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Implementation of an ST- segment elevation myocardial infarction bypass protocol in the northern United Arab Emirates

journal contribution
posted on 22.07.2019, 00:00 authored by Alan BattAlan Batt, AS Al-Hajeri, Shannon DelportShannon Delport, SM Jenkins, SE Norman, FH Cummins
Objective: The aim was to evaluate the translation of an ST‑segment elevation myocardial infarction (STEMI) bypass protocol to the outcomes of patients with acute coronary syndrome in the Emirate of Ras al‑Khaimah in the United Arab Emirates (UAE). Methods: A prospective cohort study was conducted, which included all patients who had a prehospital 12‑lead electrocardiogram (ECG) performed by ambulance crews. Analysis of those who were identified as having STEMI and who subsequently underwent percutaneous coronary intervention (PCI) was performed. Results: A total of 152 patients had a 12‑lead ECG performed during the pilot study period (February 24, 2016–August 31, 2016) with 118 included for analysis. Mean patient age was 52 years. There were 87 male (74%) and 31 female (26%) patients. Twenty‑nine patients suffered a STEMI, and data were available for 11 who underwent PCI. There was no mortality, and no major adverse cardiac events were reported. The median door‑to‑balloon (D2B) time was 73 min (range 48–124), and 81% of patients had a D2B time < 90 min. Discharge data were available for six patients: All were discharged home with no impediments to rehabilitation. Conclusion: This pilot study has demonstrated agreement with the existing literature surrounding prehospital ECG and PCI activation in an unstudied STEMI population and in a novel clinical setting. It has demonstrated a D2B time of < 90 min in over 80% of STEMI patients, and a faster mean D2B time than self‑presentations (mean 77 min vs. 113 min), with no associated mortality

History

Volume

19

Issue

4

Start Page

121

End Page

127

Number of Pages

7

ISSN

0976-5123

Publisher

Medknow Publications

Additional Rights

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Peer Reviewed

Yes

Open Access

Yes

External Author Affiliations

National Ambulance, Abu Dhabi; Cardiff University, UK;

Era Eligible

Yes

Journal

Heart Views