Myocardial Infarction, Acute
Conditions
Brief summary
This is a randomized controlled trial (RCT) to test a novel artificial intelligence (AI)-enabled electrocardiogram (ECG)-based supporting tool for improving the diagnosis and management of ST-elevation myocardial infarction.
Interventions
Primary care clinicians in the intervention group had access to the report, which displayed whether the AI-ECG result was positive or negative.The system will send a message to corresponding physicians if positive finding.
Sponsors
National Defense Medical Center, Taiwan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients in emergency department or inpatient department. * Patients recieved at least 1 ECG examination.
Exclusion criteria
* The patients recieved ECG at the period of inactive AI-ECG system.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| E2C (ECG to coronary angiography) time | Within 6 hours | Time from ECG to activation of coronary angiography for STEMI patients. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| D2B (Door to Balloon Time) time | Within 6 hours | Time from first medical contact to complete of primary percutaneous coronary intervention for STEMI patients in emergency department. |
| D2C (Door to coronary angiography) time | Within 6 hours | Time from first medical contact to activation of coronary angiography for STEMI patients in emergency department. |
| Ejection fractrion | Within 3 days | Ejection fractrion primary percutaneous coronary intervention for STEMI patients. |
| E2B (ECG to primary percutaneous coronary intervention) time | Within 6 hours | Time from ECG to complete of primary percutaneous coronary intervention for STEMI patients. |
| Highest concentration of creatine kinase | Within 3 days | After performing an electrocardiogram, the highest concentration of creatine kinase was followed. |
| Length of hospitalization | Within 28 days | After performing an electrocardiogram, the length of hospitalization. |
| Number of CAG event | Within 6 hours | Number of CAG event |
| Highest concentration of high-sensitivity cardiac troponin I | Within 3 days | After performing an electrocardiogram, the highest concentration of high-sensitivity cardiac troponin I was followed. |
Countries
Taiwan
Outcome results
None listed