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Medical history of coronary artery disease and time to electrocardiogram in the emergency department: a real-life, single-center, retrospective analysis

BACKGROUND: Timely acquisition of 12-lead Electrocardiogram (ECG) in the emergency department (ED) is crucial and recommended by current guidelines. OBJECTIVES: To evaluate the association of medical history of coronary artery disease (hCAD) on door-to-ECG time in the ED. METHODS: In this single cen...

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Autores principales: Heger, Lukas Andreas, Glück, Tina, Kaier, Klaus, Hortmann, Marcus, Rieder, Marina, Siegel, Patrick M., Diehl, Philipp, Wengenmayer, Tobias, Olivier, Christoph B., Bode, Christoph, Busch, Hans-Joerg, Duerschmied, Daniel, Ahrens, Ingo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8496093/
https://www.ncbi.nlm.nih.gov/pubmed/34620090
http://dx.doi.org/10.1186/s12872-021-02274-1
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author Heger, Lukas Andreas
Glück, Tina
Kaier, Klaus
Hortmann, Marcus
Rieder, Marina
Siegel, Patrick M.
Diehl, Philipp
Wengenmayer, Tobias
Olivier, Christoph B.
Bode, Christoph
Busch, Hans-Joerg
Duerschmied, Daniel
Ahrens, Ingo
author_facet Heger, Lukas Andreas
Glück, Tina
Kaier, Klaus
Hortmann, Marcus
Rieder, Marina
Siegel, Patrick M.
Diehl, Philipp
Wengenmayer, Tobias
Olivier, Christoph B.
Bode, Christoph
Busch, Hans-Joerg
Duerschmied, Daniel
Ahrens, Ingo
author_sort Heger, Lukas Andreas
collection PubMed
description BACKGROUND: Timely acquisition of 12-lead Electrocardiogram (ECG) in the emergency department (ED) is crucial and recommended by current guidelines. OBJECTIVES: To evaluate the association of medical history of coronary artery disease (hCAD) on door-to-ECG time in the ED. METHODS: In this single center, retrospective cohort study, patients admitted to ED for cardiac evaluation were grouped according to hCAD and no hCAD. The primary outcome was door-to-ECG time. A multivariate analysis adjusted for the cofounders sex, age, type of referral and shift was performed to evaluate the association of hCAD with door-to-ECG time. RESULTS: 1101 patients were included in this analysis. 362 patients (33%) had hCAD. Patients with hCAD had shorter door-to-ECG time (20 min. [Inter Quartile Range [IQR] 13–30] vs. 22 min. [IQR 14–37]; p < 0.001) when compared to patients with no hCAD. In a multivariable regression analysis hCAD was significantly associated with a shorter door-to-ECG time (− 3 min [p = 0.007; 95% confidence Interval [CI] − 5.16 to − 0.84 min]). CONCLUSION: In this single center registry, hCAD was associated with shorter door-to-ECG time. In patients presenting in ED for cardiac evaluation, timely ECG diagnostic should be facilitated irrespective of hCAD.
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spelling pubmed-84960932021-10-07 Medical history of coronary artery disease and time to electrocardiogram in the emergency department: a real-life, single-center, retrospective analysis Heger, Lukas Andreas Glück, Tina Kaier, Klaus Hortmann, Marcus Rieder, Marina Siegel, Patrick M. Diehl, Philipp Wengenmayer, Tobias Olivier, Christoph B. Bode, Christoph Busch, Hans-Joerg Duerschmied, Daniel Ahrens, Ingo BMC Cardiovasc Disord Research BACKGROUND: Timely acquisition of 12-lead Electrocardiogram (ECG) in the emergency department (ED) is crucial and recommended by current guidelines. OBJECTIVES: To evaluate the association of medical history of coronary artery disease (hCAD) on door-to-ECG time in the ED. METHODS: In this single center, retrospective cohort study, patients admitted to ED for cardiac evaluation were grouped according to hCAD and no hCAD. The primary outcome was door-to-ECG time. A multivariate analysis adjusted for the cofounders sex, age, type of referral and shift was performed to evaluate the association of hCAD with door-to-ECG time. RESULTS: 1101 patients were included in this analysis. 362 patients (33%) had hCAD. Patients with hCAD had shorter door-to-ECG time (20 min. [Inter Quartile Range [IQR] 13–30] vs. 22 min. [IQR 14–37]; p < 0.001) when compared to patients with no hCAD. In a multivariable regression analysis hCAD was significantly associated with a shorter door-to-ECG time (− 3 min [p = 0.007; 95% confidence Interval [CI] − 5.16 to − 0.84 min]). CONCLUSION: In this single center registry, hCAD was associated with shorter door-to-ECG time. In patients presenting in ED for cardiac evaluation, timely ECG diagnostic should be facilitated irrespective of hCAD. BioMed Central 2021-10-07 /pmc/articles/PMC8496093/ /pubmed/34620090 http://dx.doi.org/10.1186/s12872-021-02274-1 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Heger, Lukas Andreas
Glück, Tina
Kaier, Klaus
Hortmann, Marcus
Rieder, Marina
Siegel, Patrick M.
Diehl, Philipp
Wengenmayer, Tobias
Olivier, Christoph B.
Bode, Christoph
Busch, Hans-Joerg
Duerschmied, Daniel
Ahrens, Ingo
Medical history of coronary artery disease and time to electrocardiogram in the emergency department: a real-life, single-center, retrospective analysis
title Medical history of coronary artery disease and time to electrocardiogram in the emergency department: a real-life, single-center, retrospective analysis
title_full Medical history of coronary artery disease and time to electrocardiogram in the emergency department: a real-life, single-center, retrospective analysis
title_fullStr Medical history of coronary artery disease and time to electrocardiogram in the emergency department: a real-life, single-center, retrospective analysis
title_full_unstemmed Medical history of coronary artery disease and time to electrocardiogram in the emergency department: a real-life, single-center, retrospective analysis
title_short Medical history of coronary artery disease and time to electrocardiogram in the emergency department: a real-life, single-center, retrospective analysis
title_sort medical history of coronary artery disease and time to electrocardiogram in the emergency department: a real-life, single-center, retrospective analysis
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8496093/
https://www.ncbi.nlm.nih.gov/pubmed/34620090
http://dx.doi.org/10.1186/s12872-021-02274-1
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