{"id":8191,"date":"2025-07-31T18:06:17","date_gmt":"2025-07-31T15:06:17","guid":{"rendered":"https:\/\/jordan-cardiac.org\/?p=8191"},"modified":"2025-07-31T18:06:42","modified_gmt":"2025-07-31T15:06:42","slug":"8191","status":"publish","type":"post","link":"https:\/\/jordan-cardiac.org\/en\/8191\/","title":{"rendered":"A Global First from the Arab World: Saudi Team Performs the World\u2019s First Robotic BiVAD Implant, Redefining Heart Failure Care"},"content":{"rendered":"
A Global First from the Arab World: Saudi Team Performs the World\u2019s First Robotic BiVAD Implant, Redefining Heart Failure Care<\/div>\n
<\/div>\n
Published July 17, 2025<\/div>\n
\ud83d\udd17 Source: News release via King Faisal Specialist Hospital and Research Center (KFSHRC) and international media coverage.<\/div>\n
<\/div>\n
Key Points:<\/div>\n
1. Historic First Surgery<\/span><\/div>\n
Surgeons at King Faisal Specialist Hospital and Research Center (KFSHRC) in Riyadh performed the world\u2019s first robotic-assisted implantation of biventricular assist devices (BiVAD).<\/div>\n
2. Dual Device Implantation<\/span><\/div>\n
Two Abbott HeartMate 3 pumps were implanted using robotic arms\u2014one for the left ventricle and one for the right ventricle\u2014to support both sides of the patient\u2019s failing heart.<\/div>\n
3. Patient Profile<\/span><\/div>\n
The patient was a 61-year-old individual with \u2026<\/div>\n
[9:24 am, 31\/07\/2025] Dr Jamal Aldabbas Card Socity: Saving Time Saving Lives: Improving STEMI Care Through Systems Guidelines and Smart Tools<\/div>\n
<\/div>\n
1 Why This Matters STEMI Treatment Still Too Slow<\/div>\n
In 2025 data from both the GWTG\u2013CAD Registry and the CRT 2025 Conference reveal that many patients with heart attacks STEMI are not receiving timely treatment especially when they are transferred between hospitals. Delays in treatment increase the risk of death but better systems and smarter tools can save lives.<\/div>\n
<\/div>\n
2 Key Findings From GWTG-CAD and CRT 2025<\/div>\n
Only 50 percent of transferred STEMI patients received PCI within the recommended 120 minutes from first medical contact to device.<\/div>\n
Only 13.9 percent of hospitals met this target in at least 75 percent of cases.<\/div>\n
Low-performing hospitals had average delays of about 155 minutes compared to 100 minutes in high-performing hospitals.<\/div>\n
These delays are directly linked to higher in-hospital mortality.<\/div>\n
<\/div>\n
3 How Delays Increase Risk<\/div>\n
From AHA February 2025 data<\/div>\n
Every 5-minute delay in door-in\u2013door-out DIDO time lowers the chance of survival.<\/div>\n
Mortality risk increases significantly at 30 42 63 and 93 minutes of DIDO time.<\/div>\n
<\/div>\n
4 A Jordanian Innovation Smartphone App by JCS<\/div>\n
The Jordanian Cardiac Society JCS and the Jordan ACS Task Force developed a secure STEMI smartphone app.<\/div>\n
This tool is used by EMS and hospitals in Jordan to share real-time ECGs notify PCI centers early and improve decision and transfer speed.<\/div>\n
The app has already shown better DIDO times faster door-to-balloon times and improved patient outcomes.<\/div>\n
<\/div>\n
5 What the Guidelines Recommend Target Times<\/div>\n
The American Heart Association AHA and the European Society of Cardiology ESC provide the following time goals for STEMI care<\/div>\n
First medical contact to device FMC-to-Device should be 120 minutes or less<\/div>\n
Door-in\u2013door-out DIDO time should be 30 minutes or less<\/div>\n
Door-to-balloon D2B time should be 90 minutes or less<\/div>\n
EMS-to-balloon time should be 90 minutes or less<\/div>\n
Door-to-needle D2N time should be 30 minutes or less when PCI is not available<\/div>\n
Total ischemic time from symptom onset to artery opening should be under 120 minutes<\/div>\n
<\/div>\n
6 Jordan\u2019s STEMI Time Pathways<\/div>\n
The Jordan STEMI Toolkit includes three structured clinical pathways based on time goals<\/div>\n
<\/div>\n
A Direct EMS Transfer to PCI Hospital<\/div>\n
EMS call is received<\/div>\n
Ambulance departs in 2 to 4 minutes<\/div>\n
EMS arrives at patient in 8 to 12 minutes<\/div>\n
Clinical assessment begins within 1 minute<\/div>\n
First ECG done within 5 minutes<\/div>\n
ECG sent to physician immediately<\/div>\n
Medications given within 10 minutes<\/div>\n
Decision to transfer made immediately after ECG<\/div>\n
Ambulance departs to PCI center as soon as possible<\/div>\n
Arrival at emergency department within 30 minutes<\/div>\n
ED reassessment within 5 minutes<\/div>\n
Cath lab activated within 10 minutes<\/div>\n
Cath team arrives within 20 minutes<\/div>\n
Cath lab entry within 90 minutes from EMS call<\/div>\n
Angiography starts immediately<\/div>\n
Blocked artery is opened<\/div>\n
<\/div>\n
B Transfer from Non-PCI Hospital to PCI Center<\/div>\n
Transfer decision made and call placed to Civil Defense<\/div>\n
Ambulance departs in 0 to 4 minutes<\/div>\n
EMS arrives at patient in 8 to 10 minutes<\/div>\n
Clinical reassessment in 1 minute<\/div>\n
ECG performed within 5 minutes<\/div>\n
ECG sent immediately<\/div>\n
Medications given within 10 minutes<\/div>\n
Transfer confirmed right after ECG<\/div>\n
Arrival at PCI hospital within 30 minutes<\/div>\n
ED reassessment within 5 minutes<\/div>\n
Cath team activated within 10 minutes<\/div>\n
Cath lab entry within 20 minutes<\/div>\n
Angiography and artery opening start immediately<\/div>\n
<\/div>\n
C In-Hospital STEMI Activation<\/div>\n
ECG is performed and interpreted<\/div>\n
Cath lab team activated immediately<\/div>\n
Door-to-balloon goal is within 90 minutes<\/div>\n
<\/div>\n
7 Understanding the Metrics Glossary<\/div>\n
GWTG stands for Get With The Guidelines<\/div>\n
CAD means Coronary Artery Disease<\/div>\n
FMC is First Medical Contact<\/div>\n
FMC-to-Device is time from first contact to PCI<\/div>\n
DIDO is Door-In\u2013Door-Out time<\/div>\n
D2B is Door-to-Balloon time<\/div>\n
EMS-to-Balloon is time from EMS arrival to PCI<\/div>\n
D2N is Door-to-Needle time<\/div>\n
Total Ischemic Time is time from symptom onset to artery opening<\/div>\n
<\/div>\n
8 What Hospitals and EMS Should Do Now<\/div>\n
Use digital apps to notify PCI hospitals early<\/div>\n
Aim for DIDO time of 30 minutes or less<\/div>\n
Target FMC-to-device time of 120 minutes or less<\/div>\n
Track all delays by breaking each case into time steps<\/div>\n
Improve teamwork between EMS and hospitals<\/div>\n
Train all healthcare staff on time goals and protocols<\/div>\n
Join or align with the upcoming Jordanian GWTG\u2013ACS Registry<\/div>\n
<\/div>\n
9 Conclusion From Guidelines to Action<\/div>\n
Data from 2025 confirm that every minute of delay increases the risk of death for STEMI patients<\/div>\n
The Jordanian Cardiac Society\u2019s national app and time-tracking system offer a strong model for improving care<\/div>\n
Building faster and more reliable care systems truly saves lives<\/div>\n
<\/div>\n
Source<\/div>\n
http:\/\/www.tctmd.com\/news\/delays-stemi-treatment-remain-common-tied-worse-pci-outcomes<\/a><\/div>\n
<\/div>\n","protected":false},"excerpt":{"rendered":"

A Global First from the Arab World: Saudi Team Performs the World\u2019s First Robotic BiVAD Implant, Redefining Heart Failure Care Published July 17, 2025 \ud83d\udd17 Source: News release via King Faisal Specialist Hospital and Research Center (KFSHRC) and international media coverage. Key Points: 1. Historic First Surgery Surgeons at King Faisal Specialist Hospital and Research […]<\/p>\n","protected":false},"author":145,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8191","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/8191","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/users\/145"}],"replies":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/comments?post=8191"}],"version-history":[{"count":2,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/8191\/revisions"}],"predecessor-version":[{"id":8193,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/8191\/revisions\/8193"}],"wp:attachment":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/media?parent=8191"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/categories?post=8191"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/tags?post=8191"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}