Percutaneous Coronary Interventional Procedures
As a regional referral center, Genesis does treat both simple and complex ischemic disease. Genesis patients that are undergoing PCI procedures more often have had a prior heart attack, prior bypass surgery, and are more likely to present with depressed left ventricular function than patients at other comparable hospitals.
Genesis - Davenport Angioplasty Baseline Patient Characteristics |
Genesis, Davenport (%) |
Other *(%) |
| Age (>75 years) |
27.5% |
22.1% |
| Prior Heart Attack |
40.4% |
28.1% |
| Heart Failure |
15.3% |
11.5% |
| Diabetes |
38.0% |
35.5% |
| Renal Insufficiency |
5.2% |
5.7% |
| Prior bypass surgery |
24.9% |
20.4% |
| Severe left ventricular dysfunction |
5.2% |
3.1% |
Data based on one-year rolling average
*Comparable to ACC/NCDR Hospitals 5,000+ procedures/year
Genesis Health System -PCI Adjunctive Care
It is important to optimize outcomes for PCI procedures. Receiving appropriate and timely adjunctive care before and after PCI procedures has been recognized as an important performance measure by the American College of Cardiology (ACC). Genesis physicians administer these medications more frequently than comparable ACC/NCDR hospitals.
| Genesis - Davenport Adjunctive Care |
Genesis - Davenport |
Other * (%) |
| Aspirin before procedure |
99% |
92.3% |
| Beta Blockers before procedure |
82% |
71.5% |
| Statins before procedure |
73.2% |
59.2% |
| Door to Balloon Time ** |
84 minutes |
105 minutes |
| Aspirin at discharge |
99% |
97.2% |
| ACE/ARB for EF<40% at discharge |
83.1% |
78.6% |
| Beta Blockers at discharge |
84.3% |
83.2% |
| Statins at discharge |
82.8% |
85.9% |
Data based on one-year rolling average
*Comparable to ACC/NCDR Hospitals 5,000+ procedure/year
** Time from arrival in the Emergency Department to balloon inflation for PCI procedure for patients with ST-elevation acute myocardial infarction.
(Guideline is < 90 minutes)