Feasibility of CardioSecur®, a mobile 4-electrode/22-lead ECG device, in the prehospital emergency setting

• Verfasst von: Spaich, Sebastian [VerfasserIn]
• Verfasst von: Kern, Hanna [VerfasserIn]
• Verfasst von: Zelniker, Thomas [VerfasserIn]
• Verfasst von: Stiepak, Jan [VerfasserIn]
• Verfasst von: Gabel, Michael [VerfasserIn]
• Verfasst von: Popp, Erik [VerfasserIn]
• Verfasst von: Katus, Hugo [VerfasserIn]
• Verfasst von: Preusch, Michael [VerfasserIn]
• 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
• Teil: year:2020
• Teil: 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
• DOI: doi:10.3389/fcvm.2020.551796
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Acute Coronary Syndrome
• Sach-SW: ECG
• Sach-SW: electrocardiogram
• Sach-SW: feasibility
• Sach-SW: Myocardial Infarction
• Sach-SW: STEMI
• Sach-SW: user-friendliness
• K10plus-PPN: 1740796446
• K10plus-PPN:
  Universitätsbibliothek
• Lokale URL UB: Zum Volltext

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.