keyword
https://read.qxmd.com/read/37612071/usefulness-of-prehospital-12-lead-electrocardiography-system-in-st-segment-elevation-myocardial-infarction-patients-in-oita%C3%A3-comparison-between-urban-and-rural-areas-weekday-daytime-and-weekday-nighttime-holidays
#21
JOURNAL ARTICLE
Kunio Yufu, Tsuyoshi Shimomura, Kyoko Kawano, Hiroki Sato, Keisuke Yonezu, Shotaro Saito, Hidekazu Kondo, Akira Fukui, Hidefumi Akioka, Tetsuji Shinohara, Yasushi Teshima, Ryuzo Abe, Naohiko Takahashi
BACKGROUND: We have reported that a prehospital 12-lead electrocardiography system (P-ECG) contributed to transport of suspected acute coronary syndrome (ACS) patients to appropriate institutes and in this study, we compared its usefulness between urban and rural areas, and between weekday daytime and weekday nighttime/holiday.Methods and Results: Consecutive STEMI patients who underwent successful primary percutaneous coronary intervention after using P-ECG were assigned to the P-ECG group (n=123; 29 female, 70±13 years), and comparable STEMI patients without using P-ECG were assigned to the conventional group (n=117; 33 females, mean age 70±13 years)...
August 22, 2023: Circulation Journal: Official Journal of the Japanese Circulation Society
https://read.qxmd.com/read/37572268/early-prediction-of-ventricular-fibrillation-using-electrocardiographic-characteristics-in-prehospital-suspected-st-segment-elevation-myocardial-infarction-a-case-control-study
#22
JOURNAL ARTICLE
Alain Tanguay, Johann Lebon, Denise Hébert
PURPOSE: Our objective was to determine characteristics of electrocardiograms (ECG) that predict ventricular fibrillation (VF) among prehospital patients with suspected ST-segment elevation myocardial infarction (STEMI) in Québec. METHODS: We performed a matched case-control study of prehospital adult suspected with STEMI. Patients in case group (STEMI/VF+) were matched with controls (STEMI/VF-) for age and sex and then compared for ECG characteristics, including ST-segment elevations (STE) and depressions (STD), duration of interval complexes, general characteristics, and several calculated variables...
September 2023: CJEM
https://read.qxmd.com/read/37567785/delayed-first-medical-contact-to-reperfusion-time-increases-mortality-in-rural-emergency-medical-services-patients-with-st-elevation-myocardial-infarction
#23
JOURNAL ARTICLE
Jason P Stopyra, Anna C Snavely, Nicklaus P Ashburn, Michael W Supples, Chadwick D Miller, Simon A Mahler
BACKGROUND: ST-elevation myocardial infarction (STEMI) guidelines recommend an emergency medical services (EMS) first medical contact (FMC) to percutaneous coronary intervention (PCI) time of ≤90 min. The primary objective of this study was to evaluate the association between FMC to PCI time and mortality in rural STEMI patients. METHODS: We conducted a cohort study of patients ≥18 years old with STEMI activations from January 2016 to March 2020...
November 2023: Academic Emergency Medicine
https://read.qxmd.com/read/37545279/role-of-pre-hospital-emergency-medical-systems-in-the-rescue-of-patients-with-st-elevation-myocardial-infarction
#24
JOURNAL ARTICLE
Pei-Ze Tan, Shang-Lun Li, Qing Zhang, Xiang Liu, Feng Tang, Chang-Le Liu
BACKGROUND: Myocardial infarction (MI) is a series of clinical syndromes caused by ischemic necrosis of myocardial cells that results from severe and persistent acute ischemia of the myocardium due to a dramatic reduction or interruption of coronary blood supply. OBJECTIVE: In this study, we analyzed the role of pre-hospital emergency services in the rescue of patients suffering from ST-elevation myocardial infarction (STEMI). METHODS: We enrolled 229 patients with STEMI who were transported to the Second Hospital of Tianjin Medical University by Tianjin Emergency Center from January 2017 to June 2021...
2023: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://read.qxmd.com/read/37485671/factors-associated-with-symptom-to-door-delay-in-patients-with-st-segment-myocardial-infarction-a-systematic-review
#25
REVIEW
Xiuyan Lu, Wei Xia, Xinru Wang, Fangyu Xie, Xiujie Sun
BACKGROUND: Decreasing symptom-to-door (S2D) delay is of vital importance for reducing morbidity and mortality in patients with ST-segment elevation myocardial infarction (STEMI). The factors associated with S2D delay in STEMI patients have not been well-characterized. OBJECTIVES: The aim of this study was to identify factors associated with S2D delay in patients with STEMI. METHODS: The PubMed, CINAHL, and Embase databases were searched for data...
August 2023: Prehospital and Disaster Medicine
https://read.qxmd.com/read/37477353/accelerated-rule-out-of-acute-myocardial-infarction-using-prehospital-copeptin-and-in-hospital-troponin-the-aromi-study
#26
RANDOMIZED CONTROLLED TRIAL
Claus Kjær Pedersen, Carsten Stengaard, Morten Thingemann Bøtker, Hanne Maare Søndergaard, Karen Kaae Dodt, Christian Juhl Terkelsen
AIMS: The present acute myocardial infarction (AMI) rule-out strategies are challenged by the late temporal release of cardiac troponin. Copeptin is a non-specific biomarker of endogenous stress and rises early in AMI, covering the early period where troponin is still normal. An accelerated dual-marker rule-out strategy combining prehospital copeptin and in-hospital high-sensitivity troponin T could reduce length of hospital stay and thus the burden on the health care systems worldwide...
October 12, 2023: European Heart Journal
https://read.qxmd.com/read/37470731/effect-of-the-door-to-balloon-time-on-the-results-of-treatment-of-patients-with-st-segment-elevation-myocardial-infarction-depending-on-the-duration-of-the-pre-hospital-delay
#27
JOURNAL ARTICLE
I S Bessonov, S S Sapozhnikov, A A Shadrin, M G Kashtanov, S V Popov
Aim    To analyze the effect of the door-to-balloon time on treatment outcomes in patients with acute ST-segment elevation myocardial infarction (STEMI) depending on the duration of pre-hospital delay.Material ad methods    The study used data of the hospital registry of percutaneous coronary interventions (PCI) in STEMI from 2006 through 2017. The analysis included 1333 patients. All patients were divided into two groups. The first group included 574 (43.1%) patients with the time from the pain syndrome onset to admission was ≤120 min...
June 30, 2023: Kardiologiia
https://read.qxmd.com/read/37459650/prehospital-chest-pain-management-disparity-based-on-homeless-status
#28
JOURNAL ARTICLE
Travis M Curtis, Omid Boozarpour, Daniel E Rebagliati, Christopher B Colwell, Michael W Dailey
Background: People experiencing homelessness may utilize emergency medical services to access health care. We sought to examine the relationship between homelessness and prehospital evaluation and treatment of chest pain. Methods: We obtained 2019 data of all EMS activations from a single 9-1-1 provider in San Francisco, CA with a clinician's primary impression of chest pain. Using chart review, we categorized patients as experiencing homelessness or not and determined treatment rates between the two groups based on local chest pain/acute coronary syndrome protocol...
July 17, 2023: Prehospital Emergency Care
https://read.qxmd.com/read/37459415/race-based-differences-in-st-segment-elevation-myocardial-infarction-process-metrics-and-mortality-from-2015-through-2021-an-analysis-of-178-062-patients-from-the-american-heart-association-get-with-the-guidelines-coronary-artery-disease-registry
#29
JOURNAL ARTICLE
Asishana Osho, Marcelo F Fernandes, Ram Poudel, James de Lemos, Haoyun Hong, Juan Zhao, Shen Li, Kathie Thomas, Daniel S Kikuchi, Jessica Zegre-Hemsey, Nasrien Ibrahim, Nilay S Shah, Lori Hollowell, Jacqueline Tamis-Holland, Christopher B Granger, Mauricio Cohen, Timothy Henry, Alice K Jacobs, James G Jollis, Clyde W Yancy, Abhinav Goyal
BACKGROUND: Systems of care have been developed across the United States to standardize care processes and improve outcomes in patients with ST-segment-elevation myocardial infarction (STEMI). The effect of contemporary STEMI systems of care on racial and ethnic disparities in achievement of time-to-treatment goals and mortality in STEMI is uncertain. METHODS: We analyzed 178 062 patients with STEMI (52 293 women and 125 769 men) enrolled in the American Heart Association Get With The Guidelines-Coronary Artery Disease registry between January 1, 2015, and December 31, 2021...
July 18, 2023: Circulation
https://read.qxmd.com/read/37449585/prehospital-activation-of-the-cardiac-catheterization-laboratory-in-st-segment-elevation-myocardial-infarction-for-primary-percutaneous-coronary-intervention
#30
JOURNAL ARTICLE
Michael L Savage, Karen Hay, William Vollbon, Tan Doan, Dale J Murdoch, Christopher Hammett, Rohan Poulter, Darren L Walters, Russell Denman, Isuru Ranasinghe, Owen Christopher Raffel
Background Prehospital activation of the cardiac catheter laboratory is associated with significant improvements in ST-segment-elevation myocardial infarction (STEMI) performance measures. However, there are equivocal data, particularly within Australia, regarding its influence on mortality. We assessed the association of prehospital activation on performance measures and mortality in patients with STEMI treated with primary percutaneous coronary intervention from the Queensland Cardiac Outcomes Registry (QCOR)...
July 14, 2023: Journal of the American Heart Association
https://read.qxmd.com/read/37131092/prehospital-stratification-and-prioritisation-of-non-st-segment-elevation-acute-coronary-syndrome-patients-nsteacs-the-mariachi-scale
#31
JOURNAL ARTICLE
Silvia Solà-Muñoz, Morales Jorge, Xavier Jiménez-Fàbrega, Sonia Jiménez-Delgado, Youcef Azeli, J Ramon Marsal, Sara Jordán, Josepa Mauri, Javier Jacob
OBJECTIVE: The objective of this study was to develop and validate a risk scale (MARIACHI) for patients classified as non-ST-segment elevation acute coronary syndrome (NSTEACS) in a prehospital setting with the ability to identify patients at an increased risk of mortality at an early stage. METHODS: A retrospective observational study conducted in Catalonia over two periods: 2015-2017 (development and internal validation cohort) and Aug 2018-Jan 2019 (external validation cohort)...
May 2, 2023: Internal and Emergency Medicine
https://read.qxmd.com/read/36998077/characterization-of-prehospital-time-delay-in-primary-percutaneous-coronary-intervention-for-acute-myocardial-infarction-analysis-of-geographical-infrastructure-dependent-and-independent-components
#32
JOURNAL ARTICLE
Keisuke Oyatani, Masayuki Koyama, Nobuaki Himuro, Tetsuji Miura, Hirofumi Ohnishi
BACKGROUND: Prehospital delay in reaching a percutaneous coronary intervention (PCI) facility is a major problem preventing early coronary reperfusion in patients with ST-elevation myocardial infarction (STEMI). The aim of this study was to identify modifiable factors that contribute to the interval from symptom onset to arrival at a PCI-capable center with a focus on geographical infrastructure-dependent and -independent factors. METHODS: We analyzed data from 603 STEMI patients who received primary PCI within 12 h of symptom onset in the Hokkaido Acute Coronary Care Survey...
March 30, 2023: International Journal of Health Geographics
https://read.qxmd.com/read/36952460/more-emergency-patients-presenting-with-chest-pain
#33
JOURNAL ARTICLE
Tim Alex Lindskou, Patricia Jessen Andersen, Erika Frischknecht Christensen, Morten Breinholt Søvsø
INTRODUCTION: Throughout recent years the demand for prehospital emergency care has increased significantly. Non-traumatic chest pain is one of the most frequent complaints. Our aim was to investigate the trend in frequency of the most urgent ambulance patients with chest pain, subsequent acute myocardial infarction (AMI) diagnoses, and 48-hour and 30-day mortality of both groups. METHODS: Population-based historic cohort study in the North Denmark Region during 2012-2018 including chest pain patients transported to hospital by highest urgency level ambulance following a 1-1-2 emergency call...
2023: PloS One
https://read.qxmd.com/read/36928102/prognostic-impact-of-prehospital-simple-risk-index-in-patients-with-st-elevation-myocardial-infarction
#34
JOURNAL ARTICLE
Keishi Moriwaki, Tairo Kurita, Yumi Hirota, Hiromasa Ito, Takuo Ishise, Naoki Fujimoto, Jun Masuda, Ken Ishikura, Takashi Tanigawa, Norikazu Yamada, Atsushi Kawasaki, Kaoru Dohi
BACKGROUND: The simple risk index recorded in the emergency room (ER-SRI), which is calculated using the formula (heart rate × [age / 10]2 ) / systolic blood pressure, was shown to be able to stratify the prognosis in ST-elevation myocardial infarction (STEMI) patients. However, the prognostic impact of the prehospital simple risk index (Pre-SRI) remains unknown.Methods and Results: This study enrolled 2,047 STEMI patients from the Mie Acute Coronary Syndrome (ACS) registry...
March 15, 2023: Circulation Journal: Official Journal of the Japanese Circulation Society
https://read.qxmd.com/read/36923997/effects-of-delayed-hospitalization-on-the-3-year-clinical-outcomes-of-patients-with-or-without-diabetes-who-had-non-st-segment-elevation-myocardial-infarction-and-underwent-new-generation-drug-eluting-stent-implantation
#35
JOURNAL ARTICLE
Yong Hoon Kim, Ae-Young Her, Seung-Woon Rha, Cheol Ung Choi, Byoung Geol Choi, Ji Bak Kim, Dong Oh Kang, Ji Young Park, Sang-Ho Park, Myung Ho Jeong
Clinical outcomes after non-ST-segment-elevation myocardial infarction (NSTEMI) in patients with (symptom-to-door time [SDT] ≥ 24 h) or without (SDT < 24 h) delayed hospitalization among patients with or without diabetes were compared. From the Korea Acute Myocardial Infarction Registry-National Institute of Health, a total of 4517 patients with NSTEMI who underwent new-generation drug-eluting stents implantation were recruited and they were classified into the diabetes mellitus (DM) and non-DM groups...
March 15, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/36902769/sex-differences-in-delayed-hospitalization-in-patients-with-non-st-segment-elevation-myocardial-infarction-undergoing-new-generation-drug-eluting-stent-implantation
#36
JOURNAL ARTICLE
Yong Hoon Kim, Ae-Young Her, Seung-Woon Rha, Cheol Ung Choi, Byoung Geol Choi, Ji Bak Kim, Soohyung Park, Dong Oh Kang, Ji Young Park, Woong Gil Choi, Sang-Ho Park, Myung Ho Jeong
We compared the effects of sex differences in delayed hospitalization (symptom-to-door time [SDT], ≥24 h) on major clinical outcomes in patients with non-ST-segment elevation myocardial infarction after new-generation drug-eluting stent implantation. A total of 4593 patients were classified into groups with ( n = 1276) and without delayed hospitalization (SDT < 24 h, n = 3317). Thereafter, these two groups were subdivided into male and female groups. The primary clinical outcomes were major adverse cardiac and cerebrovascular events (MACCE), defined as all-cause death, recurrent myocardial infarction, repeat coronary revascularization, and stroke...
March 2, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/36889871/sex-differences-in-epidemiology-care-and-outcomes-in-patients-with-acute-chest-pain
#37
JOURNAL ARTICLE
Luke P Dawson, Emily Nehme, Ziad Nehme, Esther Davis, Jason Bloom, Shelley Cox, Adam J Nelson, Daniel Okyere, David Anderson, Michael Stephenson, Jeffrey Lefkovits, Andrew J Taylor, Stephen J Nicholls, Louise Cullen, David Kaye, Karen Smith, Dion Stub
BACKGROUND: Discrepancies in cardiovascular care for women are well described, but few data assess the entire patient journey for chest pain care. OBJECTIVES: This study aimed to assess sex differences in epidemiology and care pathways from emergency medical services (EMS) contact through to clinical outcomes following discharge. METHODS: This is a state-wide population-based cohort study including consecutive adult patients attended by EMS for acute undifferentiated chest pain in Victoria, Australia (January 1, 2015, to June 30, 2019)...
March 14, 2023: Journal of the American College of Cardiology
https://read.qxmd.com/read/36794866/paramedic-interventions-and-adverse-patient-events-during-prolonged-interfacility-ground-transport-in-a-drip-and-ship-pharmacoinvasive-model-of-stemi-care
#38
JOURNAL ARTICLE
Aaron K Sibley, William McQuaid, Trevor N Jain, April Mills, Andrew Travers
OBJECTIVE: Primary percutaneous coronary intervention (PCI) is the preferred reperfusion strategy for patients with ST-segment elevation myocardial infarction (STEMI). However, when primary PCI is not available in a timely fashion, fibrinolysis and early transfer for routine PCI is recommended. Prince Edward Island (PEI) is the only province in Canada without a PCI facility, and distances to the nearest PCI-capable facilities are between 290 and 374 kilometers. This results in prolonged out-of-hospital time for critically ill patients...
March 9, 2023: Prehospital Emergency Care
https://read.qxmd.com/read/36595519/prehospital-electrocardiogram-transmission-and-prehospital-scene-time-a-retrospective-cohort-study
#39
JOURNAL ARTICLE
David Conrad, Lukas M Müller-Wirtz, Sarah Jakob, Werner Armbruster, Md Thomas Volk, Ulrich Berwanger
Background: Telemedical transmission of prehospital electrocardiograms (ECGs) to a target clinic may improve clinical workflows and speed of intervention. However, whether ECG transmission delays prehospital workflows remains controversial. Therefore, we aimed to clarify whether ECG transmission prolongs prehospital scene time in patients diagnosed with acute coronary syndrome (ACS). Methods: We retrospectively included all patients diagnosed with ACS by prehospital emergency physicians from July 2016 to June 2019 at a single academic center...
January 3, 2023: Telemedicine Journal and E-health
https://read.qxmd.com/read/36568545/corrigendum-artificial-intelligence-assisted-remote-detection-of-st-elevation-myocardial-infarction-using-a-mini-12-lead-electrocardiogram-device-in-prehospital-ambulance-care
#40
Ke-Wei Chen, Yu-Chen Wang, Meng-Hsuan Liu, Being-Yuah Tsai, Mei-Yao Wu, Po-Hsin Hsieh, Jung-Ting Wei, Edward S C Shih, Yi-Tzone Shiao, Ming-Jing Hwang, Ya-Lun Wu, Kai-Cheng Hsu, Kuan-Cheng Chang
[This corrects the article DOI: 10.3389/fcvm.2022.1001982.].
2022: Frontiers in Cardiovascular Medicine
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