A prospective evaluation of prehospital 12-lead ECG application in chest pain patients. J Electrocardiol 1992;24 Suppl:8-13
Date
01/01/1992Pubmed ID
1552273DOI
10.1016/s0022-0736(10)80004-4Scopus ID
2-s2.0-0026334867 (requires institutional sign-in at Scopus site) 77 CitationsAbstract
The objective of this study was to prospectively determine the utility, efficiency, and reliability of early prehospital 12-lead electrocardiogram (ECG) application, the improvement in prehospital diagnostic accuracy, and paramedic and base physician opinions regarding early application of prehospital 12-lead ECGs in a broad range of stable chest pain patients. The patient population consisted of cooperative, stable adult prehospital patients with a chief complaint of nontraumatic chest pain of presumed ischemic origin. From July 17, 1989 through January 1, 1990 paramedics acquired prehospital 12-lead ECGs on 680 stable adult chest pain patients. Factors affecting prehospital 12-lead ECG application were evaluated. Paramedic application of prehospital 12-lead ECGs was found to be efficient and reliable, and it can be applied to most cooperative stable adult prehospital chest pain patients. Prehospital 12-lead ECGs significantly improve base physicians' diagnostic accuracy in myocardial infarction, angina, and nonischemic chest pain patients. Paramedic and base physicians' opinions regarding early application of prehospital 12-lead ECGs during patient evaluation were favorable.
Author List
Aufderheide TP, Hendley GE, Woo J, Lawrence S, Valley V, Teichman SLAuthor
Tom P. Aufderheide MD Professor in the Emergency Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Chest PainElectrocardiography
Emergency Medical Services
Emergency Medical Technicians
Evaluation Studies as Topic
Humans
Myocardial Infarction
Predictive Value of Tests
Prospective Studies
Recombinant Proteins
Sensitivity and Specificity
Telemetry
Thrombolytic Therapy
Tissue Plasminogen Activator