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Register:	ISRCTN
Last refreshed on:	5 June 2018
Main ID:	ISRCTN40431563
Date of registration:	04/05/2018
Prospective Registration:	No
Primary sponsor:	Presov University, Faculty of Health Care
Public title:	New mobile application reduces the time lost in patients with a heart attack
Scientific title:	Significant benefits of new communication technology for time delay management in STEMI patients.
Date of first enrolment:	01/08/2016
Target sample size:	220
Recruitment status:	Completed
URL:	http://isrctn.com/ISRCTN40431563
Study type:	Observational
Study design:	Longitudinal case series observational single centre study (Treatment)
Phase:

Countries of recruitment
Slovakia

Contacts

Name:	Martin Studencan
Address:	Teaching Hospital of J.A.Reiman Cardiology Clinic Holleho 14 08001 Presov Slovakia
Telephone:
Email:
Affiliation:

Name:
Address:
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Key inclusion & exclusion criteria

Inclusion criteria: 1. Adult age 45 - 86
2. Suffering from chest pain
3. Visited by EMS staff once ECG has been recorded and suspicion raised about STEMI
Exclusion criteria: No specified exclusion criteria.

Age minimum:
Age maximum:
Gender: Both

Health Condition(s) or Problem(s) studied

ST-elevation myocardial infarction (STEMI)
Circulatory System
ST-elevation myocardial infarction (STEMI)

Intervention(s)

Paramedics in the field spend 2 months responding to chest pain calls using no remote ECG evaluation and medical treatment as normal. They then spend 5 months responding to calls of chest pain, using smartphone technology to communicate with specialists in the local cardiocentre, aiming to evaluate the ECG and establish a diagnosis of STEMI remotely. If this is confirmed, they arrange primary transportation of the patient to the cathlab.

Primary Outcome(s)

1. Total ischemic period measured using time interval between symptom onset (according to the patient, stated in medical records) and time of PCI procedure (moment of PCI wire insertion) stated in medical records by cardiologist performing the procedure.
2. Proportion of unwanted secondary transportation calculated using information from medical records. The number of STEMI patients transported to the cardiocentre by EMS via secondary transportations is compared to the number of all STEMI patients.

Secondary Outcome(s)

Technological reliability of the communication technology is assessed by measurement of an ECG transmission time. If the transmission fails or if it overcame 3 minutes – it is considered to be unsuccessful. Transmission within 3 minutes is considered to be successful.

Secondary ID(s)

appSTEMI trial

Source(s) of Monetary Support

Presov University

Secondary Sponsor(s)

Ethics review

Status:
Approval date:
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Ethics approval not required: retrospective observational study, only anonymous data analysis and reporting. No medication but standard medical care was applied. Use of new communication technology has been used.

Results

Results available:	Yes
Date Posted:
Date Completed:	12/09/2017
URL:

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