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

Deborah B. Diercks, James D Kirk, Christopher J. Lindsell, Charles V. Pollack, James W. Hoekstra, W. Brian Gibler, Judd E. Hollander

Research output: Contribution to journalArticle

55 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1-7
Number of pages7
JournalAmerican Journal of Emergency Medicine
Volume24
Issue number1
DOIs
StatePublished - Jan 2006

ASJC Scopus subject areas

  • Emergency Medicine

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    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. American Journal of Emergency Medicine, 24(1), 1-7. https://doi.org/10.1016/j.ajem.2005.05.016