Telemetry-assisted early detection of STEMI in patients with atypical symptoms by paramedic-performed 12-lead ECG with subsequent cardiological analysis

Orto Marco Campo Dell; Hamm Christian; Liebetrau Christoph; Hempel Dorothea; Merbs Reinhold; Cuca Colleen; Breitkreutz Raoul

首页> 外文期刊>European journal of emergency medicine: Official journal of the European Society for Emergency Medicine >Telemetry-assisted early detection of STEMI in patients with atypical symptoms by paramedic-performed 12-lead ECG with subsequent cardiological analysis

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Telemetry-assisted early detection of STEMI in patients with atypical symptoms by paramedic-performed 12-lead ECG with subsequent cardiological analysis

机译：遥测辅助的辅助性症状患者辅助患者的早期检测，通过Paramedic-Deg-Lead ECG进行了辅助性症状，随后的心脏病学分析

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摘要

Objectives ECG is an essential diagnostic tool in patients with acute coronary syndrome. We aimed to determine how many patients presenting with atypical symptoms for an acute myocardial infarction show ST-segment elevations on prehospital ECG. We also aimed to study the feasibility of telemetric-assisted prehospital ECG analysis.

机译：目标心电图是急性冠状动脉综合征患者的重要诊断工具。我们旨在确定有多少患者为急性心肌梗死的非典型症状展示了前心电图的ST段升高。我们还旨在研究遥控辅助的预科ECG分析的可行性。

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来源
《European journal of emergency medicine: Official journal of the European Society for Emergency Medicine》 |2017年第4期|共5页
作者
Orto Marco Campo Dell; Hamm Christian; Liebetrau Christoph; Hempel Dorothea; Merbs Reinhold; Cuca Colleen; Breitkreutz Raoul;
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作者单位

Kerckhoff Heart &

Thorax Ctr Dept Cardiol Bad Nauheim Germany;

Kerckhoff Heart &

Thorax Ctr Dept Cardiol Bad Nauheim Germany;

Kerckhoff Heart &

Thorax Ctr Dept Cardiol Bad Nauheim Germany;

Univ Med Ctr Mainz Dept Cardiol Angiol &

Intens Care D-55131 Mainz Germany;

Prehosp Emergency Med Serv Friedberg Germany;

Hosp Zum Heiligen Geist Dept Anaesthesiol &

Intens Care Hamburg Germany;

Hosp City Frankfurt Hochst Emergency Dept Frankfurt Germany;

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原文格式 PDF
正文语种 eng
中图分类 R459;
关键词
acute coronary syndrome; atypical symptoms; ECG; ST-elevation myocardial infarction; telemetry;

机译：急性冠状动脉综合征;非典型症状;ECG;ST升高心肌梗死;遥测;

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1. Telemetry-assisted early detection of STEMI in patients with atypical symptoms by paramedic-performed 12-lead ECG with subsequent cardiological analysis [J] . Orto Marco Campo Dell, Hamm Christian, Liebetrau Christoph, European journal of emergency medicine: Official journal of the European Society for Emergency Medicine . 2017,第4期

机译：遥测辅助的辅助性症状患者辅助患者的早期检测，通过Paramedic-Deg-Lead ECG进行了辅助性症状，随后的心脏病学分析
2. BLS STEMI DETECTION 12-lead ECG transmission by Paris firefighters improves care [J] . Jonathan Gonzva, Laure Alhanati, Stephane Dubourdieu, JEMS : . 2017,第9期

机译：BLS STEMI检测12引导ECG传输巴黎消防员改善了护理
3. Detected Atrial Arrhythmias with the 12-lead Holter System in Patients Complaining of Palpitations with Normal 12-lead ECGs - Gender and Age Differences [J] . Samuel Sclarovsky, Kjell Christer Nikus, Heini Huhtala, Journal of Medicine . 2011,第1期

机译：正常12导联心电图心in患者的12导联动态心电图系统检测到房性心律失常-性别和年龄差异
4. Evaluation of 12-lead ECG synthesis using analysis measurements in 240 patients [C] . Scherer, J.A., Willems, . 1992

机译：使用分析测量对240位患者的12导联心电图合成进行评估
5. Medically unexplained physical symptoms in Latino primary care patients: A descriptive analysis of psychiatric comorbidity and the association of physical symptoms with psychopathology and physical impairment. [D] . Manetti-Cusa, Julian L. 2005

机译：拉丁裔初级保健患者的医学上无法解释的身体症状：对精神病合并症以及身体症状与心理病理学和身体障碍的关联的描述性分析。
6. Improved R-wave detection for enhanced cardiac Gating using an MRI-compatible 12-lead ECG and multi-channel analysis [O] . Zion Tsz Ho Tse, Charles L Dumoulin, Gari Clifford, 2011

机译：使用MRI兼容的12导联心电图和多通道分析改善R波检测以增强心脏门控
7. MODERATED EPOSTERS1385Longitudinal strain assessment in dilated cardiomyopathy patients using a novel accelerated DENSE sequence1407Simultaneous T1 and T2 cardiac quantification with CABIRIA: initial clinical experience1423Head-to-head comparison of acceleration algorithms in 4-dimensional flow CMR1502Left ventricular function and size evaluated by hybrid cardiac positron emission tomography-magnetic resonance: Intraindividual comparison of left ventricular ejection fraction and ventricular volumes derived by two modalities1510Left Atrium assessed by Cardiovascular Magnetic Resonance at 1.5 and 3 Tesla – age and gender effects1514Comparison of Free Breathing Cardiac MRI Radial technique to the Standard Multi breath-hold cine SSFP CMR technique for the assessment of LV Volumes and Function1536Self-navigated free-breathing isotropic 3D whole heart phase sensitive inversion recovery magnetic resonance without navigator for detection of myocardial infarction1547Assessment of Right Ventricular Strain Using Myocardial Deformation Recovery Semi Automated Technique: Initial Experience and Normal Values1586Tissue tracking myocardial deformation analysis and prediction of left ventricular remodeling in acute myocardial infarction1589Investigating strategies for optimal 31P MRS clinical cardiac at 3T: Initial Results1620Quantitative Criteria for the Diagnosis of the Congenital Absence of Pericardium by Cardiac Magnetic Resonance1632Widespread tissue injury during acute myocardial infarction: evidence from advanced CMR relaxometry1322Computed tomography coronary angiography verSus sTRess cArdiac magneTic rEsonance for the manaGement of sYmptomatic revascularized patients: a cost effectiveness study (STRATEGY study)1339Comparison of low- versus high-dose of gadobutrol for late gadolinium enhancement imaging at 1.5 Tesla: a clinical feasibility study1347Multi-parametric Cardiac Magnetic Resonance for Prediction of Cardiac Complications in Thalassemia Intermedia: a Prospective Multicenter Study1461Prognostic value of Cardiovascular Magnetic Resonance derived indexes of myocardial fibrosis in heart transplant recipients1523The role of CMR in the acute phase of hospitalization: changing paradigms1542Preoperative CMR-based score predict ventricular response after surgical left ventricular reconstruction in ischemic heart failure patients1555Excellent response rate to cardiac resynchronization therapy guided with magnetic resonance imaging1626The ECG as a predictor of arrhythmogenic substrate on Cardiac Magnetic Resonance Imaging in patients undergoing ablation for premature ventricular contractions1649Comparison of T1-mapping at 3.0T CMR and angiographic APPROACH score for area at risk assessment in ST-segment elevation myocardial infarction1340Pathological correlates of left bundle branch disease in patients with non-ischemic cardiomyopathy: a cardiovascular magnetic resonance study1342Myocardial remodelling and fibrosis in nonischaemic dilated cardiomyopathy: insights from cardiovascular magnetic resonance1411The association between fibrosis and contractile dysfunction in hypertrophic cardiomyopathy assessed by cardiovascular magnetic resonance1622Persistent myocardial inflammation due to intramyocardial haemorrhage in reperfused STEMI as a precursor to adverse LV remodelling - insights from multi-parametric mapping1566Semiquantitative analysis of low and high b value DWI for detecting myocardial edema in acute myocarditis1567Value of Cardiac MRI In Detecting Coronary Artery Disease In Newly Diagnosed Systolic Dysfunction1570Usefulness of cardiac magnetic resonance in tuberous sclerosis complex1578Papillary muscles offer further insight into hypertrophied hearts: a cardiovascular magnetic resonance study1627Diagnostic and clinical implications of CMR timing (early versus late) in patients with troponin positive acute coronary syndromes and unobstructed coronary arteries: Table 1. [O] . Upasana Tayal, Alexandros Kallifatidis, P. Garg, 2016

机译：在使用新的扩张型心肌病的患者缓和EPOSTERS1385Longitudinal应变评估加速DENSE sequence1407Simultaneous T1和T2与CABIRIA心脏定量：在4维流动的加速算法初始临床experience1423Head对头比较CMR1502Left心室功能和尺寸由混合心脏正电子发射断层摄影术评价 - 磁性共振：由两个modalities1510Left庭派生左室射血分数和心室体积的个体间的比较，在1.5和3特斯拉评估心血管磁共振 - 免费的年龄和性别effects1514Comparison呼吸心脏MRI径向技术标准的多屏气电影SSFP CMR技术的LV卷和Function1536Self-导航自由呼吸各向同性3D整个心脏相位敏感反转恢复磁共振导航仪没有检测右Ventricu心肌infarction1547Assessment的评估拉尔菌株使用心肌变形恢复半自动技术：初步经验和正常Values1586Tissue跟踪心肌变形分析和预测左室重构急性心肌infarction1589Investigating策略优化31P MRS临床心脏在3T：初始Results1620Quantitative标准的先天缺失的诊断心包心脏磁Resonance1632Widespread组织损伤急性心肌梗死时：证据先进CMR relaxometry1322Computed CT冠状动脉成像与压力心脏磁共振对症的管理吻合血管患者：成本效益研究（战略研究）1339Comparison低与高剂量钆布醇在1.5特斯拉晚钆增强成像的临床可行性，在中间型地贫心脏并发症的预测study1347Multi参数心脏核磁共振的前瞻性德穆尔心血管磁共振的ticenter Study1461Prognostic价值衍生心肌纤维化指标在住院的急性期CMR的心脏移植recipients1523The作用：改变基于CMR-paradigms1542Preoperative比分预测缺血性心脏衰竭patients1555Excellent响应速度外科左心室重建心脏再同步化后心室反应治疗与磁共振imaging1626The ECG导引作为心脏磁共振成像致心律失常性基板的在ST段抬高心肌infarction1340Pathological在风险评估经历在3.0T CMR T1映射的室性早搏contractions1649Comparison和血管造影APPROACH分数区域消融患者的预测左束支传导疾病的患者与非缺血性心肌病相关因素：心血管磁共振study1342Myocardial重塑和纤维化nonischaemic扩张型心肌病：在从在由心血管磁性resonance1622Persistent心肌炎症评估肥厚型心肌病的纤维化和收缩功能障碍之间心血管磁性resonance1411The协会由于心肌内出血景点在再灌注STEMI为先导，以不利的LV重塑 - 从低的多参数mapping1566Semiquantitative分析和高的b值DWI的见解为在心脏MRI检测冠状动脉疾病急性myocarditis1567Value在结节性硬化症complex1578Papillary肌肉初诊收缩期Dysfunction1570Usefulness心脏磁共振检测心肌水肿提供进一步的深入了解肥大心脏：心血管磁共振study1627Diagnostic和CMR定时的临床意义（早期与晚）患者肌钙蛋白阳性的急性冠脉综合征和通畅的冠状动脉：表1。

Telemetry-assisted early detection of STEMI in patients with atypical symptoms by paramedic-performed 12-lead ECG with subsequent cardiological analysis

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