Skip to main content
Journal cover image

Door-to-ECG time in patients with chest pain presenting to the ED.

Publication ,  Conference
Diercks, DB; Kirk, JD; Lindsell, CJ; Pollack, CV; Hoekstra, JW; Gibler, WB; Hollander, JE
Published in: Am J Emerg Med
January 2006

OBJECTIVE: To describe time to electrocardiogram (ECG) acquisition, identify factors associated with timely acquisition, and evaluate the influence of time to ECG on adverse clinical outcomes. METHODS: We measured the door-to-ECG time for emergency department patients enrolled in prospective chest pain registry. Clinical outcomes were defined as occurrence of myocardial infarction or death within 30 days of the visit. RESULTS: Among patients with acute coronary syndrome (ACS), 34% and 40.9% of patients with non-ST-elevation ACS and ST-elevation myocardial infarction (STEMI), respectively, had an ECG performed within 10 minutes of arrival. A delay in ECG acquisition was only associated with an increase risk of clinical outcomes in patients with STEMI at 30 days (odds ratio, 3.95; 95% confidence interval, 1.06-14.72; P = .04). CONCLUSION: Approximately one third of patients with ACS received an ECG within 10 minutes. A prolonged door-to-ECG time was associated with an increased risk of clinical outcomes only in patients with STEMI.

Duke Scholars

Published In

Am J Emerg Med

DOI

ISSN

0735-6757

Publication Date

January 2006

Volume

24

Issue

1

Start / End Page

1 / 7

Location

United States

Related Subject Headings

  • Time Factors
  • Retrospective Studies
  • Outcome Assessment, Health Care
  • Myocardial Infarction
  • Middle Aged
  • Male
  • Humans
  • Guideline Adherence
  • Follow-Up Studies
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Diercks, D. B., Kirk, J. D., Lindsell, C. J., Pollack, C. V., Hoekstra, J. W., Gibler, W. B., & Hollander, J. E. (2006). Door-to-ECG time in patients with chest pain presenting to the ED. In Am J Emerg Med (Vol. 24, pp. 1–7). United States. https://doi.org/10.1016/j.ajem.2005.05.016
Diercks, Deborah B., J Douglas Kirk, Christopher J. Lindsell, Charles V. Pollack, James W. Hoekstra, W Brian Gibler, and Judd E. Hollander. “Door-to-ECG time in patients with chest pain presenting to the ED.” In Am J Emerg Med, 24:1–7, 2006. https://doi.org/10.1016/j.ajem.2005.05.016.
Diercks DB, Kirk JD, Lindsell CJ, Pollack CV, Hoekstra JW, Gibler WB, et al. Door-to-ECG time in patients with chest pain presenting to the ED. In: Am J Emerg Med. 2006. p. 1–7.
Diercks, Deborah B., et al. “Door-to-ECG time in patients with chest pain presenting to the ED.Am J Emerg Med, vol. 24, no. 1, 2006, pp. 1–7. Pubmed, doi:10.1016/j.ajem.2005.05.016.
Diercks DB, Kirk JD, Lindsell CJ, Pollack CV, Hoekstra JW, Gibler WB, Hollander JE. Door-to-ECG time in patients with chest pain presenting to the ED. Am J Emerg Med. 2006. p. 1–7.
Journal cover image

Published In

Am J Emerg Med

DOI

ISSN

0735-6757

Publication Date

January 2006

Volume

24

Issue

1

Start / End Page

1 / 7

Location

United States

Related Subject Headings

  • Time Factors
  • Retrospective Studies
  • Outcome Assessment, Health Care
  • Myocardial Infarction
  • Middle Aged
  • Male
  • Humans
  • Guideline Adherence
  • Follow-Up Studies
  • Female