title: Effect of a real-time tele-transmission system of 12-lead electrocardiogram on the first-aid for athletes with ST-elevation myocardial infarction.
abstract: To study the effect of a real-time tele-transmission system of 12-lead electrocardiogram on door-to-balloon time in athletes with ST-elevation myocardial infarction. A total of 60 athletes with chest pain diagnosed as ST-elevation myocardial infarction (STEMI) from our hospital were randomly divided into group A (n=35) and group B (n=25), the patients in group A transmitted the real-time tele-transmission system of 12-lead electrocardiogram to the chest pain center before arriving in hospital, however, the patients in group B not. The median door-to-balloon time was significant shorter in-group A than group B (38min vs 94 min, p<0.01) and the ratio of door-to-balloon time below 90 min was remarkable higher in-group A (94.2% vs 60%, p<0.01). The rate of catheter laboratory occupied was 5.7% in-group A and 40% in group B respectively (p=0.001). There was no statistically difference in mortality between the two groups (5.7% vs 4%, p>0.05). The median length of stay was significant reduced in-group A (5 days vs 7 days, p<0.01). Real-time tele-transmission system of 12 lead electrocardiogram is beneficial to the pre-hospital diagnosis of STEMI.
authors.affiliation: Department of physical education, Hebei Normal University of Science and Technology, Qinghuangdao, China.
authors.forename: Huan
authors.initials: H
authors.lastname: Zhang
authors.affiliation: Department of physical education, Shenyang Conservatory of Music, Dalian, China.
authors.forename: Donghan
authors.initials: D
authors.lastname: Song
authors.affiliation: Department of physical education, Dalian Medical University, Dalian, China.
authors.forename: Lina
authors.initials: L
authors.lastname: An
mesh_terms: D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D056352:Athletes; D002681:China; D004562:Electrocardiography / Q000379:methods*; D004632:Emergency Medical Services / Q000379:methods*; D005260:Female; D005392:First Aid / Q000379:methods*; D006339:Heart Rate; D006801:Humans; D007902:Length of Stay; D008297:Male; D011237:Predictive Value of Tests; D012307:Risk Factors; D000072657:ST Elevation Myocardial Infarction / Q000175:diagnosis* / Q000401:mortality / Q000503:physiopathology / Q000628:therapy; D012815:Signal Processing, Computer-Assisted; D013686:Telemetry / Q000379:methods*; D013997:Time Factors; D061665:Time-to-Treatment; D014187:Transportation of Patients; D016896:Treatment Outcome