Referral of patients with ST-segment elevation acute myocardial infarction directly to the catheterization suite based on prehospital teletransmission of 12-lead electrocardiogram

Journal of Electrocardiology
Martin SillesenPeter Clemmensen

Abstract

Time from symptom onset to reperfusion is essential in patients with ST-segment elevation acute myocardial infarction. Prior studies have indicated that prehospital 12-lead electrocardiogram (ECG) transmission can reduce time to reperfusion. Determine 12-lead ECG transmission success rates, and time saved by referring patients directly to primary percutaneous coronary intervention (pPCI) bypassing local hospitals and emergency departments. Prehospital 12-lead ECG was recorded in patients with symptoms suggesting acute coronary syndrome during a 1-year pilot phase and transmitted to the attending cardiologist's mobile phone. Transmission success rates were determined, and prehospital and hospital delays were recorded and compared to historic controls. Transmission was attempted in 152 patients and was successful in 89%. Twenty-seven patients were referred directly for pPCI. Median hospital arrival to pPCI was 22 vs 94 minutes in the control group (P < .01). Transmission of prehospital ECG is technically feasible and reduces time to pPCI in ST-segment elevation acute myocardial infarction patients.

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Citations

Oct 12, 2010·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Jui-Chien HsiehChung-Chi Yang
Aug 24, 2013·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Rasmus HesselfeldtLars S Rasmussen
Dec 7, 2010·Progress in Cardiovascular Diseases·Michel R Le MayPierre Poirier
Apr 10, 2019·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Magdalena Żurowska-WolakMarcin Mikos
May 19, 2009·British Journal of Nursing : BJN·Gwyn WeatherburnSally Chisholm

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