What is an optimal time goal from hospital presentation to balloon inflation for PCI?

The optimal time goal from hospital presentation to balloon inflation for percutaneous coronary intervention (PCI) is set at 90 minutes. This timeframe is critical in the management of patients experiencing ST-Elevation Myocardial Infarction (STEMI), as timely intervention can significantly improve outcomes.

The rationale behind the 90-minute window is based on clinical studies indicating that quicker reperfusion leads to better myocardial salvage and ultimately reduces mortality. The goal is to minimize the time from first medical contact to revascularization, thereby limiting the extent of heart muscle damage caused by prolonged ischemia.

In practice, this 90-minute goal serves as a benchmark for hospitals and healthcare systems to develop protocols and strategies that streamline the processes involved in patient diagnosis, transfer, and treatment. Achieving this timing can also enhance coordination among emergency medical services, emergency departments, and cardiac catheterization labs, ensuring that patients receive the timely care necessary to optimize their recovery and reduce the risk of complications.