DIDO: The New Frontier in Improving Acute-MI Treatment?

Patients who require transfer for primary PCI often experience prolonged delays in revascularization.

To reap the benefits of primary percutaneous coronary intervention (PCI) for acute myocardial infarction (MI), patients who present to hospitals without PCI capability should be transferred quickly, preferably with door-in to door-out (DIDO) times of <30 minutes (J Am Coll Cardiol 2008; 52:2046). In this retrospective analysis of data from the Centers for Medicare and Medicaid Services (CMS), investigators examined DIDO times for patients with ST-segment-elevation MI transferred for primary PCI in 2009.

Excluding data from hospitals reporting <5 transfers, the analysis included 13,776 patients presenting at 1034 hospitals. The median DIDO time was 64 minutes, and only 9.7% of patients were transferred within 30 minutes after arrival. In an a…

Reviewing Author

Howard C. Herrmann, MD

Disclosures

Consultant/Advisory BoardAffluent Medical; Artedrone; Caranx; Johnson & Johnson; Medtronic; Prolifagen; Wells Fargo

EquityMicrointerventional Devices, Inc.

RoyaltiesUniversity of Pennsylvania

Grant/Research SupportAbbott Vascular; Edwards Lifesciences; Johnson & Johnson; Medtronic

Editorial BoardsCatheterization and Cardiovascular Interventions; Journal of the American College of Cardiology; Circulation: Cardiovascular Interventions; JACC Cardiovascular Interventions; JACC Case Reports; JSCAI