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Cellular video-phone assisted transmission and interpretation of prehospital 12-lead electrocardiogram in acute st-segment elevation myocardial infarction.

Manuel A Gonzalez, Lowell F Satler, Maria E Rodrigo, Michael A Gaglia, Itsik Ben-Dor, Gabriel Maluenda, Nicholas Hanna, William O Suddath, Rebecca Torguson, Augusto D Pichard, and Ron Waksman

J Interv Cardiol 24(2):112-8 (2011) PMID 21457325

Prehospital 12-lead electrocardiogram (ECG) reduces the time to reperfusion in acute ST-segment elevation myocardial infarction (STEMI). However, the reliability of using cellular video-phone (VP) assisted interpretation of ECG is unknown. We studied the interphysician reliability in interpreting the ECG assisted with VP compared to print ECG interpretation. Twenty-seven physicians prospectively interpreted the ECG transmitted from the field in real-time using VP and later using the same printed ECG. The time to completion, accuracy of interpretation, and physician rating of the VP technology were recorded. Similar high interphysician reliability was observed with both VP assisted and printed ECG interpretation including presence of ST-segment elevation (intraclass correlation coefficient [ICC]= 0.98 [95% CI 0.96-1] vs. 0.99 [95% CI 0.99-1]) and pathologic Q wave (ICC = 0.99 [95% CI 0.98-1] vs. 1 [95% CI 1]), respectively. The mean time to transmit and interpret the ECG with VP versus printed ECG was 3.9 ± 1.9 versus 2.1 ± 0.9 minutes, respectively, P

DOI: 10.1111/j.1540-8183.2010.00609.x
Version: za2963e q8zaa q8zb1 q8zce q8zd4 q8ze8 q8zfc q8zg3

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