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Prehospital Emergency Care Volume 26, 2022 - Issue 6
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Focus on Cardiology

Prehospital Predictors of Atypical STEMI Symptoms

Tyson G. TaylorStryker Corporation, Torrance, California (TGT, RES); Harbor-UCLA Medical Center, Torrance, California (WJF, JTN, NB); The Lundquist Institute, Torrance, California (WJF, JTN, NB);The David Geffen School of Medicine at UCLA, Los Angeles, California (WJF, JTN, NB); North Carolina Heart and Vascular, UNC Healthcare, Chapel Hill, North Carolina (JGJ); Internal Medicine, Virginia Commonwealth University, Richmond, Virginia (MCK); Los Angeles County-USC Medical Center, Los Angeles, California (SGS, MKE); Los Angeles Fire Department, Los Angeles, California (SGS); Emergency Medicine,USC School of Medicine, Los Angeles, California (MKE); Los Angeles County EMS Agency, Santa Fe Springs, California (MKE, NB).Correspondence[email protected]
ORCID Iconhttps://orcid.org/0000-0003-0116-0770
ORCID Icon,
Ronald E. StickneyStryker Corporation, Torrance, California (TGT, RES); Harbor-UCLA Medical Center, Torrance, California (WJF, JTN, NB); The Lundquist Institute, Torrance, California (WJF, JTN, NB);The David Geffen School of Medicine at UCLA, Los Angeles, California (WJF, JTN, NB); North Carolina Heart and Vascular, UNC Healthcare, Chapel Hill, North Carolina (JGJ); Internal Medicine, Virginia Commonwealth University, Richmond, Virginia (MCK); Los Angeles County-USC Medical Center, Los Angeles, California (SGS, MKE); Los Angeles Fire Department, Los Angeles, California (SGS); Emergency Medicine,USC School of Medicine, Los Angeles, California (MKE); Los Angeles County EMS Agency, Santa Fe Springs, California (MKE, NB).
,
William J. FrenchStryker Corporation, Torrance, California (TGT, RES); Harbor-UCLA Medical Center, Torrance, California (WJF, JTN, NB); The Lundquist Institute, Torrance, California (WJF, JTN, NB);The David Geffen School of Medicine at UCLA, Los Angeles, California (WJF, JTN, NB); North Carolina Heart and Vascular, UNC Healthcare, Chapel Hill, North Carolina (JGJ); Internal Medicine, Virginia Commonwealth University, Richmond, Virginia (MCK); Los Angeles County-USC Medical Center, Los Angeles, California (SGS, MKE); Los Angeles Fire Department, Los Angeles, California (SGS); Emergency Medicine,USC School of Medicine, Los Angeles, California (MKE); Los Angeles County EMS Agency, Santa Fe Springs, California (MKE, NB).
,
James G. JollisStryker Corporation, Torrance, California (TGT, RES); Harbor-UCLA Medical Center, Torrance, California (WJF, JTN, NB); The Lundquist Institute, Torrance, California (WJF, JTN, NB);The David Geffen School of Medicine at UCLA, Los Angeles, California (WJF, JTN, NB); North Carolina Heart and Vascular, UNC Healthcare, Chapel Hill, North Carolina (JGJ); Internal Medicine, Virginia Commonwealth University, Richmond, Virginia (MCK); Los Angeles County-USC Medical Center, Los Angeles, California (SGS, MKE); Los Angeles Fire Department, Los Angeles, California (SGS); Emergency Medicine,USC School of Medicine, Los Angeles, California (MKE); Los Angeles County EMS Agency, Santa Fe Springs, California (MKE, NB).
,
Michael C. KontosStryker Corporation, Torrance, California (TGT, RES); Harbor-UCLA Medical Center, Torrance, California (WJF, JTN, NB); The Lundquist Institute, Torrance, California (WJF, JTN, NB);The David Geffen School of Medicine at UCLA, Los Angeles, California (WJF, JTN, NB); North Carolina Heart and Vascular, UNC Healthcare, Chapel Hill, North Carolina (JGJ); Internal Medicine, Virginia Commonwealth University, Richmond, Virginia (MCK); Los Angeles County-USC Medical Center, Los Angeles, California (SGS, MKE); Los Angeles Fire Department, Los Angeles, California (SGS); Emergency Medicine,USC School of Medicine, Los Angeles, California (MKE); Los Angeles County EMS Agency, Santa Fe Springs, California (MKE, NB).
,
James T. NiemannStryker Corporation, Torrance, California (TGT, RES); Harbor-UCLA Medical Center, Torrance, California (WJF, JTN, NB); The Lundquist Institute, Torrance, California (WJF, JTN, NB);The David Geffen School of Medicine at UCLA, Los Angeles, California (WJF, JTN, NB); North Carolina Heart and Vascular, UNC Healthcare, Chapel Hill, North Carolina (JGJ); Internal Medicine, Virginia Commonwealth University, Richmond, Virginia (MCK); Los Angeles County-USC Medical Center, Los Angeles, California (SGS, MKE); Los Angeles Fire Department, Los Angeles, California (SGS); Emergency Medicine,USC School of Medicine, Los Angeles, California (MKE); Los Angeles County EMS Agency, Santa Fe Springs, California (MKE, NB).
,
Stephen G. SankoStryker Corporation, Torrance, California (TGT, RES); Harbor-UCLA Medical Center, Torrance, California (WJF, JTN, NB); The Lundquist Institute, Torrance, California (WJF, JTN, NB);The David Geffen School of Medicine at UCLA, Los Angeles, California (WJF, JTN, NB); North Carolina Heart and Vascular, UNC Healthcare, Chapel Hill, North Carolina (JGJ); Internal Medicine, Virginia Commonwealth University, Richmond, Virginia (MCK); Los Angeles County-USC Medical Center, Los Angeles, California (SGS, MKE); Los Angeles Fire Department, Los Angeles, California (SGS); Emergency Medicine,USC School of Medicine, Los Angeles, California (MKE); Los Angeles County EMS Agency, Santa Fe Springs, California (MKE, NB).
,
Marc K. EcksteinStryker Corporation, Torrance, California (TGT, RES); Harbor-UCLA Medical Center, Torrance, California (WJF, JTN, NB); The Lundquist Institute, Torrance, California (WJF, JTN, NB);The David Geffen School of Medicine at UCLA, Los Angeles, California (WJF, JTN, NB); North Carolina Heart and Vascular, UNC Healthcare, Chapel Hill, North Carolina (JGJ); Internal Medicine, Virginia Commonwealth University, Richmond, Virginia (MCK); Los Angeles County-USC Medical Center, Los Angeles, California (SGS, MKE); Los Angeles Fire Department, Los Angeles, California (SGS); Emergency Medicine,USC School of Medicine, Los Angeles, California (MKE); Los Angeles County EMS Agency, Santa Fe Springs, California (MKE, NB).
&
Nichole BossonStryker Corporation, Torrance, California (TGT, RES); Harbor-UCLA Medical Center, Torrance, California (WJF, JTN, NB); The Lundquist Institute, Torrance, California (WJF, JTN, NB);The David Geffen School of Medicine at UCLA, Los Angeles, California (WJF, JTN, NB); North Carolina Heart and Vascular, UNC Healthcare, Chapel Hill, North Carolina (JGJ); Internal Medicine, Virginia Commonwealth University, Richmond, Virginia (MCK); Los Angeles County-USC Medical Center, Los Angeles, California (SGS, MKE); Los Angeles Fire Department, Los Angeles, California (SGS); Emergency Medicine,USC School of Medicine, Los Angeles, California (MKE); Los Angeles County EMS Agency, Santa Fe Springs, California (MKE, NB).ORCID Iconhttps://orcid.org/0000-0001-8356-0772
ORCID Icon show all
Pages 756-763 | Received 23 Jul 2021, Accepted 27 Sep 2021, Published online: 08 Nov 2021

References

  • Baran KW, Kamrowski KA, Westwater JJ, Tschida VH, Alexander CF, Beahrs MM, Biggs TA, Koller PT, Mahoney BD, Murray ST, et al. Very rapid treatment of ST-segment-elevation myocardial infarction: utilizing prehospital electrocardiograms to bypass the emergency department. Circ Cardiovasc Qual Outcomes. 2010;3(4):431–7. doi:10.1161/CIRCOUTCOMES.110.942631.
  • Kontos MC, Gunderson MR, Zegre-Hemsey JK, Lange DC, French WJ, Henry TD, McCarthy JJ, Corbett C, Jacobs AK, Jollis JG, et al. Prehospital activation of hospital resources (PreAct) ST-Segment–Elevation Myocardial Infarction (STEMI): a standardized approach to prehospital activation and direct to the catheterization laboratory for STEMI recommendations from the American Heart Association’s mission: lifeline program. J Am Heart Assoc. 2020;9:1–10.
  • Doan TN, Schultz BV, Rashford S, Rogers B, Prior M, Vollbon W, Bosley E. Prehospital ST-Segment Elevation Myocardial Infarction (STEMI) in Queensland, Australia: findings from 11 years of the statewide prehospital reperfusion strategy. Prehosp Emerg Care. 2020;24(3):326–34. doi:10.1080/10903127.2019.1651433.
  • Bosson N, Sanko S, Stickney RE, Niemann J, French WJ, Jollis JG, Kontos MC, Taylor TG, Macfarlane PW, Tadeo R, et al. Causes of prehospital misinterpretations of ST elevation myocardial infarction. Prehospital Emerg Care. 2017;21(3):283–90. doi:10.1080/10903127.2016.1247200.
  • Youngquist ST, Kaji AH, Lipsky AM, Koenig WJ, Niemann JT. A Bayesian sensitivity analysis of out-of-hospital 12-lead electrocardiograms: implications for regionalization of cardiac care. Acad Emerg Med. 2007;14(12):1165–71. doi:10.1197/j.aem.2007.07.009.
  • Clark EN, Sejersten M, Clemmensen P, Macfarlane PW. Automated electrocardiogram interpretation programs versus cardiologists' triage decision making based on teletransmitted data in patients with suspected acute coronary syndrome. Am J Cardiol. 2010;106(12):1696–702. doi:10.1016/j.amjcard.2010.07.047.
  • Macfarlane PW, Browne D, Devine B, Clark E, Miller E, Seyal J, Hampton D. Modification of ACC/ESC criteria for acute myocardial infarction. J Electrocardiol. 2004;37:98–103. doi:10.1016/j.jelectrocard.2004.08.032.
  • Canto JG, Goldberg RJ, Hand MM, Bonow RO, Sopko G, Pepine CJ, Long T. Symptom presentation of women with acute coronary syndromes: myth vs reality. Arch Intern Med. 2007;167(22):2405–13. doi:10.1001/archinte.167.22.2405.
  • Canto JG, Rogers WJ, Goldberg RJ, Peterson ED, Wenger NK, Vaccarino V, Kiefe CI, Frederick PD, Sopko G, Zheng Z-J, et al. NRMI investigators for the. association of age and sex with myocardial infarction symptom presentation and in-hospital mortality. JAMA. 2012;307(8):813–22. doi:10.1001/jama.2012.199.
  • Summers RL, Cooper GJ, Woodward LH, Finerty L. Association of atypical chest pain presentations by African Americans and the lack of utilization of reperfusion therapy. Ethn Dis. 2001;11(3):463–8.
  • Pancholy SB, Shantha GPS, Patel T, Cheskin LJ. Sex differences in short-term and long-term all-cause mortality among patients with ST-segment elevation myocardial infarction treated by primary percutaneous intervention: a meta-analysis. JAMA Intern Med. 2014;174(11):1822–30. doi:10.1001/jamainternmed.2014.4762.
  • Haider A, Bengs S, Luu J, Osto E, Siller-Matula JM, Muka T, Gebhard C. Sex and gender in cardiovascular medicine: presentation and outcomes of acute coronary syndrome. Eur Heart J. 2020;41(13):1328–36. doi:10.1093/eurheartj/ehz898.
  • Hochman JS, Tamis JE, Thompson TD, Weaver WD, White HD, Van de Werf F, Aylward P, Topol EJ, Califf RM. Sex, clinical presentation, and outcome in patients with acute coronary syndromes. Global Use of Strategies to Open Occluded Coronary Arteries in Acute Coronary Syndromes IIb Investigators. N Engl J Med. 1999;341(4):226–32. doi:10.1056/NEJM199907223410402.
  • Green AR, Carney DR, Pallin DJ, Ngo LH, Raymond KL, Iezzoni LI, Banaji MR. Implicit bias among physicians and its prediction of thrombolysis decisions for black and white patients. J Gen Intern Med. 2007;22(9):1231–8. doi:10.1007/s11606-007-0258-5.
  • LaVeist TA, Morgan A, Arthur M, Plantholt S, Rubinstein M. Physician referral patterns and race differences in receipt of coronary angiography. Health Serv Res. 2002;37(4):949–62. doi:10.1034/j.1600-0560.2002.60.x.
  • Bosson N, Kaji AH, Niemann JT, Squire B, Eckstein M, French WJ, Rashi P, Tadeo R, Koenig W. The utility of prehospital ECG transmission in a large EMS system. Prehosp Emerg Care. 2015;19(4):496–503. doi:10.3109/10903127.2015.1005260.
  • Khan NA, Daskalopoulou SS, Karp I, Eisenberg MJ, Pelletier R, Tsadok MA, Dasgupta K, Norris CM, Pilote L, GENESIS PRAXY Team. Sex differences in acute coronary syndrome symptom presentation in young patients. JAMA Intern Med. 2013;173(20):1863–71. doi:10.1001/jamainternmed.2013.10149.
  • Steingart RM, Packer M, Hamm P, Coglianese ME, Gersh B, Geltman EM, Sollano J, Katz S, Moyé L, Basta LL, Lewis SJ, et al. Sex differences in the management of coronary artery disease. Survival and Ventricular Enlargement Investigators. N Engl J Med. 1991;325(4):226–30. doi:10.1056/NEJM199107253250402.
  • Glickman SW, Shofer FS, Wu MC, Scholer MJ, Ndubuizu A, Peterson ED, Granger CB, Cairns CB, Glickman LT. Development and validation of a prioritization rule for obtaining an immediate 12-lead electrocardiogram in the emergency department to identify ST-elevation myocardial infarction. Am Heart J. 2012;163(3):372–82. doi:10.1016/j.ahj.2011.10.021.
  • Palladino N, Shah A, McGovern J, Burns K, Coughlin R, Joseph D, Cone DC. STEMI equivalents and their incidence during EMS transport. Prehosp Emerg Care. 2021;1–7. doi:10.1080/10903127.2020.1863533.

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