Study on the Impacts of remote real-time transmission 12-lead electrocardiogram system on door-to-balloon time in patients with ST-segment elevation myocardial infarction
10.3760/cma.j.issn.1671-0282.2015.10.026
- VernacularTitle:远程实时传输12导联心电图对急性ST段抬高性心肌梗死患者的门-球时间的影响
- Author:
Wangsheng LUO
;
Dingcheng XIANG
;
Jinxia ZHANG
- Publication Type:Journal Article
- Keywords:
Acute ST-segment elevation myocardial infarction;
Pre-hospital electrocardiogram;
Door-to-balloon time;
Electrocardiogram/ remote-electrocardiogram;
Real-time;
Tele-medicine;
Remote ECG monitoring;
Wireless/3G;
Pre-hospital diagnosis
- From:
Chinese Journal of Emergency Medicine
2015;24(10):1155-1159
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study was aimed to evaluate the remote real-time transmission 12-lead electrocardiogram system on door-to-balloon time in patients with ST-segment elevation myocardial infarction.Methods We retrospectively analyzed the consecutive patients with STEM I who had accepted primary percutaneous coronary intervention (PCI) in the chest pain center of our hospital from February 2012 to July 2012.The study group consisted of patients with pre-hospital ECG,while the control group included patients without pre-hospital ECG,Their door-to-balloon time and door-to-catheter room time,mortality w ere compared.Results Totally 60 consecutive patients who had received primary PC I for STEMI were evaluated.Among them,35 patients were hospitalized with pre-hospital ECG while the other 25 patients without ECG.The Pre-hospital ECG was associated with a significautly shorter median door-to-balloon time (38 min vs.94min;P ＜0.01),The proportion of patients received balloon dilation within the guidelinerecommended 90 min timeframes Was significantly higher in pre-hospital ECG group than in non pre-hospital ECG group (94.6％ vs.60％;P =0.001).No difference was observed in mortality between the two groups (5.7％vs.4％;P ＞ 0.05),Significant difference was seen in the median hospital time in study group (5 compared with control group (7day) (5 day vs.7 day;P ＜ 0.01).Conclusions The remote real-time transmission 12-lead electrocardiogram system is associated with a significantly shorter door-to-balloon time in STEMI patients.The remote real-time transmission 12-lead electrocardiogram system is recommended in patients suspected STEMI.
