Feasibility of CardioSecur®, a Mobile 4-Electrode/22-Lead ECG Device, in the Prehospital Emergency Setting

被引：14

作者：

Spaich, Sebastian ^{[1
,2
]}

Kern, Hanna ^{[1
,3
]}

Zelniker, Thomas A. ^{[4
]}

Stiepak, Jan ^{[1
]}

Gabel, Michael ^{[5
]}

Popp, Erik ^{[3
]}

Katus, Hugo A. ^{[1
]}

Preusch, Michael R. ^{[1
]}

机构：

[1] Univ Hosp Heidelberg, Dept Cardiol Angiol & Pneumol, Heidelberg, Germany

[2] Robert Bosch Krankenhaus, Dept Cardiol, Stuttgart, Germany

[3] Univ Hosp Heidelberg, Dept Anaesthesiol, Stuttgart, Germany

[4] Med Univ Vienna, Div Cardiol, Vienna, Austria

[5] Heidelberg Univ, Inst Med Biometry & Informat, Heidelberg, Germany

来源：

FRONTIERS IN CARDIOVASCULAR MEDICINE | 2020年 / 7卷

关键词：

acute coronary syndrome; electrocardiogram; ECG; STEMI; myocardial infarction; user-friendliness; feasibility; ACUTE MYOCARDIAL-INFARCTION; ST-SEGMENT ELEVATION; ACUTE CHEST-PAIN; LONG-TERM RISK; 12-LEAD ELECTROCARDIOGRAM; POTENTIAL APPLICATION; LEAD PLACEMENT; STANDARD ECG; ACCURACY; DIAGNOSIS;

D O I：

10.3389/fcvm.2020.551796

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background:This study explores the application of CardioSecur (R) (CS-ECG), a hand-held 4-electrode/22-lead ECG-device, in comparison with conventional 12-lead electrocardiogram (c12L-ECG) in patients with acute chest pain in the prehospital emergency setting. Methods:CS-ECG systems were provided for two physician-staffed emergency ambulances and parallel recordings of c12L-ECG and CS-ECG were obtained from all patients with acute chest pain. Treating emergency physicians were asked to evaluate the CS-ECG system with a standardized questionnaire. Following study completion, acquired ECGs were analyzed separately by two independent cardiologists blinded to all other medical records. Results:Over a period of 20 months a total of 203 patients were included in our study. According to a standardized questionnaire, 79% of emergency medical professionals preferred application of CS-ECG, with 87% of teams judging CS-ECG to be beneficial for patients. Morover, 79% of physicians reported a reduction in time to definitive diagnosis with implementation of CS-ECG. The majority of professional users attested user-friendliness and feasibility of CS-ECG in terms of easy general handling (94%), application (93%), and placement of electrodes (98%). During prehospital triage, both c12L-ECG and CS-ECG correctly identified 31 (91%) patients with ST-elevation myocardial infarction (STEMI). Conclusion:In this first pilot study, implementation of the CardioSecur (R)-ECG system in the prehospital emergency setting demonstrated feasibility and user-friendliness so that emergency teams generally preferred CS-ECG to c12L-ECG. Diagnostic yield of CS-ECG was similar to c12L-ECG recordings.

引用

页数：11