Code stemi eliminates differences in door-to-balloon time during off-hours in st-segment elevation myocardial infarction

PURPOSE: Ideally, primary percutaneous coronary intervention (PPCI) for ST-segement elevation myocardial infarction (STEMI) should be performed within 90 minutes of hospital arrival since earlier reperfusion has translated into improved survival. However, during off hours (Monday to Friday 5 PM to 8 AM; and weekends), PPCI has a questionable outcome because of the delay in treatment, and few studies have even showed higher mortality during off-hours. We sought to determine if emergency physician initiated Code STEMI has any impact on reducing door-to-balloon-times at our tertiary care medical center during off-hours.