• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

Pre-hospital synthesized 12-lead ECG ischemia monitoring with trans-telephonic transmission in acute coronary syndromes: pilot study results of the ST SMART trial.

作者信息

Drew Barbara J, Dempsey Elise D, Joo Tae H, Sommargren Claire E, Glancy James P, Benedict Kent, Krucoff Mitchell W

机构信息

Department of Physiological Nursing, University of California, San Francisco, CA 94143-0610, USA.

出版信息

J Electrocardiol. 2004;37 Suppl:214-21. doi: 10.1016/j.jelectrocard.2004.08.060.

DOI:10.1016/j.jelectrocard.2004.08.060
PMID:15534844
Abstract

INTRODUCTION

The aim of the ST SMART trial is to determine whether prehospital ST monitoring with telephone transmission to the target hospital will improve hospital time to treatment in acute coronary syndromes. The present analysis reports results of the feasibility pilot study.

METHODS

All patients calling 911 for chest pain in Santa Cruz County California were monitored with a synthesized 12-lead ECG. Prehospital ECGs were printed for clinical use in the experimental group; control group patient care used only ECGs recorded after hospital arrival.

RESULTS

Five patients with non-ST elevation myocardial infarction or unstable angina had normal ECGs upon hospital arrival but evidence of ischemia in their prehospital ECGs. Three patients with ST elevation myocardial infarction were treated with primary percutaneous coronary intervention, with "door to balloon" times of 47 and 65 minutes in 2 experimental group patients and 148 minutes in the one control group patient.

CONCLUSION

Prehospital ST monitoring appears feasible. Its potential to improve hospital time to diagnosis and treatment in acute coronary syndromes, and the clinical benefits of such improvement will be studied in the larger, ongoing ST SMART trial.

摘要

相似文献

1
Pre-hospital synthesized 12-lead ECG ischemia monitoring with trans-telephonic transmission in acute coronary syndromes: pilot study results of the ST SMART trial.
J Electrocardiol. 2004;37 Suppl:214-21. doi: 10.1016/j.jelectrocard.2004.08.060.
2
Comparison of 18-lead ECG and selected body surface potential mapping leads in determining maximally deviated ST lead and efficacy in detecting acute myocardial ischemia during coronary occlusion.比较18导联心电图和选定的体表电位标测导联在确定最大偏移ST段导联以及检测冠状动脉闭塞期间急性心肌缺血的有效性方面的差异。
J Electrocardiol. 1999;32 Suppl:30-7. doi: 10.1016/s0022-0736(99)90032-8.
3
A simple strategy improves prehospital electrocardiogram utilization and hospital treatment for patients with acute coronary syndrome (from the ST SMART Study).一种简单的策略可提高急性冠状动脉综合征患者的院前心电图使用率和医院治疗效果（来自 ST SMART 研究）。
Am J Cardiol. 2011 Feb 1;107(3):347-52. doi: 10.1016/j.amjcard.2010.09.027.
4
Comparison of standard and derived 12-lead electrocardiograms for diagnosis of coronary angioplasty-induced myocardial ischemia.标准12导联心电图与衍生12导联心电图在诊断冠状动脉成形术所致心肌缺血中的比较。
Am J Cardiol. 1997 Mar 1;79(5):639-44. doi: 10.1016/s0002-9149(96)00831-4.
5
Diversion of ST-elevation myocardial infarction patients for primary angioplasty based on wireless prehospital 12-lead electrocardiographic transmission directly to the cardiologist's handheld computer: a progress report.基于无线院前12导联心电图直接传输至心脏病专家手持电脑的ST段抬高型心肌梗死患者直接进行冠状动脉介入治疗：进展报告
J Electrocardiol. 2005 Oct;38(4 Suppl):194-8. doi: 10.1016/j.jelectrocard.2005.06.035.
6
Nationwide improvement of door-to-balloon times in patients with acute ST-segment elevation myocardial infarction requiring primary percutaneous coronary intervention with out-of-hospital 12-lead ECG recording and transmission.在需要经皮冠状动脉介入治疗的急性 ST 段抬高型心肌梗死患者中，通过院外 12 导联心电图记录和传输，实现门球时间的全国性改善。
Ann Emerg Med. 2013 Mar;61(3):339-47. doi: 10.1016/j.annemergmed.2012.08.020. Epub 2012 Sep 27.
7
Utility of the prehospital electrocardiogram in diagnosing acute coronary syndromes: the Myocardial Infarction Triage and Intervention (MITI) Project.院前心电图在诊断急性冠脉综合征中的应用：心肌梗死分诊与干预（MITI）项目
J Am Coll Cardiol. 1998 Jul;32(1):17-27. doi: 10.1016/s0735-1097(98)00175-2.
8
Telephonic transmission of 12-lead electrocardiograms during acute myocardial infarction.急性心肌梗死期间12导联心电图的电话传输
J Telemed Telecare. 2005;11(4):185-90. doi: 10.1258/1357633054068928.
9
[The network for the management of acute coronary syndromes in Milan: results of a four-year experience and perspectives of the prehospital and interhospital cardiological network].[米兰急性冠状动脉综合征管理网络：四年经验结果及院前和院际心脏病学网络展望]
Ital Heart J. 2005 Nov;6 Suppl 6:49S-56S.
10
Primary percutaneous coronary intervention for patients presenting with ST-elevation myocardial infarction: process improvements in rural prehospital care delivered by emergency medical services.经皮冠状动脉介入治疗在 ST 段抬高型心肌梗死患者中的应用：急救医疗服务在农村院前急救中提高的治疗效果。
Prog Cardiovasc Dis. 2010 Nov-Dec;53(3):210-8. doi: 10.1016/j.pcad.2010.09.003.

引用本文的文献

1
The Reconstruction of a 12-Lead Electrocardiogram from a Reduced Lead Set Using a Focus Time-Delay Neural Network.使用聚焦时间延迟神经网络从简化导联集重建12导联心电图
Acta Cardiol Sin. 2021 Jan;37(1):47-57. doi: 10.6515/ACS.202101_37(1).20200712A.
2
Normal prehospital electrocardiography is linked to long-term survival in patients presenting to the emergency department with symptoms of acute coronary syndrome.对于因急性冠脉综合征症状就诊于急诊科的患者，院前心电图正常与长期生存相关。
J Electrocardiol. 2015 Jul-Aug;48(4):520-6. doi: 10.1016/j.jelectrocard.2015.01.014. Epub 2015 Feb 2.
3
Prehospital electrocardiographic manifestations of acute myocardial ischemia independently predict adverse hospital outcomes.
急性心肌缺血的院前心电图表现可独立预测不良的医院结局。
J Emerg Med. 2013 May;44(5):955-61. doi: 10.1016/j.jemermed.2012.07.089. Epub 2013 Jan 26.
4
Prehospital 12-lead ST-segment monitoring improves the early diagnosis of acute coronary syndrome.院前12导联ST段监测可改善急性冠状动脉综合征的早期诊断。
J Electrocardiol. 2012 May-Jun;45(3):266-71. doi: 10.1016/j.jelectrocard.2011.10.004. Epub 2011 Nov 23.
5
Monitoring heart functions using telemetry.使用遥测技术监测心脏功能。
GMS Health Technol Assess. 2006 Mar 28;2:Doc05.
6
A simple strategy improves prehospital electrocardiogram utilization and hospital treatment for patients with acute coronary syndrome (from the ST SMART Study).一种简单的策略可提高急性冠状动脉综合征患者的院前心电图使用率和医院治疗效果（来自 ST SMART 研究）。
Am J Cardiol. 2011 Feb 1;107(3):347-52. doi: 10.1016/j.amjcard.2010.09.027.
7
[ECG telemonitoring].[心电图远程监测]
Herzschrittmacherther Elektrophysiol. 2008 Sep;19(3):137-45. doi: 10.1007/s00399-008-0012-7. Epub 2008 Oct 25.