How effective has total time reduction been in thrombolytic therapy?
The National Heart Attack Alert program has set as its goal reducing time within the Emergency Department to less than 1/2 hour. However 70-80% of the total time delays relate to outside of the hospital activities. The best data so far has reduced this to 75 minutes. Thus the combination of the two still puts us an 1 1/2 hour into the acute myocardial infarction.
