Normal prehospital electrocardiography is linked to long-term survival in patients presenting to the emergency department with symptoms of acute coronary syndrome

Autor: Josephine Asafu-Adjei, Jessica K. Zègre-Hemsey, Barbara J. Drew, Claire E. Sommargren
Rok vydání: 2015
Předmět:
Male
Emergency Medical Services
Anginal equivalent
Infarction
Cardiorespiratory Medicine and Haematology
Cardiovascular
Chest pain
California
Electrocardiography
Reference Values
Survivors
Emergency Service
screening and diagnosis
medicine.diagnostic_test
Incidence
Pain Research
Health Services
Prognosis
Survival Rate
Detection
Heart Disease
Cardiology
Prehospital electrocardiography
Female
medicine.symptom
Abnormality
Emergency Service
Hospital
Cardiology and Cardiovascular Medicine
4.2 Evaluation of markers and technologies
medicine.medical_specialty
Acute coronary syndrome
Risk Assessment
Sensitivity and Specificity
Article
Hospital
Clinical Research
Internal medicine
medicine
Humans
cardiovascular diseases
Acute Coronary Syndrome
Heart Disease - Coronary Heart Disease
Aged
ST-segment monitoring
business.industry
Reproducibility of Results
Emergency department
medicine.disease
Triage
Cardiovascular System & Hematology
business
Zdroj: Journal of electrocardiology, vol 48, iss 4
ISSN: 0022-0736
Popis: Aims/methods We studied 735 patients who activated "911" for chest pain and/or anginal equivalent symptoms and received 12-lead ECG monitoring with specialized ischemia monitoring software in the ambulance. Prehospital electrocardiograms (PH ECG) were analyzed to determine the proportion of patients who present with completely normal PH ECG findings (absence of ischemia/infarction, arrhythmia, or any other abnormality) and to compare outcomes among patients with and without any PH ECG abnormality. Results Of 735 patients (mean age 70.5, 52.4% male), 68 (9.3%) patients had completely normal PH ECG findings. They experienced significantly less adverse hospital outcomes (12% vs 37%), length of stay (1.19 vs 3.86 days), and long-term mortality (9% vs 28%) than those with any PH ECG abnormality (p Conclusion Normal PH ECG findings are associated with better short and long-term outcomes in ambulance patients with ischemic symptoms. These findings may enhance early triage and risk stratification in emergency cardiac care.
Databáze: OpenAIRE
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