经电话传输心电图在急性冠状动脉综合征患者管理中的应用
Transtelephonic electrocardiography in the management of patients with acute coronary syndrome.
作者信息
Papai Gyorgy, Racz Ildiko, Czuriga Daniel, Szabo Gyorgy, Edes Istvan Ferenc, Edes Istvan
机构信息
Hungarian National Ambulance Service.
Institute of Cardiology, University of Debrecen, Medical and Health Science Center, Debrecen, Hungary.
出版信息
J Electrocardiol. 2014 May-Jun;47(3):294-9. doi: 10.1016/j.jelectrocard.2014.02.007. Epub 2014 Feb 27.
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.
背景
就救护车服务及经皮冠状动脉介入治疗（PCI）相关延迟时间、院前药物治疗及院内死亡率而言，对远程心电监测系统（TTECG）在ST段抬高型心肌梗死（STEMI）管理中的疗效进行了研究。
方法
该研究由德布勒森大学与匈牙利国家救护车服务机构合作开展。TTECG组共招募了397例患者，而378例未使用TTECG转运至PCI中心的患者作为对照。
结果
TTECG组实现了更精准的院前药物治疗。TTECG组与PCI相关的延迟时间显著更短，且院内死亡率显著低于对照组。
结论
研究结果表明，TTECG是一种有价值的工具，可能会改善STEMI患者的区域管理。
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