False Activations for ST-Segment Elevation Myocardial Infarction

Interv Cardiol Clin. 2016 Oct;5(4):451-469. doi: 10.1016/j.iccl.2016.06.002. Epub 2016 Aug 5.

Abstract

First-medical-contact-to-device (FMC2D) times have improved over the past decade, as have clinical outcomes for patients presenting with ST-elevation myocardial infarction (STEMI). However, with improvements in FMC2D times, false activation of the cardiac catheterization laboratory (CCL) has become a challenging problem. The authors define false activation as any patient who does not warrant emergent coronary angiography for STEMI. In addition to clinical outcome measures for these patients, STEMI systems should collect data regarding the total number of CCL activations, the total number of emergency coronary angiograms, and the number revascularization procedures performed.

Keywords: Assessment; False activation; Primary percutaneous coronary intervention; Quality improvement; Quality outcomes; ST-elevation myocardial infarction; Systems of care.

Publication types

  • Review

MeSH terms

  • Coronary Angiography
  • Electrocardiography
  • Emergency Medical Services
  • Health Services Accessibility*
  • Health Services Misuse / prevention & control
  • Health Services Misuse / statistics & numerical data*
  • Humans
  • Outcome and Process Assessment, Health Care
  • Percutaneous Coronary Intervention*
  • ST Elevation Myocardial Infarction / therapy*
  • Time-to-Treatment