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Interventional Cardiology Journal
ISSN: 2471-8157
2 n d E d i t i o n o f E u r o S c i C o n C o n g r e s s o n
Heart Disease and
Interventional Cardiology
F e b r u a r y 2 5 - 2 6 , 2 0 1 9
P a r i s , F r a n c e
Heart and World Cardiology 2019
Background: This study evaluated the use of a smartphone application
to facilitate communication between the emergency physician (EP) and
the interventional cardiologist in order to minimize the time to cardiac
catheterization laboratory (CCL) activation and time to percutaneous coronary
intervention (PCI).
Methods:We retrospectively collectedpertinent time-points in themanagement
of patients diagnosed with ST-Elevation Myocardial Infarction (STEMI) in
the emergency department and their outcome. The primary outcome was
the reduction in the time from ECG interpretation to CCL activation after the
implementation of a smartphone application. A total of 84 patients were
enrolled. Patients' electrocardiography (ECG) were described by traditional
verbal communication via telephone (group 1, n=40) and by additional
smartphone transmission of ECG images to an interventional cardiologist
(group 2, n=44). Relevant time-points were recorded for analysis.
Results: The time from ECG interpretation to CCL activation was reduced from
28.3±4.1 in group 1 to 17.6±2.3 min in group 2 (p=0.03). Similarly, the time
from ECG interpretation to balloon inflation time (D2B) decreased from 93.1
to 73.4 min (p=0.025). Comparing group 2 with group 1, the door to balloon
(D2B) time improved to 90.4±9.8 from 119.3±16.3 min (p=0.23), the proportion
of patients with a D2B time less than 90 min increased to 70.5% from 52.5%
(p=0.09) and the mortality rate decreased to 2.2% from 12.5% (p=0.07).
Conclusion: The additional use of a smartphone application to transmit ECG
information to interventional cardiologists by EPs facilitated communication
and reduced the decision time to CCL activation and percutaneous intervention.
Biography
Chun Chieh Chao has completed his Medical Degree in 2000
from National Yang-Ming University and Master Degree from
Critical and Emergency Care institute at Yang-Ming University,
School of Medicine. He has speciality both in emergency and
criticalcare,andserveastheDirectorof1st ICUandEDphysician
in Taipei medical University Hospital. He has published several
articles about ECG in reputed journals and has been serving
as an Editorial Board Member for several journals. He also has
attended annual congress of ESICM several times for reporting
clinical researches.
Tele-ECG transmission to reduce the time for catheterization
laboratory activation
Chun Chieh Chao and Wei Fong Kao
Taipei Medical University Hospital, China
Chun Chieh Chao et al., Interv Cardiol J 2019, Volume: 5
DOI: 10.21767/2471-8157-C1-005