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Lengthy Hospital Transfers May Hamper Heart Attack Care
Date:11/28/2011

evascularization) in less than 90 minutes.

After the 24-hour facility was created, average door-to-procedure times fell to 50 minutes for catheterization and 84 minutes for balloon angioplasty, respectively, and 65 percent of patients were revascularized in less than 90 minutes.

In an accompanying editorial published online, journal editor Dr. Rita F. Redberg noted that less than one-fourth of the nearly 5,000 acute care hospitals in the United States have PCI capability and even less can provide the treatment 24 hours a day, seven days a week.

"Despite years of hard work and noble efforts by many individuals and professional organizations . . . to enable hospitals to either provide primary PCI or reduce DIDO time in transferring to a facility that does, results have been disappointing," Redberg wrote. "After years of well-intentioned arduous efforts to decrease DIDO time, it is time to consider other strategies."

More information

The U.S. National Heart, Lung, and Blood Institute has more about coronary angioplasty.

-- Robert Preidt

SOURCES: Archives of Internal Medicine, news release, Nov. 28, 2011


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