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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
A RETROSPECTIVE OBSERVATIONAL STUDY OF DOOR TO BALLOON TIME IN PATIENTS UNDERGOING PRIMARY CORONARY ANGIOPLASTY AT TERTIARY CARE HOSPITAL DURING THE COVID PANDEMIC
Author
Syed Masood Ahmed1, Himaal Dev2, Vikram B Kolhari3, PurvikB4, Pradeep M. Venkategowda5*, Mr. Arun Kumar S6
Email
drpradeepmarur@gmail.com
keyword
Door-to-balloon, Coronary syndrome, Angioplasty, Covid.
Abstract
Door-to-balloon (DTB) time of 90 min during primary angioplasty is considered as the benchmark duration according to American Heart Association’s (AHA) guidelines. Shorter DTB time has been shown to have good clinical outcomes, both with respect to patient and procedure. Methods: A Retrospective observational study of 2 years in Apollo Hospital Sheshadripuram was conducted in patients presenting with acute coronary syndrome features undergoing primary angioplasty during COVID. The DTB time was calculated, along with the difference in both day shift and nigh shift timings. Results: The analysis of 311 patients who underwent angioplasty, the median DTB time in our study was shown to be 51 minutes. It is also noted that majority of the patients who had acute coronary syndrome were of the age group 61-70, contributing to almost 49 % of the entire study group. Out of 311 patients, 175 patients who underwent angioplasty, the DTB was 50.39±16.68 during 6:00pm to 8:59am and 136 patients who underwent angioplasty; the DTB was 47.66±14.8 during 9:00am to 5:59pm. The P value of 0.127 shows that there is no significant time interval difference between day shift and night shift hours, Conclusion: As per the guidelines issued by the American heart Association, the door to balloon time of less than 90 minutes is considered as the benchmark time limit. The median DTB time in our study was shown to be 51 minutes. The door to balloon time was maintained within the standard time during the covid period. This article highlights the importance of proper and timely implementation of acute coronary syndrome management protocols for better patient outcome
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