By Christopher P. Cannon (Editor), Patrick T. O'Gara (Editor)
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A dramatic reduction was observed in door-to-drug time, from an average of 76 minutes before the pathway was implemented to an average of 30 to 35 minutes after the pathway had been started (9) (Fig. 8-2). Of note, as had been observed in the National Registry of Myocardial Infarction (NRMI) (10), women have longer door-to-drug times, which did improve to an even greater extent after implementation of the pathway (Fig. 8-3) (9). Similarly, others have reported improvements in door-to-drug times with other types of critical pathways or “fast-track” algorithms for acute MI (Fig.
Clinical practice guideline #10; 1998. 23. Kushman SO, Storrow AB, Liu T, Gibler WB. Cocaine-associated chest pain in a chest pain center. Am J Cardiol 2000;85:394–396. 24. Gibler WB, Lewis LM, Erb RE, et al. Early detection of acute myocardial infarction in patients presenting with chest pain and nondiagnostic electrocardiograms: serial CK-MB sampling in the emergency department. Ann Emerg Med 1990;19:1359–1366. 25. Lee TH, Rouan GW, Weisberg MC, et al. Sensitivity of routine clinical criteria for diagnosing myocardial infarction within 24 hours of hospitalization.
Predicting adverse outcome with exercise SPECT technetium-99m sestamibi imaging in patients with suspected or known coronary artery disease. Am J Cardiol 1997;79:270–274. 60. Fleishmann KE, Hunink MGM, Kuntz KM, et al. Exercise echocardiography or exercise SPECT imaging? Meta-analysis of diagnostic test performance. JAMA 1998;280:913–920. 61. Bilodeau L, Theroux P, Gregorie J, et al. Technetium-99m sestamibi tomography in patients with spontaneous chest pain: correlations with clinical, electrocardiographic and angiographic findings.
Critical Pathways in Cardiology by Christopher P. Cannon (Editor), Patrick T. O'Gara (Editor)