The Influence of Acute Myocardial Infarction Checklist on the Door-to-Balloon Time

Study Overview
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Brief Summary
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This study was designed to investigate the influence of the acute myocardial infarction checklist on the door-to-balloon time in patients suffering from acute STEMI at Far Eastern Memorial Hospital

Official Title
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The Influence of Acute Myocardial Infarction Checklist on the Door-to-Balloon Time in Patients Suffering From Acute ST-Elevation Myocardial Infarction

Conditions
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Myocardial Infarction

Intervention / Treatment
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* Other: acute myocardial infarction checklist


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: all patients who presented to the emergency department of Far Eastern Memorial Hospital within 12 hours of the onset of ischemic chest pain patients with diagnostic criteria of acute ST-elevation myocardial infarction on electrocardiogram, e.g. at least 0.1 mV in two or more contiguous electrocardiographic leads or a new onset of bundle branch block patients were preparing for emergency cardiac catheterization Exclusion Criteria: patients who did not fulfill the diagnostic criteria of acute myocardial infarction on electrocardiogram patients who were not eligible for cardiac catheterization patients who refused cardiac catheterization patients who suffered from acute myocardial infarction after admission to ward or intensive care unit for any reason patients who had an ambiguous diagnosis that the decision of emergency cardiac catheterization was made after admission to ward or intensive care unit

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| intervention group<br>patients presented with acute ST-elevation myocardial infarction and received emergency cardiac catheterization between March 1, 2007 and Oct. 31, 2007 | Other: acute myocardial infarction checklist<br>* For every patient fulfilling the criteria of enrollment, an acute myocardial infarction checklist was incorporated into the patient's medical records at emergency department immediately after a diagnosis of acute ST-elevation myocardial infarction was made. All the time sequences concerning different managements at different locations were recorded by nurses and/or physicians as instructions on the checklist.<br>|
| control group<br>patients presented with acute ST-elevation myocardial infarction and received emergency cardiac catheterization between April 1, 2006 and Feb. 28, 2007 | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| median door-to-balloon time |  | at cath. lab | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| in-hospital mortality |  | at hospital discharge | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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myocardial infarction, catheterization, angioplasty, door-to-balloon time