The pre-hospital electrocardiogram and time to reperfusion in patients with acute myocardial infarction, 2000-2002: findings from the National Registry of Myocardial Infarction-4

Journal of the American College of Cardiology
Jeptha P CurtisNational Registry of Myocardial Infarction-4

Abstract

The aim of this study was to determine the use of pre-hospital electrocardiogram (ECG) in patients with ST-segment elevation myocardial infarction (STEMI) undergoing reperfusion therapy, and evaluate the effect of pre-hospital ECG on door-to-reperfusion times. Although national guidelines recommend the use of pre-hospital ECG, there is limited contemporary information about its current use and effectiveness. Using data from the National Registry of Myocardial Infarction-4, we studied patients with STEMI or left bundle branch block who received acute reperfusion with either fibrinolytic therapy (n = 35,370) or primary percutaneous coronary intervention (PCI) (n = 21,277) within 6 h of admission. We determined the prevalence of pre-hospital ECG use, evaluated the association between pre-hospital ECG and door-to-reperfusion time, and estimated the incremental reduction in time to reperfusion using hierarchical models to adjust for differences in patient and hospital characteristics. A pre-hospital ECG was performed in 4.5% of the fibrinolytic therapy cohort and in 8.0% of the PCI cohort. After adjusting for patient and hospital characteristics, the use of pre-hospital ECG was associated with a significantly shorter geometric mean ...Continue Reading

Associated Clinical Trials

References

Feb 1, 1992·Australian and New Zealand Journal of Medicine·M F O'RourkeJ Hall
Nov 1, 1990·Annals of Emergency Medicine·T P AufderheideK C Preuss
May 4, 1996·BMJ : British Medical Journal·J M Bland, D G Altman
Jun 4, 1997·JAMA : the Journal of the American Medical Association·H M KrumholzY Wang
Jun 11, 1999·Journal of the American College of Cardiology·N R EveryH V Barron
Oct 4, 2000·JAMA : the Journal of the American Medical Association·S F JencksD R Arday
Dec 8, 2000·Italian heart journal. Supplement : official journal of the Italian Federation of Cardiology·G Bernardi
Aug 31, 2001·Journal of the American College of Cardiology·R H MehtaH M Krumholz

❮ Previous
Next ❯

Citations

Mar 5, 2008·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·F W A Verheugt
Mar 5, 2008·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·R P VermeulenF Zijlstra
Oct 29, 2008·Herzschrittmachertherapie & Elektrophysiologie·Michael OeffChristian Zugck
Oct 19, 2007·The New England Journal of Medicine·Brahmajee K NallamothuHarlan M Krumholz
Nov 15, 2006·The New England Journal of Medicine·Elizabeth H BradleyHarlan M Krumholz
Sep 16, 2011·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Natale Daniele BrunettiMatteo Di Biase
Aug 24, 2010·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Natale Daniele BrunettiGianfranco Antonelli
Aug 24, 2011·Circulation·Harlan M KrumholzJeptha P Curtis
Aug 20, 2008·BMC Research Notes·Elizabeth H BradleyHarlan M Krumholz
Sep 8, 2010·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Johan HerlitzChristian Blomstrand
Jan 16, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·Naoki NakayamaSatoshi Umemura
Jun 20, 2007·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Jacobus S de VilliersUNKNOWN Calgary STEMI QIHI group
Mar 15, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Clare L AtzemaJack V Tu
Jul 19, 2011·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Paolo OrtolaniAngelo Branzi
Nov 27, 2009·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Bradford H GrayEmily Horowitz
Jul 1, 2011·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Wolfgang von Scheidt, Christian Thilo
Sep 26, 2013·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Christian ThiloWolfgang von Scheidt
Mar 14, 2016·The Canadian Journal of Cardiology·Christopher B FordyceGraham C Wong
Apr 28, 2009·Computer Methods and Programs in Biomedicine·Dingfei GeYuquan Shao
Feb 8, 2008·The American Heart Hospital Journal·Dean J Kereiakes
Oct 17, 2012·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Mary Colleen BhallaJon Zalewski
Jun 6, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Daniel H CelikMary Colleen Bhalla
Aug 7, 2007·Journal of the American College of Cardiology·Vivek N DhruvaMarc Klapholz
Oct 31, 2006·American Heart Journal·James G JollisChristopher B Granger
Sep 4, 2007·Journal of the American College of Cardiology·William E BodenChristopher B Granger
Sep 3, 2014·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Gabriel L SardiRon Waksman
Sep 26, 2013·European Heart Journal. Acute Cardiovascular Care·Niccolò GriecoMaurizio Marzegalli
Jan 25, 2018·Scandinavian Cardiovascular Journal : SCJ·Josephine MuhrbeckClaes Hofman-Bang
Sep 11, 2014·The Cochrane Database of Systematic Reviews·Michael McCaulTamara Kredo
Apr 1, 2011·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Alessandro MartinoniUNKNOWN Lombardima Study Group
Apr 15, 2009·Circulation·Henry H TingElizabeth H Bradley

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiology Journals

Discover the latest cardiology research in this collection of the top cardiology journals.