Abstract
Introduction: Decreasing Door to balloon (DTB) times leads to significant improvements in outcomes forpatients with STEMI. Pre-hospital ambulance notification of STEMI patients can potentially reduce DTB time.We provide our experience of pre hospital notification on DTB in a PPCI service. Method: 190 consecutive PPCI patients were collected over a 2-year period from January 2008 to December 2009. Parameters assessed included patient demographics, ambulance notification time, hospital arrival time, culprit lesion, percutaneous approach, procedural success (defined as culprit vessel TIMI 3 flow with no adverse events) and 30-day all-cause mortality. Results: Mean age 61.1± 13.6, male 149 (78%) prehospital notification occurred in 28 (15%) patients. The average time from ambulance call to doorwas 21± 11min. Pre-hospital notification significantly improved mean D h ( ( o s n s h d h
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