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Arinaga T, Suematsu Y, Nakamura A, Imaizumi T, Hanaoka Y, Takagi T, Koga H, Tanaka H, Shokyu Y, Miura SI. The Effectiveness of Mobile Cloud 12-Lead Electrocardiogram Transmission System in Patients with ST-Segment Elevation Myocardial Infarction. Medicina (B Aires) 2022; 58:medicina58020247. [PMID: 35208570 PMCID: PMC8876768 DOI: 10.3390/medicina58020247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Revised: 02/03/2022] [Accepted: 02/03/2022] [Indexed: 11/16/2022] Open
Abstract
Backgroundand Objectives: Delay of reperfusion therapy is related to high mortality in cases of ST-segment elevation myocardial infarction (STEMI). Guidelines emphasize that the first-medical-contact-to-balloon (FMCTB) time should be within 90 min. A mobile cloud-based 12-lead electrocardiogram (MC-ECG) transmission system might be useful in such cases, especially in rural areas. Materials and Methods: From April 2019 to June 2021, both an MC-ECG transmission system and the conventional method in which a physician checks the ECG in a hospital (Conventional) were used for transport by emergency medical services in Shin-Yukuhashi Hospital, Fukuoka, Japan. During this period, 8684 consecutive patients were transported to this hospital. Among them, we investigated 48 STEMI patients. The MC-ECG group (n = 23) and the Conventional group (n = 25) were enrolled. Results: There was no significant difference in FMCTB time between the MC-ECG and Conventional groups (MC-ECG: 72.0 (60.5–107) min vs. Conventional: 80.0 (63.0–92.0) min, p = 0.77). The length of hospital stay in the MC-ECG group was significantly shorter than that in the Conventional group (12.0 (10.0–15.0) days vs. 16.0 (12.0–19.0) days, p = 0.039). The logistic regression model showed that patients’ non-use of MC-ECG was associated with a risk of more than 15-day length of hospital stay with an adjusted odd ratio of 0.08 (95% CI: 0.013–0.55, p = 0.0098). Conclusions: Using the MC-ECG, the length of hospital stay in patients with STEMI was significantly reduced.
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Affiliation(s)
- Toyonori Arinaga
- Department of Cardiology, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan; (T.A.); (Y.S.)
- Department of Cardiology, Shin-Yukuhashi Hospital, Fukuoka 814-0180, Japan; (A.N.); (T.I.); (Y.H.); (T.T.); (H.K.)
| | - Yasunori Suematsu
- Department of Cardiology, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan; (T.A.); (Y.S.)
| | - Ayumi Nakamura
- Department of Cardiology, Shin-Yukuhashi Hospital, Fukuoka 814-0180, Japan; (A.N.); (T.I.); (Y.H.); (T.T.); (H.K.)
| | - Tomoki Imaizumi
- Department of Cardiology, Shin-Yukuhashi Hospital, Fukuoka 814-0180, Japan; (A.N.); (T.I.); (Y.H.); (T.T.); (H.K.)
| | - Yohsuke Hanaoka
- Department of Cardiology, Shin-Yukuhashi Hospital, Fukuoka 814-0180, Japan; (A.N.); (T.I.); (Y.H.); (T.T.); (H.K.)
| | - Toshimitsu Takagi
- Department of Cardiology, Shin-Yukuhashi Hospital, Fukuoka 814-0180, Japan; (A.N.); (T.I.); (Y.H.); (T.T.); (H.K.)
| | - Hidenobu Koga
- Department of Cardiology, Shin-Yukuhashi Hospital, Fukuoka 814-0180, Japan; (A.N.); (T.I.); (Y.H.); (T.T.); (H.K.)
| | - Hironori Tanaka
- Department of Emergency and Critical Care Medicine, Shin-Yukuhashi Hospital, Fukuoka 824-0026, Japan; (H.T.); (Y.S.)
| | - Yasuhiko Shokyu
- Department of Emergency and Critical Care Medicine, Shin-Yukuhashi Hospital, Fukuoka 824-0026, Japan; (H.T.); (Y.S.)
| | - Shin-ichiro Miura
- Department of Cardiology, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan; (T.A.); (Y.S.)
- Department of Cardiology, Fukuoka University Nishijin Hospital, Fukuoka 814-8522, Japan
- Correspondence: ; Tel.: +81-92-801-1011; Fax: +81-92-865-2692
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Futami M, Komaki T, Arinaga T, Morii J, Sugihara M, Ogawa M, Miura SI. Postural Conversion Computed Tomography for the Diagnosis of Pneumopericardium due to Perforation by the Active Atrial Lead. Intern Med 2020; 59:541-544. [PMID: 31645534 PMCID: PMC7056372 DOI: 10.2169/internalmedicine.3729-19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
A 71-year-old woman with cardiac sarcoidosis underwent an implantable cardioverter-defibrillator implantation in the left precordium to prevent fatal arrhythmias. Two weeks later, she presented with dyspnea. Chest X-ray revealed right pneumothorax due to the active atrial lead perforation. Subsequently, air was detected surrounding the heart. Although it was difficult to differentiate pneumopericardium from pneumomediastinum, postural conversion computed tomography (CT) in the supine and prone positions documented air migration in the pericardial cavity and diagnosed pneumopericardium. This rare case of pneumopericardium combined with pneumothorax contralateral to the venous access site highlights the utility of postural conversion CT for diagnosis of pneumopericardium.
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Affiliation(s)
- Makito Futami
- Department of Cardiology, Fukuoka University School of Medicine, Japan
| | - Tomo Komaki
- Department of Cardiology, Fukuoka University School of Medicine, Japan
| | - Toyonori Arinaga
- Department of Cardiology, Fukuoka University School of Medicine, Japan
| | - Joji Morii
- Department of Cardiology, Fukuoka University School of Medicine, Japan
| | - Makoto Sugihara
- Department of Cardiology, Fukuoka University School of Medicine, Japan
| | - Masahiro Ogawa
- Department of Cardiology, Fukuoka University School of Medicine, Japan
| | - Shin-Ichiro Miura
- Department of Cardiology, Fukuoka University School of Medicine, Japan
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