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Smartphone ECG for evaluation of ST-segment elevation myocardial infarction (STEMI): Design of the ST LEUIS International Multicenter Study
Authors:Alejandro Barbagelata  Charles F. Bethea  Harry W. Severance  Robert J. Mentz  David Albert  Gregory W. Barsness  Viet T. Le  Jeffrey L. Anderson  T. Jared Bunch  Frank Yanowitz  Benjamin Chisum  Brianna S. Ronnow  Joseph B. Muhlestein
Affiliation:1. Catholic University, Buenos Aires, Argentina;2. Integris Heart Hospital, Oklahoma City, OK, United States;3. Erlanger Institute for Clinical Research, UT College of Medicine, Chattanooga, TN, United States;4. Duke University, Durham, NC, United States;5. AliveCor? Corporation, San Francisco, CA, United States;6. Mayo Clinic, Rochester, MN, United States;7. Intermountain Medical Center, Intermountain Heart Institute, Salt Lake City, UT, United States;8. The University of Utah, Department of Internal Medicine, Salt Lake City, UT, United States;9. Stanford University, Department of Internal Medicine, Palo Alto, CA, United States
Abstract:In patients experiencing an ST-elevation myocardial infarction (STEMI), rapid diagnosis and immediate access to reperfusion therapy leads to optimal clinical outcomes. The rate-limiting step in STEMI diagnosis is the availability and performance of a 12–lead ECG. Recent technology has provided access to a reliable means of obtaining an ECG reading through a smartphone application (app) that works with an attachment providing all 12–leads of a standard ECG system. The ST LEUIS study was designed to validate the smartphone ECG app and its ability to accurately assess the presence or absence of STEMI in patients presenting with chest pain compared with the gold standard 12–lead ECG. We aimed to support the diagnostic utility of smartphone technology to provide a timely diagnosis and treatment of STEMI. The study will take place over 12 months at five institutions. Approximately 60 patients will be enrolled per institution, for a total recruitment of 300 patients.
Keywords:ECG  STEMI  Smartphone  Myocardial infarction
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