In this analysis of >43,000 patients who presented with STEMI within 12 hours of symptoms in >600 US medical centers, researchers analyzed the association of time to PCI and death. Median time to PCI was 83 minutes, but the longer the time the PCI, the higher the mortality. Those with PCI in 30 minutes had a death rate of 3%, and those with PCI in 150 minutes had a death rate of 7%. Although clinical guidelines recommend PCI within 90 minutes, the recommendation should be “the sooner the better” (abstract).
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.