Clean Sweep Live Auction on Wed. May 1st. Click to view the full inventory

DOTmed Home MRI Oncology Ultrasound Molecular Imaging X-Ray Cardiology Health IT Business Affairs
News Home Parts & Service Operating Room CT Women's Health Proton Therapy Endoscopy HTMs Pediatrics
Current Location:
> This Story

Log in or Register to rate this News Story
Forward Printable StoryPrint Comment




Cardiology Homepage

Israeli researchers develop first 3D heart from patient's biological materials A first — complete with blood vessels, ventricles and cells

Using comic illustrations to support patient understanding of cardiac catheterization Making patients more satisfied, less anxious and more informed

Medical community finds ways to make TAVR safer for at-risk patients Improving outcomes with special procedures

New ultrasound tech could help detect pediatric congenital heart disease Visualizes structure and blood flow of babies' hearts

Mick Jagger resting after TAVR heart surgery The 75 year old rock star is reportedly recovering from the operation at New York Presbyterian

DHS warns some Medtronic implantable defibrillators vulnerable to hacking Software patch should resolve issue, recall not expected

New AI software identifies make and model of cardiac implants in seconds Speed up diagnosis and delivery of treatment for patients with faulty devices

Getting to the heart of cardiac ultrasound technology From premium systems to point of care, an expanding market

FDA gives thumbs-up to Genetesis MCG cardiac imaging system Measures magnetic fields produced by heart's electrical activity

Apple study suggests wearable technology may be useful in detecting atrial fibrillation May assist in stroke and hospitalization prevention

Notifying cardiac catherization labs may
ensure more positive outcomes for
STEMI patients transported by
EMS teams

Pre-activating cardiac catherization labs benefits EMS STEMI patients on arrival

by John R. Fischer , Staff Reporter
Notifying a cardiac catherization lab prior to EMS arrivals could mean a difference in outcome for patients with ST–elevation myocardial infarction (STEMI), says a new study.

Researchers at Duke University found higher chances of survival among patients transported by emergency medical service teams who contacted and pre-activated labs prior to their arrival, a task that often is hindered by confusion as to where this responsibility lies.

Story Continues Below Advertisement

Servicing GE Nuclear Medicine equipment with OEM trained engineers

We offer full service contracts, PM contracts, rapid response, time and material,camera relocation. Nuclear medicine equipment service provider since 1975. Click or call now for more information 800 96 NUMED

“Many times it is unclear who needs to pre-activate the cath lab,” lead study author Jay S. Shavadia, MD, a cardiologist and researcher from Duke University Medical Center and the Duke Clinical Research Institute, told HCB News. “Is it the EMS, the receiving cardiologist, the interventional cardiologist?

Low rates of pre-activation further risks of disability and death among STEMI patients and are a predicament in the U.S. where cardiac catherization labs are notified at least ten minutes prior to arrival only 41 percent of the time.

Notifying labs beforehand increases the potential for EMS-transported STEMI patients to bypass typical protocols for entering the emergency department first, allowing them to go directly to the cardiac catherization lab. This, in the process, saves critical minutes, with the amount of time afforded to pre-activating a cath lab making a significant difference in patient outcomes, according to the findings.

Shavadia and his colleagues came to these conclusions through their analysis of data on 27,840 pre-hospital identified STEMI patients from within the ACTION Registry, now known as the Chest Pain – MI Registry. Patients were transported to 744 primary percutaneous coronary intervention (PCI)-capable hospitals with cath labs, where they were treated between January 2015 and March 2017.

Median door-to-device time, defined as the time between when a patient arrives and when they are implanted with a balloon and stent to open a cardiac blockage, decreased by 12 minutes. In addition, a higher proportion of patients came into contact with EMS personnel and underwent balloon and stent implantation in less than 90 minutes at once compared to those in hospitals with no cath lab pre-activation.

Findings also revealed a lower likelihood of reperfusion delay for patients presenting during both work and off-hours associated with efficient pre-activation, as well as lower, risk-adjusted, in-hospital mortality, compared to hospitals with lower notification times.

Shavadia says the application of such findings could assist in offsetting the impact of challenges that prevent EMS personnel from activating labs in advance.

“A STEMI diagnosis needs to be confirmed by a cardiologist after speaking with EMS on the field and review of the ECG – this is often a challenge,” he said.

The findings are available in JACC: Cardiovascular Interventions.

Cardiology Homepage

You Must Be Logged In To Post A Comment

Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Gold Service Dealer Program
Receive RFP/PS
Healthcare Providers
See all
HCP Tools
A Job
Parts Hunter +EasyPay
Get Parts
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to DOTmed.com, Inc. Copyright ©2001-2019 DOTmed.com, Inc.