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January 1, 2006Academic Emergency Medicine

Prehospital 12-lead Electrocardiography Impact on Acute Myocardial Infarction Treatment Times and Mortality: A Systematic Review

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Why the study?

Does prehospital 12-lead electrocardiography and advance ED notification reduce treatment time intervals and mortality in patients with acute myocardial infarction?

Population

Patients with acute myocardial infarction (AMI) across 5 controlled trials

Comparison

Prehospital 12-lead electrocardiogram… vs Standard EMS care

Design

Systematic_review

Authors

LMLaurie J. MorrisonCross-Cutting CardiologySBSteven C. BrooksQueen's UniversityBSBruce SawadskySunnybrook Health Science Centre

Discussion

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Overview

Supports PHECG with ED notification to reduce treatment delays; confirms time savings in Level 1 evidence.

Structured PICO

Does prehospital 12-lead electrocardiography and advance ED notification reduce treatment time intervals and mortality in patients with acute myocardial infarction?

P
Population
Patients with acute myocardial infarction (AMI) across 5 controlled trials
I
Intervention
Prehospital 12-lead electrocardiogram (PHECG) interpretation and advance emergency department (ED) notification
C
Comparator
Standard EMS care
O
Outcome
Treatment time intervals (door-to-needle interval, on-scene time) and all-cause mortalitysurrogate

Prehospital 12-lead ECG and advanced ED notification significantly reduces in-hospital time to fibrinolysis for patients with acute myocardial infarction.

Cite This Study

Morrison et al. (2006) studied this question.

synapsesocial.com/papers/6a836b63e01485c92eeefe4chttps://doi.org/10.1111/j.1553-2712.2006.tb00989.x
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effect of ambulance 12‐lead ECG recording on times to hospital reperfusion in acute myocardial infarction2000 · 19 citations
  2. 2Reduction in treatment delay by paramedic ECG diagnosis of myocardial infarction with direct CCU admission1997 · 96 citations
  3. 3Systematic Reviews: Synthesis of Best Evidence for Clinical Decisions1997 · 2,202 citations