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Related Concept Videos

Pulse rhythm01:30

Pulse rhythm

777
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
777

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Updated: Jun 16, 2025

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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A mobile application for STEMI care optimization: Pilot implementation project report.

Annapoorna S Kini1, Haydee Garcia1, Bernadette Springer2

  • 1The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

International Journal of Cardiology
|August 15, 2024
PubMed
Summary
This summary is machine-generated.

A new mobile app, STEMIcathAID, significantly reduced door-to-device time for ST-elevation myocardial infarction (STEMI) transfers. This improvement ensures all STEMI patients meet American Heart Association goals, enhancing critical care quality.

Keywords:
Door-in-door-outDoor-to-device timeMobile applicationST- segment elevation myocardial infarction

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Area of Science:

  • Cardiology
  • Health Informatics
  • Mobile Health

Background:

  • Timely restoration of coronary blood flow is critical for STEMI patient outcomes.
  • A secure mobile application, STEMIcathAID, was developed to streamline STEMI patient transfers.
  • The AHA Get With The Guidelines-Coronary Artery Disease® registry is a national quality improvement program.

Purpose of the Study:

  • To assess the impact of the STEMIcathAID app on key metrics for STEMI patient transfer.
  • To compare pre- and post-implementation data for STEMI transfers.

Main Methods:

  • A pilot project involved physicians, nurses, and technicians from Emergency Medicine and Nursing Departments.
  • From July 2021 to February 2023, STEMIcathAID alarms were activated in parallel with traditional phone calls.
  • Data from 31 STEMIcathAID-assisted transfers were compared with 42 traditional pathway transfers.

Main Results:

  • Median door-to-device time decreased from 106 to 86 minutes (p < 0.001) with STEMIcathAID.
  • All STEMI cases met the AHA goal of door-to-device time ≤ 120 minutes post-implementation.
  • Median door-in-door-out time at the referral hospital decreased from 56 to 50 minutes (p = 0.01).

Conclusions:

  • Implementing the STEMIcathAID mobile app significantly improved the quality of care for STEMI patient transfers.
  • The app facilitated a substantial reduction in critical transfer times, enhancing patient outcomes.