{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T01:52:55Z","timestamp":1788918775186,"version":"build-2803163510"},"reference-count":25,"publisher":"BMJ","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Heart"],"published-print":{"date-parts":[[2005,8]]},"abstract":"<jats:p>\n                  <jats:bold>Objective:<\/jats:bold> To determine the predictors of time between presentation and primary angioplasty and the influence of this delay time on in-hospital mortality in clinical practice.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Design:<\/jats:bold> Analysis of data from the registry of percutaneous coronary interventions in acute myocardial infarction of the Arbeitsgemeinschaft Leitender Kardiologischer Krankenhaus\u00e4rzte (ALKK).<\/jats:p>\n               <jats:p>\n                  <jats:bold>Patients:<\/jats:bold> Data of 4815 patients registered at 80 hospitals between 1994 and 2000 were analysed.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Results:<\/jats:bold> Mean age of the patients was 61.4 (12.5) years. Cardiogenic shock was present in 14.1%. Mean time from admission to primary angioplasty (\u201cdoor to angiography\u201d time) was 83 (122) minutes. Logistic regression analysis showed the presence of a bundle branch block (odds ratio (OR) 1.95, 95% confidence interval (CI) 1.15 to 3.29), prior coronary artery bypass grafting (OR 1.67, 95% CI 1.08 to 2.59), pre-hospital delay &gt; 3 hours (OR 1.61, 95% CI 1.37 to 1.89), and female sex (OR 1.21, 95% CI 1.01 to 1.45) to be independently associated with longer door to angiography times, whereas a higher hospital volume of performing primary angioplasty (OR 0.53, 95% CI 0.46 to 0.62) and the year of the investigation (OR 0.96, 95% CI 0.92 to 1.00) were independently associated with shorter door to angiography times. Independent predictors of in-hospital mortality were cardiogenic shock (41.6% <jats:italic>v<\/jats:italic> 4.0% without cardiogenic shock, p &lt; 0.0001), technical success (29.2% with TIMI (thrombolysis in myocardial infarction) flow &lt; 3 <jats:italic>v<\/jats:italic> 6.5% with TIMI flow 3, p &lt; 0.0001), age (16.5% \u2a7e 70 years <jats:italic>v<\/jats:italic> 6.6% &lt; 70, p &lt; 0.0001), three vessel disease (16.5% <jats:italic>v<\/jats:italic> 6.8% with &lt; 3 vessel disease, p &lt; 0.0001), anterior location of infarction (12% <jats:italic>v<\/jats:italic> 7.4% without anterior infarction, p &lt; 0.0001), year of inclusion (adjusted OR 0.92 per year, p \u200a=\u200a 0.011), and volume of primary angioplasty at the hospital (11% for &lt; 20 angioplasty procedures\/year <jats:italic>v<\/jats:italic> 8.3% for \u2a7e 20\/year, p \u200a=\u200a 0.027) but not the door to angiography time (adjusted OR 1.14 per tertile, p \u200a=\u200a 0.397).<\/jats:p>\n               <jats:p>\n                  <jats:bold>Conclusions:<\/jats:bold> In current clinical practice in Germany median door to angiography time is quite short (83 (122) minutes). Some patients and hospital factors are independently associated with a longer door to angiography time. Within the observed short in-hospital delays door to angiography time did not influence in-hospital mortality. However, efforts to keep them as short as possible should be continued.<\/jats:p>","DOI":"10.1136\/hrt.2004.045336","type":"journal-article","created":{"date-parts":[[2005,7,14]],"date-time":"2005-07-14T13:43:24Z","timestamp":1121348604000},"page":"1041-1046","source":"Crossref","is-referenced-by-count":56,"title":["In-hospital time to treatment of patients with acute ST elevation myocardial infarction treated with primary angioplasty: determinants and outcome. Results from the registry of percutaneous coronary interventions in acute myocardial infarction of the Arbeitsgemeinschaft Leitender Kardiologischer Krankenhaus\u00e4rzte"],"prefix":"10.1136","volume":"91","author":[{"given":"R","family":"Zahn","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Vogt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U","family":"Zeymer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A K","family":"Gitt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Seidl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Gottwik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M 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