Feedback Intervention and Treatment Times in ST- Elevation Myocardial Infarction

Summary

Part I (Pilot Phase): The purpose of this study is to examine if formalized data assessment and systematic feedback improves treatment times (i.e. contact-to-balloon time and door-to-balloon time) in patients with myocardial infarction with ST-segment elevation (STEMI). Part II (Implementation Phase): The Purpose is to prospectively investigate if survival can be improved by stringent use of this concept of formalized data analysis and systematic feedback of procedural and clinical data to all participating physicians and other members of the STEMI patients treating personnel. Part III (Advance Phase): The purpose is to develop, introduce and evaluate prospectively an automated, highly standardized feedback tool informing participating centers on key performance characteristics (procedural and clinical outcomes).

Eligibility

Inclusion Criteria:

* all patients who received a diagnosis of STEMI\* and were transported to the cardiac catheterization laboratory of the primary PCI center with the intention to perform primary PCI.

  * STEMI definition:
* elevation of the ST-segments of greater than or equal to 0.1 mV in at least two contiguous limb- or precordial leads
* new or presumable new left bundle branch block in the presence of typical symptoms

Exclusion Criteria:

* STEMI-patients with duration of infarct-related symptoms longer than 24 hours are excluded

Conditions2

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