Comparison of the ability of paramedics with that of cardiologists in diagnosing ST-segment elevation acute myocardial infarction in patients with acute chest pain

被引:17
作者
Sejersten, M
Young, D
Clemmensen, P
Lipton, J
VerSteeg, D
Wall, T
Maynard, C
Wagner, G
机构
[1] Duke Univ, Clin Res Inst, Dept Cardiol, Durham, NC 27705 USA
[2] Guilford Cty Emergency Med Serv, Greensboro, NC USA
[3] Copenhagen Univ Hosp, Ctr Heart, Dept Med B, Rigshosp, Copenhagen, Denmark
[4] Moses Cone Mem Hosp, LeBauer Cardiovasc Res Fdn, Greensboro, NC USA
[5] Univ Washington, Dept Hlth Serv, Seattle, WA 98195 USA
关键词
D O I
10.1016/S0002-9149(02)02685-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The purpose of this study was to determine paramedics' true-positive rate of ST elevation acute myocardial infarction diagnosis. The paramedics' true-positive rate was 49% versus 88% by expert cardiologists (p=0.010), with the difference primarily due to electrocardiograms with confounding factors such as bundle branch block, ventricular hypertrophy, and previous acute myocardial infarction.
引用
收藏
页码:995 / +
页数:5
相关论文
共 17 条
  • [1] Myocardial infarction redefined -: A consensus document of the Joint European Society of Cardiology/American College of Cardiology Committee for the Redefinition of Myocardial Infarction
    Alpert, JS
    Antman, E
    Apple, F
    Armstrong, PW
    Bassand, JP
    de Luna, AB
    Beller, G
    Breithardt, G
    Chaitman, BR
    Clemmensen, P
    Falk, E
    Fishbein, MC
    Galvani, M
    Garson, A
    Grines, C
    Hamm, C
    Hoppe, U
    Jaffe, A
    Katus, H
    Kjekshus, J
    Klein, W
    Klootwijk, P
    Lenfant, C
    Levy, D
    Levy, RI
    Luepker, R
    Marcus, F
    Näslund, U
    Ohman, M
    Pahlm, O
    Poole-Wilson, P
    Popp, R
    Pyörälä, K
    Ravkilde, J
    Rehnquist, N
    Roberts, W
    Roberts, R
    Roelandt, J
    Rydén, L
    Sans, S
    Simoons, ML
    Thygesen, K
    Tunstall-Pedoe, H
    Underwood, R
    Uretsky, BF
    de Werf, FV
    Voipio-Pulkki, LM
    Wagner, G
    Wallentin, L
    Wijns, W
    [J]. EUROPEAN HEART JOURNAL, 2000, 21 (18) : 1502 - 1513
  • [2] Early thrombolytic treatment in acute myocardial infarction: Reappraisal of the golden hour
    Boersma, E
    Maas, ACP
    Deckers, JW
    Simoons, ML
    [J]. LANCET, 1996, 348 (9030) : 771 - 775
  • [3] Importance of time to reperfusion for 30-day and late survival and recovery of left ventricular function after primary angioplasty for acute myocardial infarction
    Brodie, BR
    Stuckey, TD
    Wall, TC
    Kissling, G
    Hansen, CJ
    Muncy, DB
    Weintraub, RA
    Kelly, TA
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1998, 32 (05) : 1312 - 1319
  • [4] SPONTANEOUS COURSE OF ST-SEGMENT ELEVATION IN ACUTE ANTERIOR MYOCARDIAL-INFARCTION
    ESSEN, RV
    MERX, W
    EFFERT, S
    [J]. CIRCULATION, 1979, 59 (01) : 105 - 112
  • [5] CELLULAR TELEPHONE TRANSMISSION OF 12-LEAD ELECTROCARDIOGRAMS FROM AMBULANCE TO HOSPITAL
    GRIM, P
    FELDMAN, T
    MARTIN, M
    DONOVAN, R
    NEVINS, V
    CHILDERS, RW
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 1987, 60 (08) : 715 - 720
  • [6] Early repolarization
    Mehta, M
    Jain, AC
    Mehta, A
    [J]. CLINICAL CARDIOLOGY, 1999, 22 (02) : 59 - 65
  • [7] Time to therapy and salvage in myocardial infarction
    Milavetz, JJ
    Giebel, DW
    Christian, TF
    Schwartz, RS
    Holmes, DR
    Gibbons, RJ
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1998, 31 (06) : 1246 - 1251
  • [8] Pettis KS, 1998, ELECTROCARDIOGRAM IN ACUTE MYOCARDIAL INFARCTION, P223
  • [9] Quantification of the benefit of earlier thrombolytic therapy: Five-year results of the Grampian Region Early Anistreplase Trial (GREAT)
    Rawles, JM
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 30 (05) : 1181 - 1186
  • [10] THE SELVESTER QRS SCORING SYSTEM FOR ESTIMATING MYOCARDIAL INFARCT SIZE - THE DEVELOPMENT AND APPLICATION OF THE SYSTEM
    SELVESTER, RH
    WAGNER, GS
    HINDMAN, NB
    [J]. ARCHIVES OF INTERNAL MEDICINE, 1985, 145 (10) : 1877 - 1881