Gyorgy Papai1, Ildiko Racz2, Daniel Czuriga3, Gyorgy Szabo4, Istvan Ferenc Edes4, Istvan Edes2. 1. Hungarian National Ambulance Service. 2. Institute of Cardiology, University of Debrecen, Medical and Health Science Center, Debrecen, Hungary. 3. Institute of Cardiology, University of Debrecen, Medical and Health Science Center, Debrecen, Hungary. Electronic address: dczuriga@med.unideb.hu. 4. Heart and Vascular Center, Semmelweis University, Budapest, Hungary.
Abstract
BACKGROUND: The efficacy of the transtelephonic ECG system (TTECG) in the management of ST segment elevation myocardial infarction (STEMI) was examined with regard to the ambulance service- and percutaneous coronary intervention (PCI)-related delay times, the prehospital medical therapy and the in-hospital mortality rate. METHODS: The study was conducted as a collaborative effort between the University of Debrecen and the Hungarian National Ambulance Service. Altogether 397 patients were recruited in the TTECG group, while 378 patients transported to the PCI centre without TTECG served as controls. RESULTS: More accurate prehospital medical therapy was achieved in the TTECG group. The PCI-related delay times were significantly shorter, while the in-hospital mortality rate was significantly lower in the TTECG group than among the controls. CONCLUSIONS: The findings illustrate that TTECG is a valuable tool which may potentially improve the regional management of STEMI patients.
BACKGROUND: The efficacy of the transtelephonic ECG system (TTECG) in the management of ST segment elevation myocardial infarction (STEMI) was examined with regard to the ambulance service- and percutaneous coronary intervention (PCI)-related delay times, the prehospital medical therapy and the in-hospital mortality rate. METHODS: The study was conducted as a collaborative effort between the University of Debrecen and the Hungarian National Ambulance Service. Altogether 397 patients were recruited in the TTECG group, while 378 patients transported to the PCI centre without TTECG served as controls. RESULTS: More accurate prehospital medical therapy was achieved in the TTECG group. The PCI-related delay times were significantly shorter, while the in-hospital mortality rate was significantly lower in the TTECG group than among the controls. CONCLUSIONS: The findings illustrate that TTECG is a valuable tool which may potentially improve the regional management of STEMI patients.
Authors: Gábor Tamás Szabó; András Ágoston; Gábor Csató; Ildikó Rácz; Tamás Bárány; Gábor Uzonyi; Miklós Szokol; Balázs Sármán; Éva Jebelovszki; István Ferenc Édes; Dániel Czuriga; Rudolf Kolozsvári; Zoltán Csanádi; István Édes; Zsolt Kőszegi Journal: Sensors (Basel) Date: 2021-02-01 Impact factor: 3.576