ACCURACY OF A PORTABLE INTERPRETIVE ECG MACHINE IN DIAGNOSIS OF ACUTE EVOLVING MYOCARDIAL-INFARCTION

被引：21
作者：
OROURKE, MF
COOK, A
CARROLL, G
GALLAGHER, D
HALL, J
机构：
[1] ST VINCENTS HOSP,MED PROFESSORIAL UNIT,SYDNEY,NSW 2010,AUSTRALIA
[2] ST VINCENTS HOSP,CORONARY CARE UNIT,SYDNEY,NSW 2010,AUSTRALIA
[3] CENT DIST AMBULANCE,STN OFF,SYDNEY,NSW,AUSTRALIA
来源：
AUSTRALIAN AND NEW ZEALAND JOURNAL OF MEDICINE | 1992年 / 22卷 / 01期
关键词：
MYOCARDIAL INFARCTION; CORONARY OCCLUSION; CORONARY THROMBOSIS; ELECTROCARDIOGRAM; THROMBOLYSIS;
D O I：
10.1111/j.1445-5994.1992.tb01701.x
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
From a study of 526 patients having automatic ECG analysis, criteria were established which diagnosed acute evolving Q wave myocardial infarction with 71% sensitivity and 98% specificity. Specificity was 100% when patients with known previous Q wave infarction were excluded. In pre-hospital practice the high sensitivity and specificity were maintained. This method appears appropriate, when other criteria are met, for paramedic-initiated pre-hospital thrombolysis with remote supervision of a cardiologist by telephone.
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页码：9 / 13
页数：5
相关论文
共 15 条
  • [1] BETT J H N, 1989, Australian and New Zealand Journal of Medicine, V19, P572
  • [2] BOUTEN M, 1990, NED TIJDSCHR GENEESK, P2434
  • [3] GREENBERG H, 1988, LANCET, V2, P1187
  • [4] KENNEDY JW, 1990, CLIN CARDIOL, V13, P23
  • [5] KUDENCHUK PJ, 1989, CIRCULATION S2, V80, P354
  • [6] MANTELL SJ, 1989, CIRCULATION, V80, P391
  • [7] LIMITATION OF MYOCARDIAL-INFARCTION BY EARLY INFUSION OF RECOMBINANT TISSUE-TYPE PLASMINOGEN-ACTIVATOR
    OROURKE, M
    BARON, D
    KEOGH, A
    KELLY, R
    NELSON, G
    BARNES, C
    RAFTOS, J
    GRAHAM, K
    HILLMAN, K
    NEWMAN, H
    HEALEY, J
    WOOLRIDGE, J
    RIVERS, J
    WHITE, H
    WHITLOCK, R
    NORRIS, R
    [J]. CIRCULATION, 1988, 77 (06) : 1311 - 1315
  • [8] ROURKE MF, 1990, AUST NZ J MED, V20, P329
  • [9] SHARKEY SW, 1989, CIRCULATION, V80, P353
  • [10] SIMOONS M, 1989, THROMBOLYSIS CARDIOV, P87
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