The prehospital 12-lead electrocardiogram: impact on management of the out-of-hospital acute coronary syndrome patient
| Autor: | Tom P. Aufderheide, Jeffrey D. Ferguson, William J. Brady, Andrew D. Perron, John P. Benner, Nicole D. Kielar, Sabina A. Braithwaite, Scott B. Currance |
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| Rok vydání: | 2003 |
| Předmět: |
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medicine.medical_specialty Acute coronary syndrome Chest Pain Emergency Medical Services medicine.medical_treatment Myocardial Infarction Coronary Disease Chest pain Electrocardiography Reperfusion therapy medicine Emergency medical services Humans Thrombolytic Therapy cardiovascular diseases Myocardial infarction Intensive care medicine Electrodes Aged business.industry General Medicine Thrombolysis Emergency department Middle Aged medicine.disease Emergency Medicine Female Myocardial infarction diagnosis medicine.symptom business Cell Phone |
| Zdroj: | The American journal of emergency medicine. 21(2) |
| ISSN: | 0735-6757 |
| Popis: | The electrocardiogram (ECG), when applied in the prehospital setting, has a significant effect on the patient with chest pain. The potential effect on the patient includes both diagnostic and therapeutic issues, including the diagnosis of acute myocardial infarction (AMI) and the indication for thrombolysis. The prehospital ECG may also detect an ischemic change that has resolved with treatment delivered by emergency medical services (EMS) prior to the patient's arrival in the emergency department (ED). Perhaps the most significant issue in the management of chest-pain patients involves the effect of the out-of-hospital ECG on the ED-based delivery of reperfusion therapy, such as thrombolysis. In AMI patients with ST-segment elevations, it has been conclusively demonstrated that information obtained from the prehospital ECG reduces the time to hospital-based reperfusion treatment. Importantly, these benefits are encountered with little increase in EMS resource use or on-scene time. |
| Databáze: | OpenAIRE |
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