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A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
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The Effectiveness of Mobile Cloud 12-Lead Electrocardiogram Transmission System in Patients with ST-Segment Elevation

Toyonori Arinaga1,2, Yasunori Suematsu1, Ayumi Nakamura2

  • 1Department of Cardiology, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan.

Medicina (Kaunas, Lithuania)
|February 25, 2022
PubMed

Insights

Mobile cloud-based 12-lead electrocardiogram (MC-ECG) systems did not significantly reduce first-medical-contact-to-balloon times for ST-segment elevation myocardial infarction (STEMI) patients. However, MC-ECG use was associated with a significantly shorter hospital stay.

Area of Science:

  • Cardiology
  • Medical Technology
  • Emergency Medicine

Background:

  • Delay in reperfusion therapy increases mortality in ST-segment elevation myocardial infarction (STEMI).
  • Guidelines recommend a first-medical-contact-to-balloon (FMCTB) time of under 90 minutes.
  • Mobile cloud-based 12-lead electrocardiogram (MC-ECG) systems may improve STEMI care, particularly in rural settings.

Purpose of the Study:

  • To evaluate the impact of an MC-ECG transmission system on FMCTB time in STEMI patients.
  • To assess the effect of MC-ECG system use on hospital length of stay for STEMI patients.

Main Methods:

  • A comparative study involving 48 STEMI patients transported via emergency medical services.
  • Patients were divided into two groups: those using the MC-ECG system (n=23) and those using the conventional ECG method (n=25).
  • Data collected included FMCTB time and length of hospital stay.

Main Results:

  • No significant difference in FMCTB time was observed between the MC-ECG group (72.0 min) and the Conventional group (80.0 min) (p=0.77).
  • The MC-ECG group had a significantly shorter length of hospital stay (12.0 days) compared to the Conventional group (16.0 days) (p=0.039).
  • Logistic regression indicated that non-use of MC-ECG was associated with an increased risk of a hospital stay exceeding 15 days (adjusted OR=0.08, p=0.0098).

Conclusions:

  • The MC-ECG system did not significantly shorten FMCTB times for STEMI patients.
  • Utilizing the MC-ECG system resulted in a significant reduction in the length of hospital stay for STEMI patients.
  • MC-ECG technology shows promise in improving patient outcomes by reducing hospitalization duration.

Keywords:
ST-segment elevation myocardial infarctionearly reperfusion therapyemergency medical servicehospital staymobile cloud-based 12-lead electrocardiogram transmission system

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