Cardiac Care

Wait Time Benchmarks for Cardiovascular Services and Procedures

Indication Upper limit wait time
Emergent Urgent Semi-urgent Scheduled
Initial specialist consultation Immediate to 24 h 1 week 4 weeks 6 weeks
Echocardiography 1 day 7 days 7 days 30 days
Cardiac nuclear imaging 1 day 3 days N/A 14 days
Diagnostic catheterization
After ST segment elevation MI Immediate to 24 h 3 days 7 days N/A
After non-ST segment elevation ACS Immediate to 48 h 3 days 7 days N/A
Stable angina N/A N/A 14 days 6 weeks
Stable valvular heart disease N/A N/A 14 days 6 weeks
Percutaneous coronary intervention
After ST segment elevation NI Immediate Immediate Immediate N/A
After non-ST segment elevation ACS Immediate Immediate Immediate N/A
Stable angina N/A Immediate 14 days 6 weeks
Coronary artery bypass graft surgery
After ST segment elevation NI Immediate to 24 h 7 days 14 days N/A
After non-ST segment elevation ACS Immediate to 48 h 14 days 14 days 6 weeks
Stable angina N/A N/A 14 days 6 weeks
Valvular cardiac surgery Immediate to 24 h 14 days N/A 6 weeks
Heart failure services Immediate to 24 h 14 days 4 weeks 6 weeks
Electrophysiology
Referral to electrophysiologist Immediate to 24 h 3 days 30 days 90 days
Permanent pacemaker N/A 3 days 2 weeks 6 weeks
Catheter ablation N/A 14 days N/A 3 months
Implantable cardioverter defibrillator N/A 3 days N/A 8 weeks††
Cardiac resynchronization therapy devices N/A N/A N/A 6 weeks
Cardiac rehabilitation Immediate 3 days 7 days 30 days

* For symptomatic aortic stenosis.

** Ad hoc percutaneous coronary intervention is appropriate for all patients with stable angina in centres that practice in that manner.

*** Symptomatic.

† Secondary prevention.

†† Primary prevention.

‡ Some patients have significant psychosocial issues (e.g., severe depression). Such patients should be managed by emergency or acute care psychiatry.

 

Related Items

Universal Access, but When? Treating the Right Patient at the Right Time: Wait Time Benchmarks for Cardiovascular Services and Procedures (2006)

Highlights of the National Survey on Access to Care at Tertiary Cardiac Care Centres

Canadian Cardiovascular Society Website