An artificial neural network to safely reduce the number of ambulance ECGs transmitted for physician assessment in a system with prehospital detection of ST elevation myocardial infarction

An artificial neural network to safely reduce the number of ambulance ECGs transmitted for physician assessment in a system with prehospital detection of ST elevation myocardial infarction

Background Pre-hospital electrocardiogram (ECG) transmission to an expert for interpretation and triage reduces time to acute percutaneous coronary intervention (PCI) in patients with ST elevation Myocardial Infarction (STEMI). In order to detect all STEMI patients, the ECG should be transmitted in all cases of suspected acute cardiac ischemia. The aim of this study was to…

Circadian presentation patterns and ECGs of men and women with suspected acute coronary syndrome in the emergency department
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Circadian presentation patterns and ECGs of men and women with suspected acute coronary syndrome in the emergency department

Presentation patterns were quite similar for men and women with a large likelihood of Acute Coronary Syndrome (ACS) for those presenting in the morning. This may be related to changes in the thrombolytic activity, platelet aggregability and sympathetic system activation. In patients with ECG signs of ST elevation ACS, the likelihood for ACS was much…