The impact of early pre-hospital ventricular tachycardia/fibrillation detected by TTECG on in-hospital mortality on patients with ST segment elevation myocardial infarction treated with primary percutaneous coronary intervention

Abstract

our findings indicate that a previously published higher in-hospital survival rate of STEMI patients elicited by TTECG-based consultation [8] may be associated with better coronary flow in response to an improved pre-hospital medical therapy. According to our data: 1) an early, TTECG-facilitated diagnosis of STEMI and a triage of patients and 2) optimal pre-hospital antithrombotic therapy (administration of ASA and/or clopidogrel and GP IIb/IIIa inhibitor) are important predictors of a lower in-hospital mortality rate (i.e. higher survival rate). On the other hand, age, AHF and pre-hospital VT/VF were the most important independent predictors of an increased risk of hospital mortality.