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ST-Segment Elevation Myocardial Infarction (STEMI) management success is markedly affected by time of revascularization (time is myocardium). One of the most important quality assurance measure in STEMI is the time of hospital contact to first device use, which should be ≤90 min [1] or wiring the lesion in ≤120 min [2]. More data support an even more narrow window in patients who present within the first 2 h of onset of symptom to negate the potential benefit of thrombolysis compared to primary Percutaneous Coronary Intervention (PCI). It has been calculated that each 30-min delay in reperfusion may result in an increase of up to 7.5% in 1-year mortality [3,4]. The timing of revascularization is paramount in all STEMI patients; in fact, in one study, a contact (door)-to-balloon (D2B) time from 150 to 180 min resulted in in-hospital mortality as high as 20% [5].

Call for Awareness: ST-Segment Elevation Myocardial Infarction Presentation is Delayed more than What We Expect