This study aims to determine whether prehospital 12 lead ECG telemetry decreases the time to reperfusion in patients presenting with STEMI. A randomised controlled trial will be conducted in Gauteng and the Western Cape among 100 adult patients (\>18 years) presenting with ST-elevation myocardial infarction according to a specific inclusion and exclusion criteria outlined in the full protocol. Consenting patients will be randomly assigned to have their prehospital ECG sent to the receiving cardiac facility or not. The onset-to-reperfusion and door-to-reperfusion times will be recorded and compared between the two groups by using the Fisher's exact test and a simple unpaired Student's t-test. Data will also be subjected to multivariate analysis of variance to test for statistical significance within a variety of factors that may influence reperfusion times.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
19
ER24 Gauteng Region
Johannesburg, Gauteng, South Africa
ER24 Western Cape Region
Cape Town, Western Cape, South Africa
Reperfusion Time
This outcome measures the time it takes to reperfuse a coronary artery in STEMI
Time frame: At the first moment of reperfusion, from the date of randomisation up to 14 days
Prehospital Time
The prehospital time is the total time from arrival at the patient to arrival at the hospital
Time frame: On arrival at hospital; from the time of randomisation up to six hours
Onset to reperfusion time
This pertains to the time it takes from the moment of first onset of symptoms to the first moment of reperfusion
Time frame: At the first moment of reperfusion, from the date of randomisation up to 14 days
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