STEMI Fast
A real-time dashboard and interval calculator for STEMI ischemic time tracking: from first medical contact to device activation. Built to help catheterization lab teams visualize and systematically reduce FMC-to-balloon time.
Ischemic time intervals
Figure 1 · ACC/AHA target: FMC-to-device <120 min (transfer) / <90 min (direct)
Why ischemic time matters
In ST-elevation myocardial infarction, every minute of delay from first medical contact to coronary reperfusion corresponds to additional myocardial loss. The ACC/AHA guidelines set clear targets: FMC-to-device <90 minutes for directly presenting patients, <120 minutes for transfers.
Meeting these targets consistently requires coordinated documentation, real-time awareness of where each case sits on the timeline, and systematic retrospective review to identify process-level delays.
Most catheterization labs track these time points in disparate systems: EMS records, ED logs, cath lab timestamps: with reconciliation happening retrospectively, if at all. STEMI Fast centralizes the timeline.
The quality gap
Published literature demonstrates that real-time call-to-balloon dashboards improve adherence to time targets. Delayed feedback loops: reviewing a case days after the fact: limit the ability to identify and address workflow problems before they recur.
STEMI Fast provides both a live case timer and a retrospective review interface, enabling teams to see both the current case and historical trends on a single platform.
Dashboard capabilities
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Live interval timer
Real-time countdown from FMC to the current moment, with color-coded urgency thresholds aligned to the ACC/AHA targets.
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Time-point logging
Structured entry for FMC, ED arrival, cath lab activation, first balloon inflation, and TIMI flow. Timestamps are editable within a session.
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Interval breakdown
Each sub-interval (FMC→ED, D2B, lab activation→device) displayed with its contribution to total ischemic time.
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Retrospective review
Case log with sortable and filterable history. Trend lines for FMC-to-device over rolling 30/90-day windows.
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Target adherence tracking
Automatic flagging of cases that missed ACC/AHA targets, with interval-level detail to identify where in the chain the delay occurred.
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Export
CSV export of the case log for external QI reporting, NCDR submission preparation, or institutional review.
Guideline target
<90 min
FMC-to-device for directly presenting STEMI (ACC/AHA). <120 min for inter-hospital transfers.