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The Diagnostic Impact of Prehospital 12-Lead Electrocardiography by TP Aufderheide; GE Hendley; RK Thakur; FA Laitinen; JR Mateer; HA Stueven; DW Olson; KM Hargarten; KC Preuss; RG Hoffman is a Medicine article available to read on EtoBox.

What is The Diagnostic Impact of Prehospital 12-Lead Electrocardiography about?

5,206 patients were admitted to King County, Washington, hospitals for possible AMI. Patient records were reviewed for patient delay, mode of transport, and discharge diagnosis. For patients with a discharge diagnosis of AMI, the admission ECG was reviewed. A representative subset of patients (2,388, 44 %) was interviewed by phone to assess symptom severity on a scale of 1 (lowest) to 10. Symptoms rated as 1 to 4 were considered mild, 5 to 7 moderate, and 8 to 10 severe. There was no significant correlation between severity and discharge diagnosis of AMI -mild, 26%; .moderate, 23%; severe, 27%. There was also no correlation between severity and whether the discharge diagnosis was Cardiac related (AMT, angina, acute pulmonary edema) --mild, 55%; moderate, 53%; severe, 55%. Of patients with AMI (552), ST elevation was present in 55% with mild, 53% with moderate, and 67% with severe symptoms. Severity significantly influenced patient delay and use of 9t 1: 57% of patients with mild symptoms delayed more than two hours, only 32% used 911; 51% with moderate symptoms delayed more than two hours, 42% used 911; 46% with severe symptoms delayed more than two hours, 48% used 911. In patients

Who reads The Diagnostic Impact of Prehospital 12-Lead Electrocardiography?

Author

TP Aufderheide; GE Hendley; RK Thakur; FA Laitinen; JR Mateer; HA Stueven; DW Olson; KM Hargarten; KC Preuss; RG Hoffman

Publisher

Elsevier Science; Elsevier ; Mosby Inc.; Elsevier BV (ISSN 1097-6760)

Published

1989

Language

EN

Field

Medicine (Health Sciences)