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Effectiveness of prehospital wireless transmission of electrocardiograms to a cardiologist via hand-held device for patients with acute myocardial infarction (from the Timely Intervention in Myocardial Emergency, NorthEast Experience [TIME-NE]).
Am J Cardiol. 2006 Nov 01; 98(9):1160-4.AJ

Abstract

Percutaneous coronary intervention for patients with ST-segment elevation myocardial infarction (STEMI) decreases morbidity and mortality if performed within the first 2 hours of symptom onset. However, the American College of Cardiology/American Heart Association guideline for percutaneous coronary intervention door-to-balloon time (<90 minutes) in patients with STEMI is a infrequently accomplished goal. This study enrolled 277 patients with STEMI who were self-transported or transported by emergency medical services to NorthEast Medical Center for primary percutaneous coronary intervention. This study tested the hypothesis that prehospital wireless transmission of an electrocardiogram to a cardiologist's hand-held device results in shorter emergency department door-to-reperfusion time. A comparison was made between patients whose electrocardiogram was successfully transmitted during the intervention phase with (1) patients transported by the emergency medical services in the preintervention, (2) patients self-transported in the intervention phase, and (3) patients whose wireless transmission failed in the intervention phase. During the preintervention phase (2001 to 2003), 48 patients were enrolled. During the intervention phase (2003 to 2005), the following patients were enrolled: 101 self-transported patients, 24 patients with successful electrocardiographic transmission, and 19 patients for whom transmission failed. The median door-to-reperfusion time for patients with successful electrocardiographic transmission was 50 minutes, which was significantly shorter than a preintervention time of 101 minutes (p <0.0001), an intervention phase self-transport time of 96 minutes (p <0.0001), and a failed transmission time of 78 minutes (p <0.0001). In conclusion, prehospital wireless electrocardiographic transmission to a cardiologist's hand-held device significantly decreased emergency department door-to-reperfusion time, thus achieving the American College of Cardiology/American Heart Association guideline for patients with STEMI.

Authors+Show Affiliations

Duke University Medical Center, Durham, North Carolina, USA. adams104@mc.duke.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17056318

Citation

Adams, George L., et al. "Effectiveness of Prehospital Wireless Transmission of Electrocardiograms to a Cardiologist Via Hand-held Device for Patients With Acute Myocardial Infarction (from the Timely Intervention in Myocardial Emergency, NorthEast Experience [TIME-NE])." The American Journal of Cardiology, vol. 98, no. 9, 2006, pp. 1160-4.
Adams GL, Campbell PT, Adams JM, et al. Effectiveness of prehospital wireless transmission of electrocardiograms to a cardiologist via hand-held device for patients with acute myocardial infarction (from the Timely Intervention in Myocardial Emergency, NorthEast Experience [TIME-NE]). Am J Cardiol. 2006;98(9):1160-4.
Adams, G. L., Campbell, P. T., Adams, J. M., Strauss, D. G., Wall, K., Patterson, J., Shuping, K. B., Maynard, C., Young, D., Corey, C., Thompson, A., Lee, B. A., & Wagner, G. S. (2006). Effectiveness of prehospital wireless transmission of electrocardiograms to a cardiologist via hand-held device for patients with acute myocardial infarction (from the Timely Intervention in Myocardial Emergency, NorthEast Experience [TIME-NE]). The American Journal of Cardiology, 98(9), 1160-4.
Adams GL, et al. Effectiveness of Prehospital Wireless Transmission of Electrocardiograms to a Cardiologist Via Hand-held Device for Patients With Acute Myocardial Infarction (from the Timely Intervention in Myocardial Emergency, NorthEast Experience [TIME-NE]). Am J Cardiol. 2006 Nov 1;98(9):1160-4. PubMed PMID: 17056318.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effectiveness of prehospital wireless transmission of electrocardiograms to a cardiologist via hand-held device for patients with acute myocardial infarction (from the Timely Intervention in Myocardial Emergency, NorthEast Experience [TIME-NE]). AU - Adams,George L, AU - Campbell,Paul T, AU - Adams,John M, AU - Strauss,David G, AU - Wall,Karen, AU - Patterson,Janet, AU - Shuping,Kathy B, AU - Maynard,Charles, AU - Young,Dwayne, AU - Corey,Craig, AU - Thompson,Alan, AU - Lee,Benjamin A, AU - Wagner,Galen S, Y1 - 2006/08/31/ PY - 2006/01/27/received PY - 2006/05/14/revised PY - 2006/05/14/accepted PY - 2006/10/24/pubmed PY - 2006/12/9/medline PY - 2006/10/24/entrez SP - 1160 EP - 4 JF - The American journal of cardiology JO - Am J Cardiol VL - 98 IS - 9 N2 - Percutaneous coronary intervention for patients with ST-segment elevation myocardial infarction (STEMI) decreases morbidity and mortality if performed within the first 2 hours of symptom onset. However, the American College of Cardiology/American Heart Association guideline for percutaneous coronary intervention door-to-balloon time (<90 minutes) in patients with STEMI is a infrequently accomplished goal. This study enrolled 277 patients with STEMI who were self-transported or transported by emergency medical services to NorthEast Medical Center for primary percutaneous coronary intervention. This study tested the hypothesis that prehospital wireless transmission of an electrocardiogram to a cardiologist's hand-held device results in shorter emergency department door-to-reperfusion time. A comparison was made between patients whose electrocardiogram was successfully transmitted during the intervention phase with (1) patients transported by the emergency medical services in the preintervention, (2) patients self-transported in the intervention phase, and (3) patients whose wireless transmission failed in the intervention phase. During the preintervention phase (2001 to 2003), 48 patients were enrolled. During the intervention phase (2003 to 2005), the following patients were enrolled: 101 self-transported patients, 24 patients with successful electrocardiographic transmission, and 19 patients for whom transmission failed. The median door-to-reperfusion time for patients with successful electrocardiographic transmission was 50 minutes, which was significantly shorter than a preintervention time of 101 minutes (p <0.0001), an intervention phase self-transport time of 96 minutes (p <0.0001), and a failed transmission time of 78 minutes (p <0.0001). In conclusion, prehospital wireless electrocardiographic transmission to a cardiologist's hand-held device significantly decreased emergency department door-to-reperfusion time, thus achieving the American College of Cardiology/American Heart Association guideline for patients with STEMI. SN - 0002-9149 UR - https://www.unboundmedicine.com/medline/citation/17056318/Effectiveness_of_prehospital_wireless_transmission_of_electrocardiograms_to_a_cardiologist_via_hand_held_device_for_patients_with_acute_myocardial_infarction__from_the_Timely_Intervention_in_Myocardial_Emergency_NorthEast_Experience_[TIME_NE]__ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9149(06)01354-3 DB - PRIME DP - Unbound Medicine ER -