Predictors of a prolonged puncture-wire time in patients with ST-Elevation Myocardial Infarction (STEMI)
Clinical Scorecard: Factors Influencing Extended Puncture-Wire Duration in ST-Elevation Myocardial Infarction (STEMI) Patients
At a Glance
Category Detail
Condition ST-elevation myocardial infarction (STEMI) Key Mechanisms Rapid reperfusion to limit myocardial damage and improve clinical outcomes. Target Population Patients presenting with STEMI undergoing primary percutaneous coronary intervention (PCI). Care Setting Cardiology and angiology department in a hospital setting.
Key Highlights
Shorter reperfusion times are associated with reduced mortality. Every minute of delay adversely affects prognosis. Puncture-to-wire time (PWT) is a critical interval for identifying procedural delays. Prolonged PWT may indicate opportunities for optimizing procedural strategies. Adverse in-hospital outcomes include death, acute kidney injury, and severe left ventricular dysfunction. Guideline-Based Recommendations
Diagnosis
Use contemporary diagnostic criteria for STEMI based on symptoms and ST-segment elevation. Management
Adhere to strict time targets for reperfusion in patients undergoing primary PCI. Monitoring & Follow-up
Monitor time intervals such as FMC-to-door time and door-to-puncture time. Risks
Prolonged PWT is associated with increased risk of adverse in-hospital outcomes. Patient & Prescribing Data
1,403 patients with STEMI, 1,235 underwent primary PCI.
Understanding factors influencing PWT can help optimize procedural strategies.
Clinical Best Practices
Document all time intervals in minutes to assess procedural efficiency. Categorize patients based on PWT to identify those at risk for prolonged procedures. Utilize multivariable logistic regression to analyze predictors of prolonged PWT. Related Resources & Content
