Transtelephonic electrocardiography in the management of patients with acute coronary syndrome

Gyorgy Papai, Ildiko Racz, Daniel Czuriga, Gyorgy Szabo, Istvan Ferenc Edes

Research output: Contribution to journalArticle

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Abstract

Background The efficacy of the transtelephonic ECG system (TTECG) in the management of ST segment elevation myocardial infarction (STEMI) was examined with regard to the ambulance service- and percutaneous coronary intervention (PCI)-related delay times, the prehospital medical therapy and the in-hospital mortality rate. Methods The study was conducted as a collaborative effort between the University of Debrecen and the Hungarian National Ambulance Service. Altogether 397 patients were recruited in the TTECG group, while 378 patients transported to the PCI centre without TTECG served as controls. Results More accurate prehospital medical therapy was achieved in the TTECG group. The PCI-related delay times were significantly shorter, while the in-hospital mortality rate was significantly lower in the TTECG group than among the controls. Conclusions The findings illustrate that TTECG is a valuable tool which may potentially improve the regional management of STEMI patients.

Original languageEnglish
Pages (from-to)294-299
Number of pages6
JournalJournal of Electrocardiology
Volume47
Issue number3
DOIs
Publication statusPublished - Jan 1 2014

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Keywords

  • Acute coronary syndrome
  • Emergency medical services
  • STEMI
  • Transtelephonic ECG

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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