Document Detail

Feasibility of early emergency room notification to improve door-to-balloon times for patients with acute ST segment elevation myocardial infarction.
MedLine Citation:
PMID:  16224783     Owner:  NLM     Status:  MEDLINE    
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).
Milan Sekulic; Bischan Hassunizadeh; Steve McGraw; Shukri David
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  66     ISSN:  1522-1946     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-10-31     Completed Date:  2006-02-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  316-9     Citation Subset:  IM    
Copyright Information:
Copyright 2005 Wiley-Liss, Inc.
Providence Heart Institute, Southfield, Michigan 48075, USA.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary*
Coronary Care Units*
Electrocardiography / methods*
Feasibility Studies
Follow-Up Studies
Myocardial Infarction / diagnosis*,  physiopathology,  therapy
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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