Feasibility of CardioSecur®, a mobile 4-electrode/22-lead ECG device, in the prehospital emergency setting
Background: This study explores the application of CardioSecur® (CS-ECG), a hand-held 4-electrode/22-lead ECG-device, in comparison with conventional 12-lead electrocardiogram (c12L-ECG) in patients with acute chest pain in the prehospital emergency setting. Methods: CS-ECG systems were provided for...
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| Hauptverfasser: | , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
09 October 2020
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| In: |
Frontiers in Cardiovascular Medicine
Year: 2020, Jahrgang: 7, Pages: 1-11 |
| ISSN: | 2297-055X |
| DOI: | 10.3389/fcvm.2020.551796 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: https://doi.org/10.3389/fcvm.2020.551796 Verlag, kostenfrei, Volltext: https://www.frontiersin.org/articles/10.3389/fcvm.2020.551796/full 
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| Verfasserangaben: | Sebastian Spaich, Hanna Kern, Thomas A. Zelniker, Jan Stiepak, Michael Gabel, Erik Popp, Hugo A. Katus and Michael R. Preusch |
| Zusammenfassung: | Background: This study explores the application of CardioSecur® (CS-ECG), a hand-held 4-electrode/22-lead ECG-device, in comparison with conventional 12-lead electrocardiogram (c12L-ECG) in patients with acute chest pain in the prehospital emergency setting. Methods: CS-ECG systems were provided for two physician-staffed emergency ambulances and parallel recordings of c12L-ECG and CS-ECG were obtained from all patients with acute chest pain. Treating emergency physicians were asked to evaluate the CS-ECG system with a standardized questionnaire. Following study completion, acquired ECGs were analyzed separately by two independent cardiologists blinded to all other medical records. Results: Over a period of 20 months a total of 203 patients were included in our study. According to a standardized questionnaire, 79% of emergency medical professionals preferred application of CS-ECG, with 87% of teams judging CS-ECG to be beneficial for patients. Morover, 79% of physicians reported a reduction in time to definitive diagnosis with implementation of CS-ECG. The majority of professional users attested user-friendliness and feasibility of CS-ECG in terms of easy general handling (94%), application (93%) and placement of electrodes (98%). During prehospital triage, both c12L-ECG and CS-ECG correctly identified 31 (91%) patients with ST-elevation myocardial infarction (STEMI). Conclusion: In this first pilot study, implementation of the CardioSecur®-ECG system in the prehospital emergency setting demonstrated feasibility and user-friendliness so that emergency teams generally preferred CS-ECG to c12L-ECG. Diagnostic yield of CS-ECG was similar to c12L-ECG recordings. |
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| Beschreibung: | Gesehen am 24.11.2020 |
| Beschreibung: | Online Resource |
| ISSN: | 2297-055X |
| DOI: | 10.3389/fcvm.2020.551796 |