The AngelMed Guardian
ST elevation myocardial infarction
acute coronary syndrome
electrocardiography
ischemia monitoring
myocardial infarction
Journal
Medical devices (Auckland, N.Z.)
ISSN: 1179-1470
Titre abrégé: Med Devices (Auckl)
Pays: New Zealand
ID NLM: 101566041
Informations de publication
Date de publication:
2020
2020
Historique:
received:
18
06
2019
accepted:
13
12
2019
entrez:
6
2
2020
pubmed:
6
2
2020
medline:
6
2
2020
Statut:
epublish
Résumé
Total ischemic time, which specifies the time from the onset of chest pain to initiation of reperfusion during percutaneous coronary intervention, consists of two intervals: symptom to door time and door to balloon time. A door to balloon time of 90 mins or less has become a quality-of-care metric in the management of ST elevation myocardial infarction (STEMI). While national efforts made by the American College of Cardiology (ACC) and American Heart Association (AHA) have curtailed in-hospital door to balloon time over the years, a reduction in pre-hospital symptoms to door time presents a challenge in modern interventional Cardiology. Early and complete revascularization has been associated with improved clinical outcomes in MI and strategies that may help reduce symptom to door time, and thus the total ischemic time, are crucial. Rapidly evolving ST-segment changes commonly develop prior to ischemia-related symptom onset, and are detectable even in patients with clinically unrecognized silent MIs. Therefore, a highly intelligent ischemia detection system that alerts patients of ST segment deviation may allow for rapid identification of acute coronary occlusion. The AngelMed Guardian
Identifiants
pubmed: 32021496
doi: 10.2147/MDER.S219865
pii: 219865
pmc: PMC6954830
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
1-12Informations de copyright
© 2020 Kazmi et al.
Déclaration de conflit d'intérêts
Dr C. Michael Gibson reports grants, personal fees from Angel Medical, during the conduct of the study. The authors report no other conflicts of interest in this work.
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