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Overcoming barriers to developing seamless ST-segment elevation myocardial infarction care systems in the United States: recommendations from a comprehensive Prehospital 12-lead Electrocardiogram Working Group.

Publication ,  Journal Article
Frendl, DM; Palmeri, ST; Clapp, JR; Hampton, D; Sejersten, M; Young, D; Drew, B; Farrell, R; Innes, J; Russell, J; Rowlandson, GI; Zhou, S ...
Published in: J Electrocardiol
2009

BACKGROUND: Reducing time to reperfusion treatment for patients with ST-segment elevation myocardial infarction (STEMI) improves patient outcomes. Few medical systems consistently meet current benchmarks regarding timely access to treatment. Studies have widely demonstrated that prehospital 12-lead electrocardiography can facilitate early catheterization laboratory activation and is the most effective means of decreasing patients' time to treatment. METHODS: We gathered experts to examine the barriers to implementation of prehospital 12-lead electrocardiographic monitoring and transmission to in-hospital cardiologists in creating seamless STEMI care systems (STEMI-CS) and propose multidisciplinary approaches to overcoming these barriers. RESULTS AND CONCLUSIONS: Physicians, hospital systems, and emergency medical services often lack coordination of care delivery and receive fragmented funding and oversight. Clinical and regulatory guidelines do not emphasize local solutions to achieving clinical benchmarks, do not target incentives at all components of the STEMI-CS, and underemphasize risk-based approaches to protecting patient health. Integration of the multiple complex components involved in STEMI-CS is essential to improving care delivery.

Duke Scholars

Published In

J Electrocardiol

DOI

EISSN

1532-8430

Publication Date

2009

Volume

42

Issue

5

Start / End Page

426 / 431

Location

United States

Related Subject Headings

  • United States
  • Practice Guidelines as Topic
  • Myocardial Infarction
  • Middle Aged
  • Male
  • Humans
  • Emergency Medical Services
  • Electrocardiography
  • Cardiovascular System & Hematology
  • Cardiology
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Frendl, D. M., Palmeri, S. T., Clapp, J. R., Hampton, D., Sejersten, M., Young, D., … Journal of Electrocardiology Prehospital 12-lead ECG Working Group, . (2009). Overcoming barriers to developing seamless ST-segment elevation myocardial infarction care systems in the United States: recommendations from a comprehensive Prehospital 12-lead Electrocardiogram Working Group. J Electrocardiol, 42(5), 426–431. https://doi.org/10.1016/j.jelectrocard.2009.03.011
Frendl, Daniel M., Sebastian T. Palmeri, J Robert Clapp, David Hampton, Maria Sejersten, Dwayne Young, Barbara Drew, et al. “Overcoming barriers to developing seamless ST-segment elevation myocardial infarction care systems in the United States: recommendations from a comprehensive Prehospital 12-lead Electrocardiogram Working Group.J Electrocardiol 42, no. 5 (2009): 426–31. https://doi.org/10.1016/j.jelectrocard.2009.03.011.
Frendl DM, Palmeri ST, Clapp JR, Hampton D, Sejersten M, Young D, Drew B, Farrell R, Innes J, Russell J, Rowlandson GI, Purim-Shem-Tov Y, Underhill BK, Zhou S, Wagner GS, Journal of Electrocardiology Prehospital 12-lead ECG Working Group. Overcoming barriers to developing seamless ST-segment elevation myocardial infarction care systems in the United States: recommendations from a comprehensive Prehospital 12-lead Electrocardiogram Working Group. J Electrocardiol. 2009;42(5):426–431.
Journal cover image

Published In

J Electrocardiol

DOI

EISSN

1532-8430

Publication Date

2009

Volume

42

Issue

5

Start / End Page

426 / 431

Location

United States

Related Subject Headings

  • United States
  • Practice Guidelines as Topic
  • Myocardial Infarction
  • Middle Aged
  • Male
  • Humans
  • Emergency Medical Services
  • Electrocardiography
  • Cardiovascular System & Hematology
  • Cardiology