PMID- 29536903
OWN - NLM
STAT- MEDLINE
DCOM- 20180529
LR  - 20181202
IS  - 2194-802X (Electronic)
IS  - 2194-802X (Linking)
VI  - 3
IP  - 4
DP  - 2016 Dec 1
TI  - Prehospital diagnosis of patients with acute myocardial infarction.
PG  - 155-166
LID - /j/dx.2016.3.issue-4/dx-2016-0021/dx-2016-0021.xml [pii]
LID - 10.1515/dx-2016-0021 [doi]
AB  - Primary percutaneous intervention (PPCI) is the preferred treatment in patients 
      with ST elevation myocardial infarction (STEMI) if this can be performed in a 
      timely manner. The 2012 ESC Guidelines on management of AMI in patients 
      presenting with ST-segment elevation advice that PPCI should be performed within 
      120 min of first medical contact. Prehospital diagnosis of patients with STEMI is 
      performed to save time and make PPCI available to the majority of patients. 
      Although diagnosing patients with STEMI is usually easy, there are important 
      pitfalls and patients with STEMI are missed on occasion. In addition, it is well 
      know that patients without ST elevation may also have a high-risk cardiac 
      condition. The 2015 ESC Guidelines for the management of acute coronary syndromes 
      in patients presenting without persistent ST-segment elevation stress the 
      importance of urgent CAG in patients with high-risk non ST-segment elevation 
      myocardial infarction (NSTEMI). Unfortunately, these patients are difficult to 
      diagnose in the acute phase and important time may be spend establishing the 
      correct diagnosis. Prehospital biomarker measurement has emerged as a method to 
      gain important additional information. We review the evidence on prehospital 
      diagnosis of patients with STEMI and, In addition, we present the current 
      knowledge on the new diagnostic methods that could have a future role in 
      prehospital rule-in and rule-out of cardiac disease.
FAU - Stengaard, Carsten
AU  - Stengaard C
AD  - 1Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
FAU - Sorensen, Jacob Thorsted
AU  - Sorensen JT
AD  - 1Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
FAU - Rasmussen, Martin Bohme
AU  - Rasmussen MB
AD  - 1Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
FAU - Botker, Morten Thingemann
AU  - Botker MT
AD  - 2Research and Development, Prehospital Emergency Medical Services, Central 
      Denmark Region, Aarhus, Denmark.
FAU - Pedersen, Claus Kjaer
AU  - Pedersen CK
AD  - 1Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
FAU - Terkelsen, Christian Juhl
AU  - Terkelsen CJ
AD  - 1Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
PL  - Germany
TA  - Diagnosis (Berl)
JT  - Diagnosis (Berlin, Germany)
JID - 101654734
RN  - 0 (Biomarkers)
RN  - 0 (Troponin)
SB  - IM
MH  - Ambulances/standards
MH  - Biomarkers/blood
MH  - *Early Diagnosis
MH  - Electrocardiography/methods
MH  - Emergency Medical Services/*standards
MH  - Humans
MH  - Myocardial Infarction/*diagnosis/epidemiology/mortality
MH  - Percutaneous Coronary Intervention/methods
MH  - Point-of-Care Systems/standards
MH  - ST Elevation Myocardial Infarction/*diagnosis/mortality/physiopathology/therapy
MH  - Telemedicine/statistics & numerical data
MH  - Time Factors
MH  - Time-to-Treatment
MH  - Troponin/blood
OTO - NOTNLM
OT  - ST-segment elevation myocardial infarction
OT  - ambulances
OT  - cardiac troponin
OT  - early diagnosis
OT  - electrocardiography
OT  - non ST-segment myocardial infarction
OT  - point-of-care systems
OT  - telemedicine
EDAT- 2016/12/01 00:00
MHDA- 2018/05/31 06:00
CRDT- 2018/03/15 06:00
PHST- 2016/06/29 00:00 [received]
PHST- 2016/11/01 00:00 [accepted]
PHST- 2018/03/15 06:00 [entrez]
PHST- 2016/12/01 00:00 [pubmed]
PHST- 2018/05/31 06:00 [medline]
AID - /j/dx.2016.3.issue-4/dx-2016-0021/dx-2016-0021.xml [pii]
AID - 10.1515/dx-2016-0021 [doi]
PST - ppublish
SO  - Diagnosis (Berl). 2016 Dec 1;3(4):155-166. doi: 10.1515/dx-2016-0021.