Effect of Prehospital Digital Electrocardiogram Transmission on Revascularization Delays and Mortality in ST-Elevation Myocardial Infarction Patients: Systematic Review and Meta-Analysis

被引:0
|
作者
Moxham, Rachel N. [1 ,2 ]
d'Entremont, Marc-Andre [1 ,2 ,3 ]
Mir, Hassan [4 ]
Schwalm, Jd [1 ,2 ]
Natarajan, Madhu K. [1 ,2 ]
Jolly, Sanjit S. [1 ,2 ]
机构
[1] McMaster Univ, Hamilton, ON, Canada
[2] Hamilton Hlth Sci, Populat Hlth Res Inst, 237 Barton St. East, Hamilton, ON L8L 2X2, Canada
[3] Univ Sherbrooke, Ctr Hosp, Sherbrooke, PQ, Canada
[4] Univ Ottawa, Heart Inst, Ottawa, ON, Canada
关键词
PERCUTANEOUS CORONARY INTERVENTION; HOSPITAL 12-LEAD ECG; TO-BALLOON TIMES; WIRELESS TECHNOLOGY; PRIMARY ANGIOPLASTY; EMERGENCY; TRIAGE; CARDIOLOGIST; REPERFUSION; DEVICE;
D O I
10.1016/j.cjco.2024.06.012
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Prehospital transmission of the 12-lead electrocardio- gram (ECG) to the interventional cardiologist has become the standard of care in many ST-elevation myocardial infarction (STEMI) networks but has not been adopted universally. In this systematic review and meta-analysis, we assess the effect of prehospital digital ECG trans- mission in STEMI patients on door-to-device times, fi rst medical contact-to-device times, and mortality. Methods: We performed a systematic review of all English-language studies in MEDLINE, Embase, and CENTRAL (from inception to July 24, 2023), comparing the effect of prehospital digital ECG trans- mission to that of no ECG transmission in STEMI patients. We per- formed a random-effects meta-analysis. Results: We included 17 observational studies totalling 4306 patients. Door-to-device times were reduced by 33.3 minutes in patients with
引用
收藏
页码:1199 / 1206
页数:8
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