Normal prehospital electrocardiography is linked to long-term survival in patients presenting to the emergency department with symptoms of acute coronary syndrome
Abstract 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 pro...
Saved in:
Published in | Journal of electrocardiology Vol. 48; no. 4; pp. 520 - 526 |
---|---|
Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
United States
Elsevier Inc
01.07.2015
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Abstract 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 < .05). 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. |
---|---|
AbstractList | 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.
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 3.86days), and long-term mortality (9% vs 28%) than those with any PH ECG abnormality (p<.05).
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.
•Prehospital electrocardiography (PH ECG) acquisition is becoming standard of care for patients who activate ‘911’ with symptoms of acute coronary syndrome (ACS).•We examine differences in short-term and long-term outcomes in patients with and without completely normal PH ECG findings in the prehospital setting. The absence of ST-T wave changes, arrhythmia, and any other ECG abnormalities constitutes a completely normal PH ECG.•Patients with completely normal PH ECG findings have significantly less adverse hospital outcomes, length of stay, and long-term mortality than patients with any PH ECG abnormality.•Normal PH ECG findings offer additional opportunity for early triage, risk stratification, and clinical decision-making in patients with ischemic symptoms. AIMS/METHODSWe 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.RESULTSOf 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<.05).CONCLUSIONNormal 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. Abstract 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 < .05). 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. 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. 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<.05). 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. |
Author | Sommargren, Claire E., PhD, RN Asafu-Adjei, Josephine K., PhD Drew, Barbara J., PhD, RN Zègre-Hemsey, Jessica K., PhD, RN |
Author_xml | – sequence: 1 fullname: Zègre-Hemsey, Jessica K., PhD, RN – sequence: 2 fullname: Sommargren, Claire E., PhD, RN – sequence: 3 fullname: Asafu-Adjei, Josephine K., PhD – sequence: 4 fullname: Drew, Barbara J., PhD, RN |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25683824$$D View this record in MEDLINE/PubMed |
BookMark | eNqNUstu1DAUtVARnRZ-AVms2GTwI08WlVChgFTBAlhbHuc68TSxg-0Myu_wpXU0pRpYIV3Jlu6551z7nAt0Zp0FhF5RsqWElm_22z0MoKJ3Svp2ywgttoSmyp-gDS04y-qckzO0IYSxjFS8PEcXIewJIQ2r2DN0zoqy5jXLN-j3F-dHOeDJQ-_CZGK6n5Ab13k59Qs2AQ_G3kGLo8ODs10WwY84zP5gDmnGWDzJaMDGsHKFdDG2W8GxBwwj-A6sWnALk_RxTG38y8Qeh2WcohsDdhpLNUfAynlnpV9Sy7bejfAcPdVyCPDi4bxEP24-fL_-lN1-_fj5-t1tpkrKYtakJ9GqLmrd7vK8rnXNK03LQiupS02UVA3faVA1KFnKpgXZVFKyvKo1JcAafomujrzTvBuhVWlHLwcxeTOmdYSTRvzdsaYXnTuIpJZzmieC1w8E3v2cIUQxmqBgGKQFNwdBy4YWTcP4qvX2CFXeheBBP8pQIlaTxV6cmixWkwWhqVadl6eLPo7-cTUB3h8BkL7rYMCLoJI1ClrjE6Vonfk_nat_aFTKgFFyuIMFwt7N3iZDBBWBCSK-rXFb00aLlLS84vweJHzd3Q |
CitedBy_id | crossref_primary_10_1016_j_hrtlng_2020_03_002 crossref_primary_10_1016_j_ijcard_2017_06_032 crossref_primary_10_1016_j_jelectrocard_2020_08_001 crossref_primary_10_1016_j_jjcc_2018_03_011 |
Cites_doi | 10.1136/hrt.2006.112847 10.1016/j.amjcard.2010.09.027 10.1016/j.jemermed.2012.07.089 10.1197/j.aem.2006.06.051 10.1161/CIRCULATIONAHA.108.190402 10.1161/CIRCULATIONAHA.110.971028 10.1016/j.ijcard.2013.05.064 10.3109/10903127.2012.722176 10.1056/NEJM198505023121801 10.1111/j.1553-2712.2009.00420.x 10.1016/j.jacc.2012.08.001 10.1161/01.cir.0000442015.53336.12 10.1016/j.jacc.2012.10.005 10.1016/j.jelectrocard.2012.07.018 10.1016/j.jelectrocard.2004.08.060 10.1001/jama.286.16.1977 10.1016/j.jelectrocard.2011.10.004 10.1016/S0735-1097(03)00919-7 |
ContentType | Journal Article |
Copyright | Elsevier Inc. 2015 Elsevier Inc. Copyright © 2015 Elsevier Inc. All rights reserved. 2015 Published by Elsevier Inc. 2015 |
Copyright_xml | – notice: Elsevier Inc. – notice: 2015 Elsevier Inc. – notice: Copyright © 2015 Elsevier Inc. All rights reserved. – notice: 2015 Published by Elsevier Inc. 2015 |
DBID | CGR CUY CVF ECM EIF NPM AAYXX CITATION 7X8 5PM |
DOI | 10.1016/j.jelectrocard.2015.01.014 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef MEDLINE - Academic PubMed Central (Full Participant titles) |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef MEDLINE - Academic |
DatabaseTitleList | MEDLINE - Academic MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1532-8430 |
EndPage | 526 |
ExternalDocumentID | 10_1016_j_jelectrocard_2015_01_014 25683824 S0022073615000473 1_s2_0_S0022073615000473 |
Genre | Multicenter Study Journal Article Research Support, N.I.H., Extramural |
GeographicLocations | California |
GeographicLocations_xml | – name: California |
GrantInformation_xml | – fundername: National Institute of Nursing Research grantid: R01 NR007881 funderid: http://dx.doi.org/10.13039/100000056 – fundername: NINR NIH HHS grantid: R01 NR007881 |
GroupedDBID | --- --K --M .1- .55 .FO .GJ .~1 0R~ 1B1 1P~ 1RT 1~. 1~5 29K 3V. 4.4 457 4G. 53G 5GY 5RE 5VS 7-5 71M 7X7 88E 88I 8AF 8AO 8FI 8FJ 8P~ 8R4 8R5 9JM AACTN AAEDT AAEDW AAIKJ AAKOC AALRI AAOAW AAQFI AAQXK AAWTL AAXKI AAXUO ABBQC ABFRF ABMAC ABMZM ABOCM ABUWG ABXDB ACDAQ ACGFO ACGFS ACGOD ACRLP ADBBV ADEZE ADMUD AEBSH AEFWE AEKER AENEX AEVXI AFCTW AFFNX AFJKZ AFKRA AFKWA AFRHN AFTJW AFXIZ AGHFR AGUBO AGYEJ AHHHB AHMBA AIEXJ AIKHN AITUG AJOXV AJRQY AJUYK AKRWK ALIPV ALMA_UNASSIGNED_HOLDINGS AMFUW AMRAJ ANZVX ASPBG AVWKF AXJTR AZFZN AZQEC BENPR BKOJK BLXMC BNPGV BPHCQ BVXVI CAG CCPQU COF CS3 D-I DU5 DWQXO EBS EFJIC EJD EO8 EO9 EP2 EP3 F5P FDB FEDTE FGOYB FIRID FNPLU FYGXN FYUFA G-2 G-Q GBLVA GNUQQ HCIFZ HEB HMK HMO HVGLF HZ~ IHE J1W K-O KOM L7B M1P M29 M2P M2Q M41 MJL MO0 N9A O-L O9- OAUVE OA~ OL0 OZT P-8 P-9 P2P PC. PQQKQ PROAC PSQYO Q2X Q38 R2- RIG ROL RPZ RWL S0X SAE SDF SDG SEL SES SEW SPCBC SSH SSZ T5K TAE UNMZH WH7 WUQ X7M Z5R ZGI ~G- AAIAV ABLVK ABYKQ AHPSJ AJBFU EFLBG HMCUK LCYCR UKHRP ZA5 CGR CUY CVF ECM EIF NPM AAYXX CITATION 7X8 5PM |
ID | FETCH-LOGICAL-c612t-968317858fdb4488f837f165fcaf6f0cac93bfec8eca6a9dea97aa2478f10e293 |
IEDL.DBID | AIKHN |
ISSN | 0022-0736 |
IngestDate | Tue Sep 17 21:22:23 EDT 2024 Fri Oct 25 22:36:00 EDT 2024 Thu Sep 26 17:38:40 EDT 2024 Sat Sep 28 08:03:52 EDT 2024 Fri Feb 23 02:29:01 EST 2024 Tue Oct 15 22:53:58 EDT 2024 |
IsDoiOpenAccess | false |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 4 |
Keywords | Prehospital electrocardiography Acute coronary syndrome Emergency medical services ST-segment monitoring |
Language | English |
License | Copyright © 2015 Elsevier Inc. All rights reserved. |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c612t-968317858fdb4488f837f165fcaf6f0cac93bfec8eca6a9dea97aa2478f10e293 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ORCID | 0000-0002-5650-0464 |
OpenAccessLink | https://europepmc.org/articles/pmc4484314?pdf=render |
PMID | 25683824 |
PQID | 1691599239 |
PQPubID | 23479 |
PageCount | 7 |
ParticipantIDs | pubmedcentral_primary_oai_pubmedcentral_nih_gov_4484314 proquest_miscellaneous_1691599239 crossref_primary_10_1016_j_jelectrocard_2015_01_014 pubmed_primary_25683824 elsevier_sciencedirect_doi_10_1016_j_jelectrocard_2015_01_014 elsevier_clinicalkeyesjournals_1_s2_0_S0022073615000473 |
PublicationCentury | 2000 |
PublicationDate | 2015-07-01 |
PublicationDateYYYYMMDD | 2015-07-01 |
PublicationDate_xml | – month: 07 year: 2015 text: 2015-07-01 day: 01 |
PublicationDecade | 2010 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States |
PublicationTitle | Journal of electrocardiology |
PublicationTitleAlternate | J Electrocardiol |
PublicationYear | 2015 |
Publisher | Elsevier Inc |
Publisher_xml | – name: Elsevier Inc |
References | Zegre-Hemsey, Dracup, Fleischmann, Sommargren, Drew (bb0045) 2012; 45 O'Connor, Brady, Brooks, Diercks, Egan, Ghaemmaghami (bb0030) 2010; 122 Drew, Dempsey, Joo, Sommargren, Glancy, Benedict (bb0065) 2004 Drew, Sommargren, Schindler, Benedict, Zegre-Hemsey, Glancy (bb0060) 2011; 107 Brush, Brand, Acampora, Chalmer, Wackers (bb0080) 1985; 312 Welch, Zalenski, Frederick, Malmgren, Compton, Grzybowski (bb0095) 2001; 286 Thygesen, Alpert, Jaffe, Simoons, Chaitman, White (bb0070) 2012; 60 Bhalla, Mencl, Gist, Wilber, Zalewski (bb0010) 2013; 17 Nallamothu, Fox, Kennelly, Van de Werf, Gore, Steg (bb0020) 2007; 93 Cannon, Brindis, Chaitman, Cohen, Cross, Drozda (bb0075) 2013; 61 Turnipseed, Trythall, Diercks, Laurin, Kirk, Smith (bb0090) 2009; 16 De Luca, Suryapranata, Zijlstra, van 't Hof, Hoorntje, Gosselink (bb0025) 2003; 42 Brunetti, De Gennaro, Dellegrottaglie, Antonelli, Amoruso, Di Biase (bb0055) 2012; 45 Go, Mozaffarian, Roger, Benjamin, Berry, Blaha (bb0005) 2014; 129 Go, Mozaffarian, Roger, Benjamin, Berry, Blaha (bb0015) 2014; 129 Ting, Krumholz, Bradley, Cone, Curtis, Drew (bb0035) 2008; 118 Chase, Brown, Robey, Pollack, Shofer, Hollander (bb0085) 2006; 13 Ravn-Fischer, Karlsson, Johanson, Herlitz (bb0050) 2013; 168 Zegre-Hemsey, Dracup, Fleischmann, Sommargren, Paul, Drew (bb0040) 2013; 44 22958960 - J Am Coll Cardiol. 2012 Oct 16;60(16):1581-98 3920520 - N Engl J Med. 1985 May 2;312(18):1137-41 24352519 - Circulation. 2014 Jan 21;129(3):e28-e292 23369353 - J Am Coll Cardiol. 2013 Mar 5;61(9):992-1025 16973638 - Acad Emerg Med. 2006 Oct;13(10):1034-9 23066910 - Prehosp Emerg Care. 2013 Apr-Jun;17(2):211-6 11667934 - JAMA. 2001 Oct 24-31;286(16):1977-84 13678918 - J Am Coll Cardiol. 2003 Sep 17;42(6):991-7 18703464 - Circulation. 2008 Sep 2;118(10):1066-79 21256997 - Am J Cardiol. 2011 Feb 1;107(3):347-52 22115367 - J Electrocardiol. 2012 May-Jun;45(3):266-71 23021816 - J Electrocardiol. 2012 Nov-Dec;45(6):727-32 20956226 - Circulation. 2010 Nov 2;122(18 Suppl 3):S787-817 24446411 - Circulation. 2014 Jan 21;129(3):399-410 23357378 - J Emerg Med. 2013 May;44(5):955-61 17591643 - Heart. 2007 Dec;93(12):1552-5 15534844 - J Electrocardiol. 2004;37 Suppl:214-21 19426294 - Acad Emerg Med. 2009 Jun;16(6):495-9 23727105 - Int J Cardiol. 2013 Oct 9;168(4):3594-8 Go (10.1016/j.jelectrocard.2015.01.014_bb0015) 2014; 129 Drew (10.1016/j.jelectrocard.2015.01.014_bb0065) 2004 Go (10.1016/j.jelectrocard.2015.01.014_bb0005) 2014; 129 De Luca (10.1016/j.jelectrocard.2015.01.014_bb0025) 2003; 42 O'Connor (10.1016/j.jelectrocard.2015.01.014_bb0030) 2010; 122 Chase (10.1016/j.jelectrocard.2015.01.014_bb0085) 2006; 13 Zegre-Hemsey (10.1016/j.jelectrocard.2015.01.014_bb0045) 2012; 45 Brunetti (10.1016/j.jelectrocard.2015.01.014_bb0055) 2012; 45 Brush (10.1016/j.jelectrocard.2015.01.014_bb0080) 1985; 312 Welch (10.1016/j.jelectrocard.2015.01.014_bb0095) 2001; 286 Turnipseed (10.1016/j.jelectrocard.2015.01.014_bb0090) 2009; 16 Ting (10.1016/j.jelectrocard.2015.01.014_bb0035) 2008; 118 Thygesen (10.1016/j.jelectrocard.2015.01.014_bb0070) 2012; 60 Drew (10.1016/j.jelectrocard.2015.01.014_bb0060) 2011; 107 Cannon (10.1016/j.jelectrocard.2015.01.014_bb0075) 2013; 61 Bhalla (10.1016/j.jelectrocard.2015.01.014_bb0010) 2013; 17 Zegre-Hemsey (10.1016/j.jelectrocard.2015.01.014_bb0040) 2013; 44 Ravn-Fischer (10.1016/j.jelectrocard.2015.01.014_bb0050) 2013; 168 Nallamothu (10.1016/j.jelectrocard.2015.01.014_bb0020) 2007; 93 |
References_xml | – volume: 60 start-page: 1581 year: 2012 end-page: 1598 ident: bb0070 article-title: Third universal definition of myocardial infarction publication-title: J Am Coll Cardiol contributor: fullname: White – volume: 129 start-page: 399 year: 2014 end-page: 410 ident: bb0015 article-title: Executive summary: heart disease and stroke statistics–2014 update: a report from the American Heart Association publication-title: Circulation contributor: fullname: Blaha – volume: 45 start-page: 727 year: 2012 end-page: 732 ident: bb0055 article-title: Prevalence of cardiac arrhythmias in prehospital tele-cardiology electrocardiograms of emergency medical service patients referred for syncope publication-title: J Electrocardiol contributor: fullname: Di Biase – volume: 168 start-page: 3594 year: 2013 end-page: 3598 ident: bb0050 article-title: Prehospital ECG signs of acute coronary occlusion are associated with reduced one-year mortality publication-title: Int J Cardiol contributor: fullname: Herlitz – volume: 45 start-page: 266 year: 2012 end-page: 271 ident: bb0045 article-title: Prehospital 12-lead ST-segment monitoring improves the early diagnosis of acute coronary syndrome publication-title: J Electrocardiol contributor: fullname: Drew – volume: 312 start-page: 1137 year: 1985 end-page: 1141 ident: bb0080 article-title: Use of the initial electrocardiogram to predict in-hospital complications of acute myocardial infarction publication-title: N Engl J Med contributor: fullname: Wackers – volume: 16 start-page: 495 year: 2009 end-page: 499 ident: bb0090 article-title: Frequency of acute coronary syndrome in patients with normal electrocardiogram performed during presence or absence of chest pain publication-title: Acad Emerg Med contributor: fullname: Smith – volume: 129 start-page: e28 year: 2014 end-page: e292 ident: bb0005 article-title: Heart disease and stroke statistics—2014 update: a report from the American Heart Association publication-title: Circulation contributor: fullname: Blaha – volume: 118 start-page: 1066 year: 2008 end-page: 1079 ident: bb0035 article-title: Implementation and integration of prehospital ECGs into systems of care for acute coronary syndrome: a scientific statement from the American Heart Association Interdisciplinary Council on Quality of Care and Outcomes Research, Emergency Cardiovascular Care Committee, Council on Cardiovascular Nursing, and Council on Clinical Cardiology publication-title: Circulation contributor: fullname: Drew – volume: 13 start-page: 1034 year: 2006 end-page: 1039 ident: bb0085 article-title: Prognostic value of symptoms during a normal or nonspecific electrocardiogram in emergency department patients with potential acute coronary syndrome publication-title: Acad Emerg Med contributor: fullname: Hollander – volume: 44 start-page: 955 year: 2013 end-page: 961 ident: bb0040 article-title: Prehospital electrocardiographic manifestations of acute myocardial ischemia independently predict adverse hospital outcomes publication-title: J Emerg Med contributor: fullname: Drew – volume: 42 start-page: 991 year: 2003 end-page: 997 ident: bb0025 article-title: Symptom-onset-to-balloon time and mortality in patients with acute myocardial infarction treated by primary angioplasty publication-title: J Am Coll Cardiol contributor: fullname: Gosselink – volume: 107 start-page: 347 year: 2011 end-page: 352 ident: bb0060 article-title: A simple strategy improves prehospital electrocardiogram utilization and hospital treatment for patients with acute coronary syndrome (from the ST SMART Study) publication-title: Am J Cardiol contributor: fullname: Glancy – volume: 93 start-page: 1552 year: 2007 end-page: 1555 ident: bb0020 article-title: Relationship of treatment delays and mortality in patients undergoing fibrinolysis and primary percutaneous coronary intervention. The Global Registry of Acute Coronary Events publication-title: Heart contributor: fullname: Steg – volume: 286 start-page: 1977 year: 2001 end-page: 1984 ident: bb0095 article-title: Prognostic value of a normal or nonspecific initial electrocardiogram in acute myocardial infarction publication-title: JAMA contributor: fullname: Grzybowski – volume: 17 start-page: 211 year: 2013 end-page: 216 ident: bb0010 article-title: Prehospital electrocardiographic computer identification of ST-segment elevation myocardial infarction publication-title: Prehosp Emerg Care contributor: fullname: Zalewski – volume: 122 start-page: S787 year: 2010 end-page: S817 ident: bb0030 article-title: Part 10: acute coronary syndromes: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care publication-title: Circulation contributor: fullname: Ghaemmaghami – volume: 61 start-page: 992 year: 2013 end-page: 1025 ident: bb0075 article-title: 2013 ACCF/AHA key data elements and definitions for measuring the clinical management and outcomes of patients with acute coronary syndromes and coronary artery disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on clinical data standards (writing committee to develop acute coronary syndromes and coronary artery disease clinical data standards) publication-title: J Am Coll Cardiol contributor: fullname: Drozda – start-page: 214 year: 2004 end-page: 221 ident: bb0065 article-title: Prehospital synthesized 12-lead ECG ischemia monitoring with trans-telephonic transmission in acute coronary syndromes: pilot study results of the ST SMART trial publication-title: J Electrocardiol contributor: fullname: Benedict – volume: 93 start-page: 1552 issue: 12 year: 2007 ident: 10.1016/j.jelectrocard.2015.01.014_bb0020 article-title: Relationship of treatment delays and mortality in patients undergoing fibrinolysis and primary percutaneous coronary intervention. The Global Registry of Acute Coronary Events publication-title: Heart doi: 10.1136/hrt.2006.112847 contributor: fullname: Nallamothu – volume: 107 start-page: 347 issue: 3 year: 2011 ident: 10.1016/j.jelectrocard.2015.01.014_bb0060 article-title: A simple strategy improves prehospital electrocardiogram utilization and hospital treatment for patients with acute coronary syndrome (from the ST SMART Study) publication-title: Am J Cardiol doi: 10.1016/j.amjcard.2010.09.027 contributor: fullname: Drew – volume: 44 start-page: 955 issue: 5 year: 2013 ident: 10.1016/j.jelectrocard.2015.01.014_bb0040 article-title: Prehospital electrocardiographic manifestations of acute myocardial ischemia independently predict adverse hospital outcomes publication-title: J Emerg Med doi: 10.1016/j.jemermed.2012.07.089 contributor: fullname: Zegre-Hemsey – volume: 129 start-page: e28 issue: 3 year: 2014 ident: 10.1016/j.jelectrocard.2015.01.014_bb0005 article-title: Heart disease and stroke statistics—2014 update: a report from the American Heart Association publication-title: Circulation contributor: fullname: Go – volume: 13 start-page: 1034 issue: 10 year: 2006 ident: 10.1016/j.jelectrocard.2015.01.014_bb0085 article-title: Prognostic value of symptoms during a normal or nonspecific electrocardiogram in emergency department patients with potential acute coronary syndrome publication-title: Acad Emerg Med doi: 10.1197/j.aem.2006.06.051 contributor: fullname: Chase – volume: 118 start-page: 1066 issue: 10 year: 2008 ident: 10.1016/j.jelectrocard.2015.01.014_bb0035 publication-title: Circulation doi: 10.1161/CIRCULATIONAHA.108.190402 contributor: fullname: Ting – volume: 122 start-page: S787 issue: 18 Suppl. 3 year: 2010 ident: 10.1016/j.jelectrocard.2015.01.014_bb0030 article-title: Part 10: acute coronary syndromes: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care publication-title: Circulation doi: 10.1161/CIRCULATIONAHA.110.971028 contributor: fullname: O'Connor – volume: 168 start-page: 3594 issue: 4 year: 2013 ident: 10.1016/j.jelectrocard.2015.01.014_bb0050 article-title: Prehospital ECG signs of acute coronary occlusion are associated with reduced one-year mortality publication-title: Int J Cardiol doi: 10.1016/j.ijcard.2013.05.064 contributor: fullname: Ravn-Fischer – volume: 17 start-page: 211 issue: 2 year: 2013 ident: 10.1016/j.jelectrocard.2015.01.014_bb0010 article-title: Prehospital electrocardiographic computer identification of ST-segment elevation myocardial infarction publication-title: Prehosp Emerg Care doi: 10.3109/10903127.2012.722176 contributor: fullname: Bhalla – volume: 312 start-page: 1137 issue: 18 year: 1985 ident: 10.1016/j.jelectrocard.2015.01.014_bb0080 article-title: Use of the initial electrocardiogram to predict in-hospital complications of acute myocardial infarction publication-title: N Engl J Med doi: 10.1056/NEJM198505023121801 contributor: fullname: Brush – volume: 16 start-page: 495 issue: 6 year: 2009 ident: 10.1016/j.jelectrocard.2015.01.014_bb0090 article-title: Frequency of acute coronary syndrome in patients with normal electrocardiogram performed during presence or absence of chest pain publication-title: Acad Emerg Med doi: 10.1111/j.1553-2712.2009.00420.x contributor: fullname: Turnipseed – volume: 60 start-page: 1581 issue: 16 year: 2012 ident: 10.1016/j.jelectrocard.2015.01.014_bb0070 article-title: Third universal definition of myocardial infarction publication-title: J Am Coll Cardiol doi: 10.1016/j.jacc.2012.08.001 contributor: fullname: Thygesen – volume: 129 start-page: 399 issue: 3 year: 2014 ident: 10.1016/j.jelectrocard.2015.01.014_bb0015 article-title: Executive summary: heart disease and stroke statistics–2014 update: a report from the American Heart Association publication-title: Circulation doi: 10.1161/01.cir.0000442015.53336.12 contributor: fullname: Go – volume: 61 start-page: 992 issue: 9 year: 2013 ident: 10.1016/j.jelectrocard.2015.01.014_bb0075 publication-title: J Am Coll Cardiol doi: 10.1016/j.jacc.2012.10.005 contributor: fullname: Cannon – volume: 45 start-page: 727 issue: 6 year: 2012 ident: 10.1016/j.jelectrocard.2015.01.014_bb0055 article-title: Prevalence of cardiac arrhythmias in prehospital tele-cardiology electrocardiograms of emergency medical service patients referred for syncope publication-title: J Electrocardiol doi: 10.1016/j.jelectrocard.2012.07.018 contributor: fullname: Brunetti – start-page: 214 issue: 37 Suppl. year: 2004 ident: 10.1016/j.jelectrocard.2015.01.014_bb0065 article-title: Prehospital synthesized 12-lead ECG ischemia monitoring with trans-telephonic transmission in acute coronary syndromes: pilot study results of the ST SMART trial publication-title: J Electrocardiol doi: 10.1016/j.jelectrocard.2004.08.060 contributor: fullname: Drew – volume: 286 start-page: 1977 issue: 16 year: 2001 ident: 10.1016/j.jelectrocard.2015.01.014_bb0095 article-title: Prognostic value of a normal or nonspecific initial electrocardiogram in acute myocardial infarction publication-title: JAMA doi: 10.1001/jama.286.16.1977 contributor: fullname: Welch – volume: 45 start-page: 266 issue: 3 year: 2012 ident: 10.1016/j.jelectrocard.2015.01.014_bb0045 article-title: Prehospital 12-lead ST-segment monitoring improves the early diagnosis of acute coronary syndrome publication-title: J Electrocardiol doi: 10.1016/j.jelectrocard.2011.10.004 contributor: fullname: Zegre-Hemsey – volume: 42 start-page: 991 issue: 6 year: 2003 ident: 10.1016/j.jelectrocard.2015.01.014_bb0025 article-title: Symptom-onset-to-balloon time and mortality in patients with acute myocardial infarction treated by primary angioplasty publication-title: J Am Coll Cardiol doi: 10.1016/S0735-1097(03)00919-7 contributor: fullname: De Luca |
SSID | ssj0009272 |
Score | 2.1281984 |
Snippet | Abstract Aims/methods We studied 735 patients who activated "911" for chest pain and/or anginal equivalent symptoms and received 12-lead ECG monitoring with... We studied 735 patients who activated "911" for chest pain and/or anginal equivalent symptoms and received 12-lead ECG monitoring with specialized ischemia... AIMS/METHODSWe studied 735 patients who activated "911" for chest pain and/or anginal equivalent symptoms and received 12-lead ECG monitoring with specialized... |
SourceID | pubmedcentral proquest crossref pubmed elsevier |
SourceType | Open Access Repository Aggregation Database Index Database Publisher |
StartPage | 520 |
SubjectTerms | Acute coronary syndrome Acute Coronary Syndrome - diagnosis Acute Coronary Syndrome - mortality Aged California - epidemiology Cardiovascular Electrocardiography - methods Electrocardiography - statistics & numerical data Emergency medical services Emergency Medical Services - methods Emergency Medical Services - statistics & numerical data Emergency Service, Hospital - statistics & numerical data Female Humans Incidence Male Prehospital electrocardiography Prognosis Reference Values Reproducibility of Results Risk Assessment - methods Sensitivity and Specificity ST-segment monitoring Survival Rate Survivors - statistics & numerical data Triage - methods Triage - statistics & numerical data |
Title | Normal prehospital electrocardiography is linked to long-term survival in patients presenting to the emergency department with symptoms of acute coronary syndrome |
URI | https://www.clinicalkey.es/playcontent/1-s2.0-S0022073615000473 https://dx.doi.org/10.1016/j.jelectrocard.2015.01.014 https://www.ncbi.nlm.nih.gov/pubmed/25683824 https://search.proquest.com/docview/1691599239 https://pubmed.ncbi.nlm.nih.gov/PMC4484314 |
Volume | 48 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1La9wwEBZ5QOmlNH1l0zZMoVc3li17pUMOITRsW7KnBnITsiU1Dom9rL2HXPpj8kszs5a3uw2BQsEX27Ila0Yzn6yZT4x9zozLnLA8KjKXRCKxeWQUF5HkmVXO21QVlOB8Ps0nF-L7ZXa5xU6HXBgKqwy2v7fpS2sdrhyF3jyaVRXl-CYJKigxmhPnYbrNdmmRCGdguyfffkymf7h3k_GKNJweGLhHl2Fe12G7mRIFQpFePYsnF0_5qcc49O9wyjX_dPaSvQjAEk76tu-xLVe_Ys_Ow9L5a3Y_JXR6A7O5uwp7hcBao6pAXQ1VC7So6yx0Ddw09a-IjDe0C7QpqJVQ1RC4WFt6F-UuofejwgglwQ3ZnGDRz82XIexA_3qhvbuddc1tC40HUy46ByWRJ5j5HQysCW_YxdnXn6eTKGzQEJUIjLpI5RLhh8yktwVO86TH2a7neeZL43Mfl6ZUaeFdKV1pcqOsM2psTCLG0vPYIdB4y3bqpnb7DBC3eGVcbrmRQihbJLlPrZc2LmJfpH7E0kEcetbzcOghQO1arwtRkxB1zPEQIzYeJKeHTFO0ja4NA7XVXLeJjvUjZRqx49WTG_qo0dX8U82fBkXROGBpFcbUrllgjblCCIm4Wo3Yu15xVl-E-FOmMqF2b6jUqgCRgW_eqaurJSk49j9iQXHwn-1-z57TWR-Q_IHtdPOF-4iwqysO2faX3_wwDK4HzY02bw |
link.rule.ids | 230,315,786,790,891,4516,24137,27946,27947,45609,45703 |
linkProvider | Elsevier |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Lb9QwELZKkYAL4s3yHCSuoXk4XvvAAVVUC3T31Eq9WU5s01RtstpkD73wY_ilzCTOskuFhISUU-zEjmc88zme-czY-9y43HGbREXu0oinVkRGJTySSW6V8zZTBSU4zxdidsq_nuVne-xwzIWhsMpg-web3lvrcOcgjObBsqooxzdNUUGJ0Zw4D7Nb7DaigZhU-8OP33EeKp1uKMOp-sg82gd5XYTDZkoUB8V5DRyeCf-bl7qJQv8MptzyTkcP2P0AK-HT0POHbM_Vj9idedg4f8x-LgibXsJy5c7DSSGw1akqEFdD1QJt6ToLXQOXTf09ItMN7RotCuokVDUEJtaW3kWZS-j7qDICSXBjLidY9HKrPoAd6E8vtNdXy665aqHxYMp156Ak6gSzuoaRM-EJOz36fHI4i8LxDFGJsKiLlJAIPmQuvS1wkSc9rnV9InJfGi98XJpSZYV3pXSlEUZZZ9TUmJRPpU9ihzDjKduvm9o9Z4CoxSvjhE2M5FzZIhU-s17auIh9kfkJy0Zx6OXAwqHH8LQLvS1ETULUcYIXn7DpKDk95pmiZXRtmKatTnSb6ljfUKUJ-7h5ckcbNTqaf2r53agoGqcr7cGY2jVrbFEoBJCIqtWEPRsUZ_NFiD5lJlPq945KbSoQFfhuSV2d95TgOP6IBPmL_-z3W3Z3djI_1sdfFt9esntUMoQmv2L73WrtXiMA64o3_QT7BaJbN0I |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Normal+prehospital+electrocardiography+is+linked+to+long-term+survival+in+patients+presenting+to+the+emergency+department+with+symptoms+of+acute+coronary+syndrome&rft.jtitle=Journal+of+electrocardiology&rft.au=Z%C3%A8gre-Hemsey%2C+Jessica+K.&rft.au=Sommargren%2C+Claire+E.&rft.au=Asafu-Adjei%2C+Josephine+K.&rft.au=Drew%2C+Barbara+J.&rft.date=2015-07-01&rft.pub=Elsevier+Inc&rft.issn=0022-0736&rft.eissn=1532-8430&rft.volume=48&rft.issue=4&rft.spage=520&rft.epage=526&rft_id=info:doi/10.1016%2Fj.jelectrocard.2015.01.014&rft.externalDocID=S0022073615000473 |
thumbnail_m | http://utb.summon.serialssolutions.com/2.0.0/image/custom?url=https%3A%2F%2Fcdn.clinicalkey.com%2Fck-thumbnails%2F00220736%2FS0022073614X00051%2Fcov150h.gif |