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Volume 58
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10.3390/medicina58020247
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Article

The Effectiveness of Mobile Cloud 12-Lead Electrocardiogram Transmission System in Patients with ST-Segment Elevation Myocardial Infarction

by
Toyonori Arinaga
1,2,†,
Yasunori Suematsu
1,†,
Ayumi Nakamura
2,†,
Tomoki Imaizumi
2,
Yohsuke Hanaoka
2,
Toshimitsu Takagi
2,
Hidenobu Koga
2,
Hironori Tanaka
3,
Yasuhiko Shokyu
3 and
Shin-ichiro Miura
1,4,*
1
Department of Cardiology, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan
2
Department of Cardiology, Shin-Yukuhashi Hospital, Fukuoka 814-0180, Japan
3
Department of Emergency and Critical Care Medicine, Shin-Yukuhashi Hospital, Fukuoka 824-0026, Japan
4
Department of Cardiology, Fukuoka University Nishijin Hospital, Fukuoka 814-8522, Japan
*
Author to whom correspondence should be addressed.
†
These authors were equally contributed as first author.
Medicina 2022, 58(2), 247; https://doi.org/10.3390/medicina58020247
Submission received: 7 January 2022 / Revised: 3 February 2022 / Accepted: 3 February 2022 / Published: 6 February 2022
(This article belongs to the Special Issue Emergency Medicine and Emergency Room Medical Issues)
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Abstract

Backgroundand Objectives: Delay of reperfusion therapy is related to high mortality in cases of ST-segment elevation myocardial infarction (STEMI). Guidelines emphasize that the first-medical-contact-to-balloon (FMCTB) time should be within 90 min. A mobile cloud-based 12-lead electrocardiogram (MC-ECG) transmission system might be useful in such cases, especially in rural areas. Materials and Methods: From April 2019 to June 2021, both an MC-ECG transmission system and the conventional method in which a physician checks the ECG in a hospital (Conventional) were used for transport by emergency medical services in Shin-Yukuhashi Hospital, Fukuoka, Japan. During this period, 8684 consecutive patients were transported to this hospital. Among them, we investigated 48 STEMI patients. The MC-ECG group (n = 23) and the Conventional group (n = 25) were enrolled. Results: There was no significant difference in FMCTB time between the MC-ECG and Conventional groups (MC-ECG: 72.0 (60.5–107) min vs. Conventional: 80.0 (63.0–92.0) min, p = 0.77). The length of hospital stay in the MC-ECG group was significantly shorter than that in the Conventional group (12.0 (10.0–15.0) days vs. 16.0 (12.0–19.0) days, p = 0.039). The logistic regression model showed that patients’ non-use of MC-ECG was associated with a risk of more than 15-day length of hospital stay with an adjusted odd ratio of 0.08 (95% CI: 0.013–0.55, p = 0.0098). Conclusions: Using the MC-ECG, the length of hospital stay in patients with STEMI was significantly reduced.
Keywords: mobile cloud-based 12-lead electrocardiogram transmission system; emergency medical service; ST-segment elevation myocardial infarction; early reperfusion therapy; hospital stay mobile cloud-based 12-lead electrocardiogram transmission system; emergency medical service; ST-segment elevation myocardial infarction; early reperfusion therapy; hospital stay

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MDPI and ACS Style

Arinaga, T.; Suematsu, Y.; Nakamura, A.; Imaizumi, T.; Hanaoka, Y.; Takagi, T.; Koga, H.; Tanaka, H.; Shokyu, Y.; Miura, S.-i. The Effectiveness of Mobile Cloud 12-Lead Electrocardiogram Transmission System in Patients with ST-Segment Elevation Myocardial Infarction. Medicina 2022, 58, 247. https://doi.org/10.3390/medicina58020247

AMA Style

Arinaga T, Suematsu Y, Nakamura A, Imaizumi T, Hanaoka Y, Takagi T, Koga H, Tanaka H, Shokyu Y, Miura S-i. The Effectiveness of Mobile Cloud 12-Lead Electrocardiogram Transmission System in Patients with ST-Segment Elevation Myocardial Infarction. Medicina. 2022; 58(2):247. https://doi.org/10.3390/medicina58020247

Chicago/Turabian Style

Arinaga, Toyonori, Yasunori Suematsu, Ayumi Nakamura, Tomoki Imaizumi, Yohsuke Hanaoka, Toshimitsu Takagi, Hidenobu Koga, Hironori Tanaka, Yasuhiko Shokyu, and Shin-ichiro Miura. 2022. "The Effectiveness of Mobile Cloud 12-Lead Electrocardiogram Transmission System in Patients with ST-Segment Elevation Myocardial Infarction" Medicina 58, no. 2: 247. https://doi.org/10.3390/medicina58020247

APA Style

Arinaga, T., Suematsu, Y., Nakamura, A., Imaizumi, T., Hanaoka, Y., Takagi, T., Koga, H., Tanaka, H., Shokyu, Y., & Miura, S.-i. (2022). The Effectiveness of Mobile Cloud 12-Lead Electrocardiogram Transmission System in Patients with ST-Segment Elevation Myocardial Infarction. Medicina, 58(2), 247. https://doi.org/10.3390/medicina58020247

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