Shortest door-to-balloon time in primary percutaneous coronary intervention for a young resident physician suffering from in-hospital inferior ST-segment elevation myocardial infarction

Abstract

Percutaneous coronary intervention (PCI) for patients with ST-segment myocardial infarction (STEMI) significantly improves clinical outcomes but can't possibly be accomplished in less than 20min for pre- and in-hospital delays[1]. Here we report a young resident physician of a tertiary referral hospital who suffered acute inferior STEMI and junctional bradycardia during working hours and was successfully rescued by primary PCI within a very short door-to-balloon period of 11min. Thus, with the patient's rapid presentation and the system's availability, acute STEMI could be intervened by primary PCI speedily, especially for those working in tertiary referral hospitals and having easier access to medical facilities.