keyword
https://read.qxmd.com/read/38527251/introducing-virtual-reality-in-a-stemi-coronary-syndrome-course-qualitative-evaluation-with-nurses-and-doctors
#1
JOURNAL ARTICLE
Alessandro Forgiarini, Laura Deroma, Fabio Buttussi, Nicola Zangrando, Sabrina Licata, Francesca Valent, Luca Chittaro, Antonio Di Chiara
In the increasing number of medical education topics taught with virtual reality (VR), the prehospital management of ST-segment elevation myocardial infarction (STEMI) had not been considered. This article proposes an implemented VR system for STEMI training and introduces it in an institutional course addressed to emergency nurses and case manager (CM) doctors. The system comprises three different applications to, respectively, allow (a) the course instructor to control the conditions of the virtual patient, (b) the CM to communicate with the nurse in the virtual field and receive from him/her the patient's parameters and electrocardiogram, and (c) the nurse to interact with the patient in the immersive VR scenario...
March 25, 2024: Cyberpsychology, Behavior and Social Networking
https://read.qxmd.com/read/38462799/-features-of-the-reperfusion-therapy-for-st-segment-elevation-myocardial-infarction-according-to-the-russian-registry-of-acute-myocardial-infarction-region-im
#2
JOURNAL ARTICLE
S A Boytsov, R M Shakhnovich, S N Tereschenko, A D Erlikh, D V Pevsner, R G Gulyan, Yu K Rytova, N Yu Dmitrieva, Ya M Voznyuk, N A Musikhina, O A Nazarova, N A Pogorelova, G K Sanabasova, A V Sviridova, I V Sukhareva, A S Filinova, Yu V Shylko, G A Shirikova
AIM: Based on data from the Russian REGION-IM registry, to study the features of reperfusion therapy in patients with ST-segment elevation myocardial infarction (STEMI) in real-life clinical practice. MATERIAL AND METHODS: REGION-IM is a multicenter prospective observational study. The observational period is divided into 3 stages: during the stay in the hospital and at 6 and 12 months after inclusion in the registry. The patient's records contain demographic and history data; information about the present case of MI, including the time of the first symptom onset, first contact with medical personnel, and admission to the hospital; coronary angiography (CAG) data, percutaneous coronary intervention (PCI) data, and information about the thrombolytic therapy (TLT)...
February 29, 2024: Kardiologiia
https://read.qxmd.com/read/38373837/smartphone-ai-vs-medical-experts-a-comparative-study-in-prehospital-stemi-diagnosis
#3
JOURNAL ARTICLE
Seung Hyo Lee, Won Pyo Hong, Joonghee Kim, Youngjin Cho, Eunkyoung Lee
PURPOSE: Prehospital telecardiology facilitates early ST-elevation myocardial infarction (STEMI) detection, yet its widespread implementation remains challenging. Extracting digital STEMI biomarkers from printed electrocardiograms (ECGs) using phone cameras could offer an affordable and scalable solution. This study assessed the feasibility of this approach with real-world prehospital ECGs. MATERIALS AND METHODS: Patients suspected of having STEMI by emergency medical technicians (EMTs) were identified from a policy research dataset...
March 2024: Yonsei Medical Journal
https://read.qxmd.com/read/38367969/exploring-variation-in-timely-reperfusion-treatment-in-st-segment-elevation-myocardial-infarction-in-norway-a-national-register-based-cohort-study
#4
JOURNAL ARTICLE
Bård Uleberg, Kaare Harald Bønaa, Ragna Elise Støre Govatsmark, Frank Olsen, Bjarne K Jacobsen, Eva Stensland, Beate Hauglann, Barthold Vonen, Olav Helge Førde
OBJECTIVES: This study aimed to investigate determinants of reperfusion within recommended time limits (timely reperfusion) for ST-segment elevation myocardial infarction patients, exploring the impact of geography, patient characteristics and socio-economy. DESIGN: National register-based cohort study. SETTING: Multilevel logistic regression models were applied to examine the associations between timely reperfusion and residency in hospital referral areas and municipalities, patient characteristics, and socio-economy...
February 17, 2024: BMJ Open
https://read.qxmd.com/read/38235978/rural-ems-stemi-patients-why-the-delay-to-pci
#5
JOURNAL ARTICLE
Jason P Stopyra, Anna C Snavely, Nicklaus P Ashburn, Michael W Supples, W Mark Brown, Chadwick D Miller, Simon A Mahler
BACKGROUND: The objective of this study is to identify patient and EMS agency factors associated with timely reperfusion of patients with ST-elevation myocardial infarction (STEMI). METHODS: We conducted a cohort study of adult patients (≥18 years old) with STEMI activations from 2016-2020. Data was obtained from a regional STEMI registry, which included eight rural county EMS agencies and three North Carolina percutaneous coronary intervention (PCI) centers...
January 18, 2024: Prehospital Emergency Care
https://read.qxmd.com/read/38233295/informing-utstein-style-reporting-guidelines-for-prehospital-thrombolysis-a-scoping-review
#6
JOURNAL ARTICLE
Louis Jenkins, Tania Johnston, Richard Armour, Sonja Maria
BACKGROUND: Rural Australians with acute myocardial infarction (AMI) face higher mortality rates due to limited access to specialised cardiac services. Paramedic-administered prehospital thrombolysis (PHT) has emerged as an alternative to primary percutaneous intervention (pPCI) for patients facing barriers or delays to cardiac care. There is variability in PHT practices among Australian ambulance services, lacking standardised definitions and outcome measures. The aim of this scoping review was to identify quality indicators and influencing factors associated with outcomes for patients receiving PHT...
January 16, 2024: Australasian emergency care
https://read.qxmd.com/read/38167925/evolution-of-reperfusion-strategies-and-impact-on-mortality-in-old-and-very-old-stemi-patients-the-resovold-e-must-study
#7
JOURNAL ARTICLE
Frédéric Lapostolle, Tomislav Petrovic, Brice Moiteaux, Aurélie Loyeau, Thévy Boche, Roger Kadji Kalabang, Gaëlle Le Bail, Lionel Lamhaut, Marina Lafay, François Dupas, Marine Scannavino, Hakim Benamer, Sophie Bataille, Yves Lambert
BACKGROUND: The use of myocardial reperfusion-mainly via angioplasty-has increased in our region to over 95%. We wondered whether old and very old patients have benefited from this development. METHODS: Setting: Greater Paris Area (Ile-de-France). DATA: Regional registry, prospective, including since 2003, data from 39 mobile intensive care units performing prehospital treatment of patients with ST segment elevation myocardial infarction (STEMI) (<24 h)...
January 2, 2024: Age and Ageing
https://read.qxmd.com/read/38065583/facility-based-approach-for-the-management-of-acute-st-segment-elevation-myocardial-infarction-with-cardiogenic-shock-in-a-rural-medical-centre-the-durango-model
#8
JOURNAL ARTICLE
Andrew Joseph Carter, Jad Raffoul, Linden Lane, Leah LeSage, Shelley Langenhorst, Matthew Smolin, Michael Dempsey, David Hughes, Michael Gleason, Steven Weiss, William D Anderson
INTRODUCTION: Cardiogenic shock (CS) complicates 5%-15% of cases of acute myocardial infarction (AMI) with inpatient mortality greater than 40%. The implementation of standardised protocols may improve clinical outcomes in patients with AMI-CS. METHODS AND ANALYSIS: The Durango model is a prospective single-centre registry designed to enable early identification of patients with STEMI-CS to facilitate primary reperfusion therapy with a shock team management algorithm in a rural level II heart attack centre...
December 7, 2023: Open Heart
https://read.qxmd.com/read/38047380/a-novel-algorithm-for-improving-the-prehospital-diagnostic-accuracy-of-st-segment-elevation-myocardial-infarction
#9
JOURNAL ARTICLE
Mat Goebel, Lauren M Westafer, Stephanie A Ayala, El Ragone, Scott J Chapman, Masood R Mohammed, Marc R Cohen, James T Niemann, Marc Eckstein, Stephen Sanko, Nichole Bosson
INTRODUCTION: Early detection of ST-segment elevation myocardial infarction (STEMI) on the prehospital electrocardiogram (ECG) improves patient outcomes. Current software algorithms optimize sensitivity but have a high false-positive rate. The authors propose an algorithm to improve the specificity of STEMI diagnosis in the prehospital setting. METHODS: A dataset of prehospital ECGs with verified outcomes was used to validate an algorithm to identify true and false-positive software interpretations of STEMI...
December 4, 2023: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38040452/prehospital-risk-assessment-and-direct-transfer-to-a-percutaneous-coronary-intervention-centre-in-suspected-acute-coronary-syndrome
#10
JOURNAL ARTICLE
Jesse Demandt, Arjan Koks, Dennis Sagel, Veerle A E van Hattem, Rutger J Haest, Eric Heijmen, H Thijssen, Luuk C Otterspoor, Dennis van Veghel, Rob Eerdekens, Mohamed El Farissi, Koen Teeuwen, Inge Wijnbergen, Pim van der Harst, Nico H J Pijls, Marcel van 't Veer, Pim A L Tonino, Lukas R C Dekker, Pieter J Vlaar
OBJECTIVE: Prehospital risk stratification and triage are currently not performed in patients suspected of non-ST-segment elevation acute coronary syndrome (NSTE-ACS). This may lead to prolonged time to revascularisation, increased duration of hospital admission and higher healthcare costs. The preHEART score (prehospital history, ECG, age, risk factors and point-of-care troponin score) can be used by emergency medical services (EMS) personnel for prehospital risk stratification and triage decisions in patients with NSTE-ACS...
December 1, 2023: Heart
https://read.qxmd.com/read/38032364/-preclinical-loading-in-patients-with-acute-chest-pain-and-acute-coronary-syndrome-preload-survey
#11
JOURNAL ARTICLE
Sascha Macherey-Meyer, Simon Braumann, Sebastian Heyne, Max Maria Meertens, Tobias Tichelbäcker, Stephan Baldus, Samuel Lee, Christoph Adler
BACKGROUND: Guidelines on myocardial infarction (MI) recommend antithrombotic and anticoagulatory treatment at time of diagnosis. MI with ST segment elevation (STEMI) is mostly a certain diagnosis. Acute coronary syndrome without ST segment elevation (NSTE-ACS) has diagnostic uncertainty and remains a working diagnosis in the prehospital setting. OBJECTIVE: Assessment of prehospital loading with aspirin and heparin depending on ACS subtype and pretreatment with oral anticoagulants...
November 30, 2023: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://read.qxmd.com/read/38019694/the-coronary-reperfusion-effect-and-safety-of-prehospital-p2y12-inhibitor-in-primary-pci-stemi-patients-a-systematic-review-and-meta-analysis
#12
JOURNAL ARTICLE
Yung-Hua Chou, Cheng-Chieh Huang, Chia-Kai Chang, Jing-Lan Huang, Bo-Han Jang, Tsung-Han Lee, Kun-Te Lin, Wen-Liang Chen, Chu-Chung Chou, Yan-Ren Lin
BACKGROUND: The concept of early administration of P2Y12 inhibitor in ST-elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (PCI) is widely accepted, but whether prehospital administration results in greater coronary reperfusion remains unclear. Our study aims to analyze the benefit and safety of prehospital P2Y12 inhibitor compared to in-hospital P2Y12 inhibitor administration. METHOD: Three databases (PubMed, EMBASE, and Cochrane Library) were searched from database inception to June 2023...
November 29, 2023: Prehospital Emergency Care
https://read.qxmd.com/read/38006762/context-independent-identification-of-myocardial-ischemia-in-the-prehospital-ecg-of-chest-pain-patients
#13
REVIEW
Cees A Swenne, C Cato Ter Haar
Non-traumatic chest pain is a frequent reason for an urgent ambulance visit of a patient by the emergency medical services (EMS). Chest pain (or chest pain-equivalent symptoms) can be innocent, but it can also signal an acute form of severe pathology that may require prompt intervention. One of these pathologies is cardiac ischemia, resulting from a disbalance between blood supply and demand. One cause of a diminished blood supply to the heart is acute coronary syndrome (ACS, i.e., cardiac ischemia caused by a reduced blood supply to myocardial tissue due to plaque instability and thrombus formation in a coronary artery)...
2024: Journal of Electrocardiology
https://read.qxmd.com/read/37948923/-e-must-registry-evaluation-of-prehospital-medical-management-of-stemi-in-%C3%A3-le-de-france
#14
JOURNAL ARTICLE
Frédéric Lapostolle, Aurélie Loyeau, Sophie Bataille, Brice Moiteaux, Yves Lambert
The e-MUST registry has continuously and comprehensively documented ST-segment elevation myocardial infarctions (STEMIs) managed in the prehospital setting by the 39 Mobile Emergency and Resuscitation Services (SMUR) of the 8 Emergency Medical Assistance System (SAMU) and subsequently managed in the 36 interventional cardiology services in Île-de-France since 2000. This encompasses a population of over 12 million residents. To date, nearly 44,000 patients have been enrolled. The analysis of these findings reflects the real-world management of these patients and the evolution of their care...
November 8, 2023: Annales de Cardiologie et D'angéiologie
https://read.qxmd.com/read/37905548/aiming-towards-evidence-based-interpretation-of-cardiac-biomarkers-in-patients-presenting-with-chest-pain-using-point-of-care-testing-westcor-poc-study-design
#15
RANDOMIZED CONTROLLED TRIAL
Ingrid Viola Lavesson Thulin, Silje Marie Farestveit Jordalen, Ole Christian Lekven, Jeyaseelan Krishnapillai, Ole Thomas Steiro, Paul Collinson, Fred Apple, Louise Cullen, Tone M Norekvål, Torbjørn Wisløff, Kjell Vikenes, Torbjørn Omland, Rune O Bjørneklett, Kristin Moberg Aakre
OBJECTIVES: Patients presenting with symptoms suggestive of acute coronary syndrome (ACS) contribute to a high workload and overcrowding in the Emergency Department (ED). Accelerated diagnostic protocols for non-ST-elevation myocardial infarction have proved challenging to implement. One obstacle is the turnaround time for analyzing high-sensitivity cardiac troponin (hs-cTn). In the WESTCOR-POC study (Clinical Trials number NCT05354804) we aim to evaluate safety and efficiency of a 0/1 h hs-cTn algorithm utilizing a hs-cTnI point of care (POC) instrument in comparison to central laboratory hs-cTnT measurements...
December 2023: Scandinavian Cardiovascular Journal: SCJ
https://read.qxmd.com/read/37882136/time-to-thrombolysis-and-factors-contributing-to-delays-in-patients-presenting-with-st-elevation-myocardial-infarction-at-chris-hani-baragwanath-academic-hospital-johannesburg-south-africa
#16
JOURNAL ARTICLE
I Tickley, S A Van Blydenstein, R Meel
BACKGROUND: Acute coronary syndrome is a public health burden both worldwide and in South Africa (SA). Guidelines recommend thrombolysis within 1 hour of symptom onset and 30 minutes of hospital arrival for patients with ST-elevation myocardial infarction (STEMI) in order to prevent morbidity and mortality. There is a paucity of data pertaining to the time between onset of chest pain and thrombolysis in STEMI patients in SA. OBJECTIVES: To elucidate the time to thrombolytic therapy, establish the reasons for treatment delays, and calculate the loss of benefit of thrombolysis associated with delays in treatment of patients presenting with STEMI at Chris Hani Baragwanath Academic Hospital (CHBAH), Johannesburg, SA...
September 4, 2023: South African Medical Journal
https://read.qxmd.com/read/37862014/sex-disparities-in-management-and-outcomes-among-patients-with-acute-coronary-syndrome
#17
JOURNAL ARTICLE
Shuduo Zhou, Yan Zhang, Xuejie Dong, Xu Zhang, Junxiong Ma, Na Li, Hong Shi, Zuomin Yin, Yuzeng Xue, Yali Hu, Yi He, Bin Wang, Xiang Tian, Sidney C Smith, Ming Xu, Yinzi Jin, Yong Huo, Zhi-Jie Zheng
IMPORTANCE: Sex disparities in the management and outcomes of acute coronary syndrome (ACS) have received increasing attention. OBJECTIVE: To evaluate the association of a quality improvement program with sex disparities among patients with ACS. DESIGN, SETTING, AND PARTICIPANTS: The National Chest Pain Centers Program (NCPCP) is an ongoing nationwide program for the improvement of quality of care in patients with ACS in China, with CPC accreditation as a core intervention...
October 2, 2023: JAMA Network Open
https://read.qxmd.com/read/37830209/comparing-timi-heart-and-grace-risk-scores-to-predict-angiographic-severity-of-coronary-artery-disease-and-30-day-major-adverse-cardiac-events-in-emergency-department-patients-with-nsteacs
#18
JOURNAL ARTICLE
Necmiye Yalcin Ocak, Murat Yesilaras, Baris Kilicaslan, Yesim Eyler, İnan Mutlu, Murat Kutlu
BACKGROUND: Acute coronary syndromes (ACS) are hard to diagnose because their clinical presentation is broad. Current guidelines suggest early clinical risk stratification to the optimal site of care. The aim of this study was to investigate the ability of Thrombolysis in Myocardial Infarction (TIMI); History, Electrocardiogram, Age, Risk Factors, Troponin (HEART); and Global Registry of Acute Coronary Events (GRACE) risk scores to predict the development of major adverse cardiac events (MACE) and the angiographic severity of coronary artery disease (CAD) in patients diagnosed with non-ST-segment elevation acute coronary syndrome (NSTEACS) in the emergency department (ED)...
December 2023: Prehospital and Disaster Medicine
https://read.qxmd.com/read/37803895/long-term-prognosis-of-different-reperfusion-strategies-for-st-segment-elevation-myocardial-infarction-in-chinese-county-level-hospitals-insight-from-china-acute-myocardial-infarction-registry
#19
JOURNAL ARTICLE
Chao Wu, Qiong Yu Zhang, Ling Li, Xu Xia Zhang, Yong Chen Cai, Jin Gang Yang, Hai Yan Xu, Yan Yan Zhao, Yang Wang, Wei Li, Chen Jin, Xiao Jin Gao, Yue Jin Yang, Shu Bin Qiao
OBJECTIVE: To evaluate the long-term prognosis of patients with ST-segment elevation myocardial infarction (STEMI) treated with different reperfusion strategies in Chinese county-level hospitals. METHODS: A total of 2,514 patients with STEMI from 32 hospitals participated in the China Acute Myocardial Infarction registry between January 2013 and September 2014. The success of fibrinolysis was assessed according to indirect measures of vascular recanalization. The primary outcome was 2-year mortality...
September 20, 2023: Biomedical and Environmental Sciences: BES
https://read.qxmd.com/read/37802699/prehospital-care-for-st-segment-elevation-myocardial-infarction-in-remote-areas-lost-in-translation
#20
EDITORIAL
Stefano Savonitto, Giuseppe De Luca
No abstract text is available yet for this article.
October 4, 2023: American Journal of Cardiology
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