The DTKB
protocol for MI (J)

MI patient presents to a hospital with ability to do PCI within 90 minutes of admission and within 60 minutes of time in which fibrinolysis can be given. The patient has good vascular access for PCI. Ask these questions.

  1. Doubt whether MI or not?
    1. Yes- PCI
    2. No- go to next question.
  2. Time of onset –
    1. More than 3 hours- PCI.
    2. Less than 3 hours- go to next question.
  3. Killip class-
    1. II or more- PCI
    2. I- go to next question.
  4. Bleeding risk? (age 65, low body weight, high BP)
    1. Present- PCI
    2. Absent- tPA or PCI.