itemprop=description content=A door-to-balloon (D2B) time of 90-minutes or less is associated with improved outcomes for heart attack patients.
Reviewed by Megan Craig, M.Sc.Oct 5 2023 A door-to-balloon time of 90-minutes or less is associated with improved outcomes for heart attack patients. However, during the COVID-19 pandemic certain obstacles-;including the need for COVID-19 screening, associated isolation procedures and terminal cleaning in the cardiac cath lab-;led to increased D2B times.
In April 2022, Ocean University Medical Center's NCDR CathPCI data for the first quarter revealed a climbing D2B time of 73 minutes, which was well below their goal of 60 minutes. Prior to the COVID-19 pandemic, OUMC had averaged around 60 minutes for approximately two years. According to the authors, heart attack hospitalizations decreased by 28% globally during the COVID-19 pandemic. It is suspected this is not due to a lower incidence of heart attack during this time but because patients did not seek medical treatment.
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