A hospital with an onsite catheterisation laboratory receives a patient with STEMI. According to guideline recommendations for systems of care, what is the maximum acceptable door-to-device (first medical contact to device) time for primary PCI?
- A 30 minutes
- B 60 minutes
- C 90 minutes ✓
- D 180 minutes
Correct answer: C. 90 minutes
Explanation
When primary PCI is performed at a PCI-capable hospital, the door-to-device time should not exceed 90 minutes from first medical contact. When transfer from a non-PCI-capable facility is required, the target extends to 120 minutes. If timely PCI cannot be delivered within these windows, fibrinolysis becomes the strategy of choice, ideally within 30 minutes of arrival (door-to-needle). These benchmarks come directly from ACC/AHA and ESC reperfusion guidelines.
Reference: Braunwald's Heart Disease, 12th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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