Time-to-reperfusion in STEMI undergoing interhospital transfer using smartphone and WhatsApp messenger

被引:67
作者
Astarcioglu, Mehmet Ali [1 ]
Sen, Taner [1 ]
Kilit, Celal [2 ]
Durmus, Halil Ibrahim [3 ]
Gozubuyuk, Gokhan [4 ]
Kalcik, Macit [5 ]
Karakoyun, Suleyman [6 ]
Yesin, Mahmut [5 ]
Agus, Hicaz Zencirkiran [5 ]
Amasyali, Basri [2 ]
机构
[1] Evliya Celebi Training & Res Hosp, Dept Cardiol, Kutahya, Turkey
[2] Dumlupinur Univ, Dept Cardiol, Kutahya, Turkey
[3] Mustafa Kalemli State Hosp, Dept Cardiol, Kutahya, Turkey
[4] Malatya State Hosp, Dept Cardiol, Malatya, Turkey
[5] Kosuyolu Kartal Heart Training & Res Hosp, Dept Cardiol, Istanbul, Turkey
[6] Kafkas Univ, Dept Cardiol, Kars, Turkey
关键词
ACUTE MYOCARDIAL-INFARCTION; PERCUTANEOUS CORONARY INTERVENTION; ASSOCIATION TASK-FORCE; FIBRINOLYTIC THERAPY; PRIMARY ANGIOPLASTY; AMERICAN-COLLEGE; GUIDELINES; MANAGEMENT; UPDATE; IMPACT;
D O I
10.1016/j.ajem.2015.07.029
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objective: The objective of this study is to assess the efficacy of WhatsApp application as a communication method among the emergency physician (EP) in a rural hospital without percutaneous coronary intervention (PCI) capability and the interventional cardiologist at a tertiary PCI center. Background: Current guidelines recommend that patients with ST-segment elevation myocardial infarction (STEMI) receive primary PCI within 90 minutes. This door-to-balloon (D2B) time has been difficult to achieve in rural STEMI. Methods and results: We evaluated 108 patients with STEMI in a rural hospital with emergency department but without PCI capability to determine the impact of WhatsApp triage and activation of the cardiac catheterization laboratory on D2B time. The images were obtained from cases of suspected STEMI using the smartphones by the EP and were sent to the interventional cardiologist via the WhatsApp application (group 1, n=53). The control group included concurrently treated patients with STEMI during the same period but not receiving triage (group 2, n = 55). The D2B time was significantly shorter in the intervention group (109 +/- 31 vs 130 +/- 46 minutes, P < .001) with significant reduction in false STEMI rate as well. Conclusion: This study demonstrates that use of WhatsApp triage with activation of the cardiac catheterization laboratory was associated with shorter D2B time and results in a greater proportion of patients achieving guideline recommendations. The method is cheap, quick, and easy to operate. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码:1382 / 1384
页数:3
相关论文
共 14 条
[1]   Smartphones in orthopaedics [J].
Al-Hadithy, Nawfal ;
Gikas, Panagiotis D. ;
Al-Nammari, Shafic Said .
INTERNATIONAL ORTHOPAEDICS, 2012, 36 (08) :1543-1547
[2]   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
[3]   2007 focused update of the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction - A report of the American college of cardiology/American heart association task force on practice guidelines [J].
Antman, Elliott M. ;
Hand, Mary ;
Armstrong, Paul W. ;
Bates, Eric R. ;
Green, Lee A. ;
Halasyamani, Lakshmi K. ;
Hochman, Judith S. ;
Krumholz, Harlan M. ;
Lamas, Gervasio A. ;
Mullany, Charles J. ;
Pearle, David L. ;
Sloan, Michael A. ;
Smith, Sidney C., Jr. .
CIRCULATION, 2008, 117 (02) :296-329
[4]  
Bradley Elizabeth H, 2007, Crit Pathw Cardiol, V6, P91, DOI 10.1097/HPC.0b013e31812da7bc
[5]   Strategies for reducing the door-to-balloon time in acute myocardial infarction [J].
Bradley, Elizabeth H. ;
Herrin, Jeph ;
Wang, Yongfei ;
Barton, Barbara A. ;
Webster, Tashonna R. ;
Mattera, Jennifer A. ;
Roumanis, Sarah A. ;
Curtis, Jeptha P. ;
Nallamothu, Brahmajee K. ;
Magid, David J. ;
McNamara, Robert L. ;
Parkosewich, Janet ;
Loeb, Jerod M. ;
Krumholz, Harlan M. .
NEW ENGLAND JOURNAL OF MEDICINE, 2006, 355 (22) :2308-2320
[6]   Impact of treatment delays on outcomes of primary percutaneous coronary intervention for acute myocardial infarction: Analysis from the CADILLAC trial [J].
Brodie, BR ;
Stone, GW ;
Cox, DA ;
Stuckey, TD ;
Turco, M ;
Tcheng, JE ;
Berger, P ;
Mehran, R ;
McLaughlin, M ;
Costantini, C ;
Lansky, AJ ;
Grines, CL .
AMERICAN HEART JOURNAL, 2006, 151 (06) :1231-1238
[7]   Time delay to treatment and mortality in primary angioplasty for acute myocardial infarction - Every minute of delay counts [J].
De Luca, G ;
Suryapranata, H ;
Ottervanger, JP ;
Antman, EM .
CIRCULATION, 2004, 109 (10) :1223-1225
[8]   REMOTE REAL-TIME MONITORING OF FREE FLAPS VIA SMARTPHONE PHOTOGRAPHY AND 3G WIRELESS INTERNET: A PROSPECTIVE STUDY EVIDENCING DIAGNOSTIC ACCURACY [J].
Engel, Holger ;
Huang, Jung Ju ;
Tsao, Chung Kan ;
Lin, Chia-Yu ;
Chou, Pan-Yu ;
Brey, Eric M. ;
Henry, Steven L. ;
Cheng, Ming Huei .
MICROSURGERY, 2011, 31 (08) :589-595
[9]   Image and Diagnosis Quality of X-Ray Image Transmission via Cell Phone Camera: A Project Study Evaluating Quality and Reliability [J].
Goost, Hans ;
Witten, Johannes ;
Heck, Andreas ;
Hadizadeh, Dariusch R. ;
Weber, Oliver ;
Graeff, Ingo ;
Burger, Christof ;
Montag, Mareen ;
Koerfer, Felix ;
Kabir, Koroush .
PLOS ONE, 2012, 7 (10)
[10]   Primary angioplasty versus intravenous thrombolytic therapy for acute myocardial infarction: a quantitative review of 23 randomised trials [J].
Keeley, EC ;
Boura, JA ;
Grines, CL .
LANCET, 2003, 361 (9351) :13-20