Evidence map›Paper›PMID 33710375›Full record

ArticleHeart and vessels2021

Clinical significance of prehospital 12-lead electrocardiography in patients with ST-segment elevation myocardial infarction presenting with syncope: from a multicenter observational registry (K-ACTIVE study).

Nobuhiro Sato, Yoshiyasu Minami, Junya Ako, Atsuo Maeda, Yoshihiro Akashi, Yuji Ikari, Toshiaki Ebina, Kouichi Tamura, Atsuo Namiki, Kazuki Fukui and 3 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Heart and vessels, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Nobuhiro SatoDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Kitasato University Hospital, 1-15-1 Kitasato, Minami-ku, Sagamihara, 252-0375, Japan.
Yoshiyasu MinamiDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Kitasato University Hospital, 1-15-1 Kitasato, Minami-ku, Sagamihara, 252-0375, Japan. nrg12391@yahoo.co.jp.ORCID http://orcid.org/0000-0003-2745-9682
Junya AkoDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Kitasato University Hospital, 1-15-1 Kitasato, Minami-ku, Sagamihara, 252-0375, Japan.
Atsuo MaedaShowa University Fujigaoka Hospital, Yokohama, Japan.
Yoshihiro AkashiSt. Mariannna University School of Medicine, Kawasaki, Japan.
Yuji IkariTokai University School of Medicine, Isehara, Japan.
Toshiaki EbinaYokohama City University Medical Center, Yokohama, Japan.
Kouichi TamuraYokohama City University Graduate School of Medicine, Yokohama, Japan.
Atsuo NamikiKanto Rosai Hospital, Kawasaki, Japan.
Kazuki FukuiKanagawa Cardiovascular and Respiratory Center, Yokohama, Japan.
Ichiro MichishitaYokohama Sakae Kyosai Hospital, Yokohama, Japan.
Kazuo KimuraYokohama City University Medical Center, Yokohama, Japan.
Hiroshi SuzukiShowa University Fujigaoka Hospital, Yokohama, Japan.

Funding

JSPS KAKENHI JP15K09101
6 · The paper itself

Abstract

Patients with acute myocardial infarction (AMI) presenting with syncope have poor clinical outcomes partly due to a delay in the diagnosis. Although the impact of prehospital 12-lead electrocardiography (PHECG) on the reduction of first medical contact (FMC)-to-device time and subsequent adverse clinical events in patients with AMI has been demonstrated, the impact of PHECG for the patients presenting with syncope remains to be elucidated. This study aimed to explore the impact of PHECG on 30-day mortality in patients with ST-segment elevation myocardial infarction (STEMI) presenting with syncope. From a cohort of multi-center registry [Kanagawa-ACuTe cardIoVascular rEgistry (K-ACTIVE)], a total of 90 consecutive patients with STEMI presenting with syncope were included. The 30-day mortality were compared between patients with PHECG (PHECG group, n = 25) and those without PHECG (non-PHECG group, n = 65). There was no significant difference in the baseline clinical characteristics between the 2 groups. FMC-to-device time was significantly shorter in the PHECG group than in the non-PHECG group (122 [86, 128] vs. 131 [102, 153] min, p = 0.03) due to the shorter door-to-device time. Thirty-day mortality was significantly lower in the PHECG group than in the non-PHECG group (16.0 vs. 44.6%, p = 0.03). In conclusion, PHECG was associated with shorter FMC-to-device time and lower 30-day mortality in patients with STEMI presenting with syncope.

Indexed as

Percutaneous Coronary InterventionST Elevation Myocardial InfarctionElectrocardiographyEmergency Medical ServicesHumansRegistriesSyncopeTime FactorsAcute coronary syndromeEmergency medical servicePrehospital triagePrimary percutaneous coronary intervention

Identifiers

PMID33710375

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.