American Journal of Cardiology
Volume 101, Issue 7 , Pages 941-946 , 1 April 2008

Effect on Treatment Delay of Prehospital Teletransmission of 12-Lead Electrocardiogram to a Cardiologist for Immediate Triage and Direct Referral of Patients With ST-Segment Elevation Acute Myocardial Infarction to Primary Percutaneous Coronary Intervention

  • Maria Sejersten, MD

      Affiliations

    • Department of Cardiology, Copenhagen University Hospital Rigshospitalet, Denmark
    • Corresponding Author InformationCorresponding author: Tel: +45-3545-2874. Fax: +45-3545-2648.
    • ,
  • Martin Sillesen, MD

      Affiliations

    • Department of Cardiology, Copenhagen University Hospital Rigshospitalet, Denmark
    • ,
  • Peter R. Hansen, MDSc

      Affiliations

    • Department of Cardiology, Copenhagen University Hospital Gentofte, Denmark
    • ,
  • Søren Loumann Nielsen, MD

      Affiliations

    • The Mobile Emergency Care Unit, The Capital Region of Denmark, Denmark
    • ,
  • Henrik Nielsen, MDSc

      Affiliations

    • Department of Medicine, Copenhagen University Hospital Amager, Denmark
    • ,
  • Sven Trautner, MD

      Affiliations

    • Falck A/S, Copenhagen, Denmark
    • ,
  • David Hampton, PhD

      Affiliations

    • Physio-Control Inc., Redmond, Washington
    • ,
  • Galen S. Wagner, MD

      Affiliations

    • Duke Clinical Research Institute, Duke University, Durham, North Carolina.
    • ,
  • Peter Clemmensen, MDSc

      Affiliations

    • Department of Cardiology, Copenhagen University Hospital Rigshospitalet, Denmark

Received 27 July 2007 ,Revised 7 November 2007 ,Accepted 7 November 2007.

References 

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  2. Leibrandt PN, Bell SJ, Savona MR, Pettis KS, Selvester RH, Maynard C, et al. Validation of cardiologists’ decisions to initiate reperfusion therapy for acute myocardial infarction with electrocardiograms viewed on liquid crystal displays of cellular telephones. Am Heart J. 2000;140:747–752
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  8. Kereiakes DJ, Gibler WB, Martin LH, Pieper KS, Anderson LC. Relative importance of emergency medical system transport and the prehospital electrocardiogram on reducing hospital time delay to therapy for acute myocardial infarction: a preliminary report from the Cincinnati Heart Project. Am Heart J. 1992;123:835–840
  9. Bradley EH, Herrin J, Wang Y, Barton BA, Webster TR, Mattera JA, et al Strategies for reducing the door-to-balloon time in acute myocardial infarction. N Engl J Med. 2006;355:2308–2320
  10. Nallamothu BK, Bates ER, Herrin J, Wang Y, Bradley EH, Krumholz HM. Times to treatment in transfer patients undergoing primary percutaneous coronary intervention in the United States: National Registry of Myocardial Infarction (NRMI)-3/4 analysis. Circulation. 2005;111:761–767
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  12. Adams GL, Campbell PT, Adams JM, Strauss DG, Wall K, Patterson J, 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;98:1160–1164
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  14. Steg PG, Cambou JP, Goldstein P, Durand E, Sauval P, Kadri Z, et al Bypassing the emergency room reduces delays and mortality in ST elevation myocardial infarction: the USIC 2000 registry. Heart. 2006;92:1378–1383
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 This work was supported by Carl og Katy Kajsings Legat, Copenhagen, Denmark; C.C. Klestrup og hustru Henriette Klestrups Mindelegat, Copenhagen, Denmark; Danske Lægers Forsikring under Codan/SEB Pension, Copenhagen, Denmark; Direktør Emil Hertz og hustru Inger Hertz’ Fond, Copenhagen, Denmark; Eva og Henry Frænkels Mindefond, Copenhagen, Denmark; Købmand Sven Hansen og hustru Ina Hansens Fond, Sorø, Denmark; Lippmann Fonden, Copenhagen, Denmark; and Physio-Control Inc., a division of Medtronic, Redmond, Washington.

 Dr. Trautner served on government committees on emergency medicine and prehospital care in Denmark and is medical director of an ambulance service, Falck A/S, Copenhagen, Denmark; Dr. Hampton is a former employee of Physio-Control, Inc., Redmond, Washington, and a current employee of Medtronic, Inc., Redmond, Washington; Dr. Wagner has research grants from Welch Allyn, Beaverton, Oregon, Cierra, Redwood City, California, Boehringer-Ingelheim, Ridgefield, Connecticut, and Medtronic Physio-Control, Inc., Redmond, Washington; and Dr. Clemmensen has research grants from and is a consultant for Medtronic, Inc., Redmond, Washington.

PII: S0002-9149(07)02319-3

doi: 10.1016/j.amjcard.2007.11.038

American Journal of Cardiology
Volume 101, Issue 7 , Pages 941-946 , 1 April 2008

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