Do shorter door-to-balloon (D2B) times impact outcomes in STEMI, if it's already less than 90 minutes, and to what degree (i.e., 30 vs 60 minutes would have a more significant impact)?

Do shorter door-to-balloon (D2B) times (e.g., 30 minutes vs. 60 minutes) impact outcomes in STEMI patients, if the D2B time is already less than 90 minutes?

• No, shorter D2B times (within the 90-minute window) do not significantly improve survival or outcomes, as survival is more heavily influenced by the time from onset of chest pain to presentation
• Yes, shorter D2B times (within the 90-minute window) do significantly improve survival and outcomes, regardless of the time from chest pain onset to presentation
• It depends, shorter D2B times may impact outcomes in certain patients, but the overall effect is influenced by the total ischemic time (time from chest pain onset to reperfusion)
• Other