Document Detail

Accuracy of a portable interpretive ECG machine in diagnosis of acute evolving myocardial infarction.
MedLine Citation:
PMID:  1294067     Owner:  NLM     Status:  MEDLINE    
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.
M F O'Rourke; A Cook; G Carroll; D Gallagher; J Hall
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Australian and New Zealand journal of medicine     Volume:  22     ISSN:  0004-8291     ISO Abbreviation:  Aust N Z J Med     Publication Date:  1992 Feb 
Date Detail:
Created Date:  1992-06-10     Completed Date:  1992-06-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  1264322     Medline TA:  Aust N Z J Med     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  9-13     Citation Subset:  IM    
Medical Professorial Unit, St Vincent's Hospital, Sydney, NSW, Australia.
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MeSH Terms
Allied Health Personnel
Myocardial Infarction / diagnosis*
Thrombolytic Therapy / utilization
Comment In:
Aust N Z J Med. 1992 Aug;22(4):387-8   [PMID:  1445028 ]

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