Medical history of coronary artery disease and time to electrocardiogram in the emergency department: a real-life, single-center, retrospective analysis

Timely acquisition of 12-lead Electrocardiogram (ECG) in the emergency department (ED) is crucial and recommended by current guidelines. To evaluate the association of medical history of coronary artery disease (hCAD) on door-to-ECG time in the ED. In this single center, retrospective cohort study,...

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Bibliographic Details
Published in:BMC cardiovascular disorders 2021-10, Vol.21 (1), p.480-480, Article 480
Main Authors: Heger, Lukas Andreas, Glück, Tina, Kaier, Klaus, Hortmann, Marcus, Rieder, Marina, Siegel, Patrick M, Diehl, Philipp, Wengenmayer, Tobias, Olivier, Christoph B, Bode, Christoph, Busch, Hans-Joerg, Duerschmied, Daniel, Ahrens, Ingo
Format: Article
Language:English
Subjects:
Acute coronary syndromes
After-Hours Care
Aged
Aged, 80 and over
Angina pectoris
Angioplasty
Cardiac Evaluation
Cardiology Service, Hospital
Cardiovascular disease
Chest pain unit
Coronary Angiography
Coronary artery
Coronary artery disease
Coronary Artery Disease - diagnosis
Coronary heart disease
Coronary vessels
Diabetes
Diagnosis
Door-to-coronary-angiography
Door-to-ECG time
EKG
Electrocardiogram
Electrocardiography
Emergency department
Emergency medical care
Emergency service
Emergency Service, Hospital
Emergency services
Female
Health care access
Heart
Heart attacks
Heart diseases
Heart failure
Hospitals
Humans
Hypertension
Male
Medical history
Medical imaging
Medical referrals
Middle Aged
Multivariate analysis
Normal distribution
Pain
Patients
Predictive Value of Tests
Registries
Regression analysis
Retrospective Studies
Risk Assessment
Risk Factors
Symptom Assessment
Time Factors
Vein & artery diseases
Workflow
Citations: Items that this one cites
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Description
Summary:Timely acquisition of 12-lead Electrocardiogram (ECG) in the emergency department (ED) is crucial and recommended by current guidelines. To evaluate the association of medical history of coronary artery disease (hCAD) on door-to-ECG time in the ED. In this single center, retrospective cohort study, patients admitted to ED for cardiac evaluation were grouped according to hCAD and no hCAD. The primary outcome was door-to-ECG time. A multivariate analysis adjusted for the cofounders sex, age, type of referral and shift was performed to evaluate the association of hCAD with door-to-ECG time. 1101 patients were included in this analysis. 362 patients (33%) had hCAD. Patients with hCAD had shorter door-to-ECG time (20 min. [Inter Quartile Range [IQR] 13-30] vs. 22 min. [IQR 14-37]; p 
ISSN:1471-2261
1471-2261
DOI:10.1186/s12872-021-02274-1