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Verfasst von:Spaich, Sebastian [VerfasserIn]   i
 Kern, Hanna [VerfasserIn]   i
 Zelniker, Thomas [VerfasserIn]   i
 Stiepak, Jan [VerfasserIn]   i
 Gabel, Michael [VerfasserIn]   i
 Popp, Erik [VerfasserIn]   i
 Katus, Hugo [VerfasserIn]   i
 Preusch, Michael [VerfasserIn]   i
Titel:Feasibility of CardioSecur®, a mobile 4-electrode/22-lead ECG device, in the prehospital emergency setting
Verf.angabe:Sebastian Spaich, Hanna Kern, Thomas A. Zelniker, Jan Stiepak, Michael Gabel, Erik Popp, Hugo A. Katus and Michael R. Preusch
E-Jahr:2020
Jahr:09 October 2020
Umfang:11 S.
Teil:volume:7
 year:2020
 extent:11
Fussnoten:Gesehen am 24.11.2020
Titel Quelle:Enthalten in: Frontiers in Cardiovascular Medicine
Ort Quelle:Lausanne : Frontiers Media, 2014
Jahr Quelle:2020
Band/Heft Quelle:7(2020) Artikel-Nummer 551796, 11 Seiten
ISSN Quelle:2297-055X
Abstract:Background: This study explores the application of CardioSecur® (CS-ECG), a hand-held 4-electrode/22-lead ECG-device, in comparison with conventional 12-lead electrocardiogram (c12L-ECG) in patients with acute chest pain in the prehospital emergency setting. Methods: CS-ECG systems were provided for two physician-staffed emergency ambulances and parallel recordings of c12L-ECG and CS-ECG were obtained from all patients with acute chest pain. Treating emergency physicians were asked to evaluate the CS-ECG system with a standardized questionnaire. Following study completion, acquired ECGs were analyzed separately by two independent cardiologists blinded to all other medical records. Results: Over a period of 20 months a total of 203 patients were included in our study. According to a standardized questionnaire, 79% of emergency medical professionals preferred application of CS-ECG, with 87% of teams judging CS-ECG to be beneficial for patients. Morover, 79% of physicians reported a reduction in time to definitive diagnosis with implementation of CS-ECG. The majority of professional users attested user-friendliness and feasibility of CS-ECG in terms of easy general handling (94%), application (93%) and placement of electrodes (98%). During prehospital triage, both c12L-ECG and CS-ECG correctly identified 31 (91%) patients with ST-elevation myocardial infarction (STEMI). Conclusion: In this first pilot study, implementation of the CardioSecur®-ECG system in the prehospital emergency setting demonstrated feasibility and user-friendliness so that emergency teams generally preferred CS-ECG to c12L-ECG. Diagnostic yield of CS-ECG was similar to c12L-ECG recordings.
DOI:doi:10.3389/fcvm.2020.551796
URL:Kostenfrei: Volltext ; Verlag: https://doi.org/10.3389/fcvm.2020.551796
 Kostenfrei: Volltext: https://www.frontiersin.org/articles/10.3389/fcvm.2020.551796/full
 DOI: https://doi.org/10.3389/fcvm.2020.551796
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Acute Coronary Syndrome
 ECG
 electrocardiogram
 feasibility
 Myocardial Infarction
 STEMI
 user-friendliness
K10plus-PPN:1740796446
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