Does a tiered algorithmic approach using four criteria accurately stratify prehospital STEMI ECGs?
A novel tiered algorithmic approach can accurately stratify prehospital STEMI ECGs, potentially optimizing cardiac catheterization lab activation and reducing the need for physician overread.
Prehospital STEMI ECGs can be accurately stratified to high, intermediate, and low probabilities for STEMI using the four criteria. While additional study is required, using this tiered algorithmic approach in prehospital ECGs could lead to changes in CCL activation and decreased requirements for physician overread. This may have significant clinical and quality implications.
Goebel et al. (Wed,) studied this question.
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