Optimizing door-to-balloon times for STEMI interventions – Results from the SINCERE database

Background: primary angioplasty decreases mortality and improves long-term outcomesfor patients with stemi. to be most effective, it needs to be performed expediently, withdoor-to-balloon times (d2b) less than 90 min.methods: from january 2005 to presently, 420 short d2b stemi interventions were performedat 5 community hospitals by a single experienced operator creating the sincere (single individualcommunity experience registry) database.results: median d2b time was 78 min, median procedure time (local anesthesia to recanalization)was 13 min; 85.2% of procedures had d2b time <90 min; 95% of the procedures were successful– relief of chest pain, >70% st segment resolution, timi 3 flow and myocardial perfusiongrade 3.conclusions: primary pci with high success rates and predictable short d2b times can be performedwith standardized techniques in community hospitals.