ACCURACY OF A PORTABLE INTERPRETIVE ECG MACHINE IN DIAGNOSIS OF ACUTE EVOLVING MYOCARDIAL-INFARCTION

被引:21
作者
OROURKE, MF
COOK, A
CARROLL, G
GALLAGHER, D
HALL, J
机构
[1] ST VINCENTS HOSP,MED PROFESSORIAL UNIT,SYDNEY,NSW 2010,AUSTRALIA
[2] ST VINCENTS HOSP,CORONARY CARE UNIT,SYDNEY,NSW 2010,AUSTRALIA
[3] CENT DIST AMBULANCE,STN OFF,SYDNEY,NSW,AUSTRALIA
来源
AUSTRALIAN AND NEW ZEALAND JOURNAL OF MEDICINE | 1992年 / 22卷 / 01期
关键词
MYOCARDIAL INFARCTION; CORONARY OCCLUSION; CORONARY THROMBOSIS; ELECTROCARDIOGRAM; THROMBOLYSIS;
D O I
10.1111/j.1445-5994.1992.tb01701.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
From a study of 526 patients having automatic ECG analysis, criteria were established which diagnosed acute evolving Q wave myocardial infarction with 71% sensitivity and 98% specificity. Specificity was 100% when patients with known previous Q wave infarction were excluded. In pre-hospital practice the high sensitivity and specificity were maintained. This method appears appropriate, when other criteria are met, for paramedic-initiated pre-hospital thrombolysis with remote supervision of a cardiologist by telephone.
引用
收藏
页码:9 / 13
页数:5
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