Feasibility of early emergency room notification to improve door-to-balloon times for patents with acute ST segment elevation myocardial infarction

被引：26

作者：

Sekulic, M ^{[1
]}

Hassunizadeh, B ^{[1
]}

McGraw, S ^{[1
]}

David, S ^{[1
]}

机构：

[1] Providence Heart Inst, Southfield, MI 48075 USA

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2005年 / 66卷 / 03期

关键词：

prehospital ECG; telemedicine; emergency room;

D O I：

10.1002/ccd.20505

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

An algorithm to lower time from first contact in the field by EMS personnel to in-hospital mechanical reperfusion is described. ECG tracings were telemetered via cellular phone to an emergency room physician, who then activated the cardiac catheterization call team to bypass usual delays seen during ER triage. Seventy-one ECGs were sent to the ER in the time interval from October 2003 to October 2004. Five ECGs (7.0%) failed to transmit due to failure of the cellular phone to receive an adequate signal. Sixty-six patients (93.0%) had an adequate ECG transmitted to the ER and six patients with ST elevation myocardial infarction were identified. Door-to-balloon times were lowered to 44 +/- 17.4 min, a substantial decrease over historical norms that range from 120 min (25th percentile) to 289 min (75th percentile). (c) 2005 Wiley-Liss, Inc.

引用

页码：316 / 319

页数：4

共 14 条

[1] A comparison of coronary angioplasty with fibrinolytic therapy in acute myocardial infarction [J].

Andersen, HR ;

Nielsen, TT ;

Rasmussen, K ;

Thuesen, L ;

Kelbaek, H ;

Thayssen, P ;

Abildgaard, U ;

Pedersen, F ;

Madsen, JK ;

Grande, P ;

Villadsen, AB ;

Krusell, LR ;

Haghfelt, T ;

Lomholt, P ;

Husted, SE ;

Vigholt, E ;

Kjaergard, HK ;

Mortensen, LS .

NEW ENGLAND JOURNAL OF MEDICINE, 2003, 349 (08) :733-742

[2]

[Anonymous], 1986, Lancet, V1, P397

[3]

Antman Elliott M, 2004, J Am Coll Cardiol, V44, P671, DOI 10.1016/j.jacc.2004.07.002

[4] INDICATIONS FOR FIBRINOLYTIC THERAPY IN SUSPECTED ACUTE MYOCARDIAL-INFARCTION - COLLABORATIVE OVERVIEW OF EARLY MORTALITY AND MAJOR MORBIDITY RESULTS FROM ALL RANDOMIZED TRIALS OF MORE THAN 1000 PATIENTS [J].

APPLEBY, P ;

BAIGENT, C ;

COLLINS, R ;

FLATHER, M ;

PARISH, S ;

PETO, R ;

BELL, P ;

HALLS, H ;

MEAD, G ;

DIAZ, R ;

PAOLASSO, E ;

PAVIOTTI, C ;

ROMERO, G ;

CAMPBELL, T ;

OROURKE, MF ;

THOMPSON, P ;

LESAFFRE, E ;

VANDEWERF, F ;

VERSTRAETE, M ;

ARMSTRONG, PW ;

CAIRNS, JA ;

MORAN, C ;

TURPIE, AG ;

YUSUF, S ;

GRANDE, P ;

HEIKKILA, J ;

KALA, R ;

BASSAND, JP ;

BOISSEL, JP ;

BROCHIER, M ;

LEIZOROVICZ, A ;

BRUGGEMANN, T ;

KARSCH, KR ;

KASPER, W ;

LAMMERTS, D ;

NEUHAUS, KL ;

MEYER, J ;

SCHRODER, R ;

VONESSEN, R ;

SARAN, RK ;

ARDISSINO, D ;

BONADUCE, D ;

BRUNELLI, C ;

CERNIGLIARO, C ;

FORESTI, A ;

FRANZOSI, MG ;

GUIDUCCI, D ;

MAGGIONI, A ;

MAGNANI, B ;

MATTIOLI, G .

LANCET, 1994, 343 (8893) :311-322

[5] Importance of time to reperfusion for 30-day and late survival and recovery of left ventricular function after primary angioplasty for acute myocardial infarction [J].

Brodie, BR ;

Stuckey, TD ;

Wall, TC ;

Kissling, G ;

Hansen, CJ ;

Muncy, DB ;

Weintraub, RA ;

Kelly, TA .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1998, 32 (05) :1312-1319

[6] Relationship of symptom-onset-to-balloon time and door-to-balloon time with mortality in patients undergoing angioplasty for acute myocardial infarction [J].

Cannon, CP ;

Gibson, CM ;

Lambrew, CT ;

Shoultz, DA ;

Levy, D ;

French, WJ ;

Gore, JM ;

Weaver, WD ;

Rogers, WJ ;

Tiefenbrunn, AJ .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 283 (22) :2941-+

[7]

Cannon CP, 2000, J AM COLL CARDIOL, V35, p376A

[8] The prehospital electrocardiogram in acute myocardial infarction: Is its full potential being realized? [J].

Canto, JG ;

Rogers, WJ ;

Bowlby, LJ ;

French, WJ ;

Pearce, DJ ;

Weaver, WD .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 29 (03) :498-505

[9] RELATIVE IMPORTANCE OF EMERGENCY MEDICAL SYSTEM TRANSPORT AND THE PREHOSPITAL ELECTROCARDIOGRAM ON REDUCING HOSPITAL TIME-DELAY TO THERAPY FOR ACUTE MYOCARDIAL-INFARCTION - A PRELIMINARY-REPORT FROM THE CINCINNATI-HEART-PROJECT [J].

KEREIAKES, DJ ;

GIBLER, WB ;

MARTIN, LH ;

PIEPER, KS ;

ANDERSON, LC ;

ABBOTTSMITH, CW ;

STUCKERT, J ;

SCHWALLIE, R ;

RAZAVI, A ;

YOUNG, S ;

GILBERT, G ;

BURNS, A ;

DAUGHERTY, M ;

MACEJKO, C ;

MONTGOMERY, L ;

HELD, J ;

SMITH, L ;

SANGHVI, V ;

WAYNE, D ;

MEIROSE, G ;

KASPER, J ;

GOLDSTEIN, E ;

DEAN, E ;

SIZER, S ;

OAKS, J ;

DEIMLING, D ;

DONOVAN, J ;

MOORE, R ;

UPHUS, M ;

BUEHLER, J ;

CORNETT, L ;

ASHBROCK, S ;

FLETCHER, R ;

ALEXANDER, J ;

DEIMLING, S ;

MCCABE, M ;

SCHIFF, G ;

CALIFF, R ;

TEICHMAN, S ;

KEREIAKES, DJ ;

MARTIN, LH .

AMERICAN HEART JOURNAL, 1992, 123 (04) :835-840

[10] Percutaneous coronary intervention versus fibrinolytic therapy in acute myocardial infarction: Is timing (almost) everything? [J].

Nallamothu, BK ;

Bates, ER .

AMERICAN JOURNAL OF CARDIOLOGY, 2003, 92 (07) :824-826

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