Angioplastia Coronaria Primaria: Una Cuestión de Tiempo

Time to Treatment in Primary Percutaneous Coronary Intervention
Brahmajee Nallamothu, Elizabeth Bradley, and Harlan Krumholz.
N Engl J Med 2007;357(16):1631-8.

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Early administration of reperfusion therapy improves survival in patients with ST-elevation myocardial infarction by reestablishing coronary blood flow within the occluded infarct-related artery. Primary percutaneous coronary intervention (PCI) is superior to fibrinolytic therapy when performed rapidly by expert teams, but its effectiveness may be limited by delays in delivery.

Recent national efforts are drawing attention to the importance of door-to-balloon time as a key indicator of quality of care for patients with ST-elevation myocardial infarction who are treated with primary PCI. The American College of Cardiology (ACC), in collaboration with the American Heart Association (AHA), the American College of Emergency Physicians (ACEP), the National Heart, Lung, and Blood Institute (NHLBI), and other partners, has implemented a national quality-improvement campaign to decrease door-to-balloon time in primary PCI. The convergence of clinical and policy interest in door-to-balloon time makes this an opportune occasion to review current knowledge on this topic.