. Subjects and Methods: The study was designed according to recommendations provided by the National Institute for Health and Care Excellence guidelines: “The acute management of myocardial infarction with ST-segment elevation;” alongside, the local standard: door-to-balloon time ≤90 min, adopted from the American Heart Association. Statistical Analysis Used: Data analysis was done through excel and SPSS for advanced statistical calculations. P < 0.05 was considered to be statically significant. Results: In total, 277 patients were included in the study. About 72% underwent primary percutaneous coronary intervention with 62 min as median door-to-balloon time. Door-to-balloon time >90 min was significantly higher when patients presented outside official hospital hours (P = 0.039). Transradial route was chosen in 77.7% of the cases. Conclusions: Practice at the cardiac center was found to show good compliance with the guidelines. However, door-to-balloon time for procedures performed out of official hospital working hours was slightly outside the recommended limit.


How to cite this article:
Ali FA, Altahoo H, Lynch M. Clinical review: Management of patients with acute ST-elevation myocardial infarction.Heart Views 2020;21:256-262


How to cite this URL:
Ali FA, Altahoo H, Lynch M. Clinical review: Management of patients with acute ST-elevation myocardial infarction. Heart Views [serial online] 2020 [cited 2021 Apr 20 ];21:256-262
Available from: https://www.heartviews.org/article.asp?issn=1995-705X;year=2020;volume=21;issue=4;spage=256;epage=262;aulast=Ali;type=0