Factors associated with false-positive emergency medical services triage for percutaneous coronary intervention.

Background: In 2005, Orange County California Emergency Medical Services (EMS) initiated a field 12-lead program to minimize time to emergency percutaneous coronary intervention (PCI) for field-identified acute myocardial infarction (MI). As the program matured, "false-positive" (defined as no PCI or coronary artery occlusion upon PCI) field MI activations have been identified as a problem for the program.

Objectives: To identify potentially correctable factors associated with false-positive EMS triage to PCI centers.

Integration of pre-hospital electrocardiograms and ST-elevation myocardial infarction receiving center (SRC) networks: impact on Door-to-Balloon times across 10 independent regions.

Objectives: The aim of this study was to evaluate the rate of timely reperfusion for ST-elevation myocardial infarction (STEMI) with primary percutaneous coronary intervention (PPCI) in regional STEMI Receiving Center (SRC) networks.

Background: The American College of Cardiology Door-to-Balloon (D2B) Alliance target is a >75% rate of D2B View Article and Find Full Text PDF