A quantitative analysis of the benefits of pre-hospital infarct angioplasty triage on outcome in patients undergoing primary angioplasty for acute myocardial infarction

Impact of pre‐hospital electrocardiograms on time to treatment and one year outcome in a rural regional ST‐segment elevation myocardial infarction network

“…Pre‐hospital ECGs are believed to reduce the time from first EMS contact to reperfusion , but the frequency with which pre‐hospital ECGs are obtained remains low due to a lack of organized networks, patient education, EMS training, and cost . Several studies examined the effect of pre‐hospital ECG on reperfusion time, and all showed lower mortality among patients in whom a pre‐hospital ECG was obtained . A large population‐based cohort study of a national myocardial infarction registry in the United Kingdom and a study by Sorensen et al in a mix of urban and rural settings in Denmark revealed not only more rapid times to reperfusion but also significantly lower 30‐day and long‐term mortality with pre‐hospital ECGs .…”