Impact of Doctor Car with Mobile Cloud ECG in reducing door-to- balloon time of Japanese ST-elevation myocardial infarction patients

International Heart Journal
Ichiro TakeuchiYasushi Asari

Abstract

Early reperfusion by percutaneous coronary intervention (PCI) is the current standard therapy for ST-elevation myocardial infarction (STEMI). To achieve better prognoses for these patients, reducing the door-to-balloon time is essential. As we reported previously, the Kitasato University Hospital Doctor Car (DC), an ambulance with a physician on board, is equipped with a novel mobile cloud 12-lead ECG system. Between September 2011 and August 2013, there were 260 emergency dispatches of our Doctor Car, of which 55 were for suspected acute myocardial infarction with chest pain and cold sweat. Among these 55 calls, 32 patients received emergent PCI due to STEMI (DC Group). We compared their data with those of 76 STEMI patients who were transported directly to our hospital by ambulance around the same period (Non-DC Group). There were no differences in patient age, gender, underlying diseases, or Killip classification between the two groups. The door-to-balloon time in the DC group was 56.1 ± 13.7 minutes and 74.0 ± 14.1 minutes in the Non-DC Group (P < 0.0001). Maximum levels of CPK were 2899 ± 308 and 2876 ± 269 IU/L (P = 0.703), and those of CK-MB were 292 ± 360 and 295 ± 284 ng/mL (P = 0.423), respectively, in the 2 groups. Th...Continue Reading

References

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Citations

Jun 3, 2016·Circulation Journal : Official Journal of the Japanese Circulation Society·Shoji KawakamiSatoshi Yasuda
Jul 20, 2016·Circulation Journal : Official Journal of the Japanese Circulation Society·Hideo Fujita
Nov 11, 2016·International Heart Journal·Yusuke WatanabeHideo Fujita
Mar 16, 2017·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Hunter RogersJames T McElligott
Aug 31, 2020·Cardiovascular Intervention and Therapeutics·Hiroki YoshidaHideo Fujita
Nov 21, 2017·International Heart Journal·Akio NakataSatoshi Hirota

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