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This is a randomized controlled trial (RCT) to test a novel artificial intelligence (AI)-enabled electrocardiogram (ECG)-based supporting tool for improving the diagnosis and management of ST-elevation myocardial infarction.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Patients randomized to intervention will have access to the screening tool. |
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| Control | No Intervention | Patients randomized to control will continue routine practice. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AI-enabled ECG-based Screening Tool | Other | Primary care clinicians in the intervention group had access to the report, which displayed whether the AI-ECG result was positive or negative.The system will send a message to corresponding physicians if positive finding. |
| Measure | Description | Time Frame |
|---|---|---|
| E2C (ECG to coronary angiography) time | Time from ECG to activation of coronary angiography for STEMI patients. | Within 6 hours |
| Measure | Description | Time Frame |
|---|---|---|
| E2B (ECG to primary percutaneous coronary intervention) time | Time from ECG to complete of primary percutaneous coronary intervention for STEMI patients. | Within 6 hours |
| D2B (Door to Balloon Time) time |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Defense Medical Center | Taipei | 114 | Taiwan |
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| ID | Term |
|---|---|
| D009203 | Myocardial Infarction |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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Time from first medical contact to complete of primary percutaneous coronary intervention for STEMI patients in emergency department.
| Within 6 hours |
| D2C (Door to coronary angiography) time | Time from first medical contact to activation of coronary angiography for STEMI patients in emergency department. | Within 6 hours |
| Ejection fractrion | Ejection fractrion primary percutaneous coronary intervention for STEMI patients. | Within 3 days |
| Highest concentration of high-sensitivity cardiac troponin I | After performing an electrocardiogram, the highest concentration of high-sensitivity cardiac troponin I was followed. | Within 3 days |
| Highest concentration of creatine kinase | After performing an electrocardiogram, the highest concentration of creatine kinase was followed. | Within 3 days |
| Length of hospitalization | After performing an electrocardiogram, the length of hospitalization. | Within 28 days |
| Number of CAG event | Number of CAG event | Within 6 hours |
| D007238 |
| Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |