Q ID 6404-cardiology

5/23/2016 2:56:08 PM
Indication for PCI
1: 90 mins( door to ballon time)
2: 120 mins(no PCI hosp)
or
3: 12 hrs of onset of symptoms( confused with this one,can someone clearify this for me plz),isn't it fibrinolysis?


5/25/2016 12:53:12 AM
I think it means, PCI is recommended within 12 hrs of onset of symptoms and within 90 minutes of first medical contact to device time at a PCI-capable facility, or within 12 hrs of onset of symptom and within 120 minutes of first medical contact to device time at a none-PCI-capable facility. If we don't have access to any PCI-capable facility we start fibrinolytic therapy right away if it's within 12 hrs of onset of symptoms.


6/3/2016 5:49:18 PM
PCI is expected to be performed within 90 minutes of the patient arriving in the ED with chest pain.

The mortality benefit of thrombolytics extends out to 12 hours from the onset of chest pain, a patient with chest pain who arrives in the ED should receive thrombolytics within 30 minutes of coming through the door.


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