Real-Time Detection and Alerting for Acute ST-Segment Elevation Myocardial Ischemia Using an Implantable, High-Fidelity, Intracardiac Electrogram Monitoring System With Long-Range Telemetry in an Ambulatory Porcine Model

Journal of the American College of Cardiology

Volumn 48, Issue 11, 2006, Pages 2306-2314

  Fischell, Tim A ^a   Fischell, David R ^b   Fischell, Robert E ^b   Virmani, Renu ^c   DeVries, Jennifer J ^d   Krucoff, Mitchell W ^e  

^a Borgess Heart Institute   (United States)

^b AngelMed Systems Inc   (United States)

^c CVPATH INSTITUTE   (United States)

^d MPI RESEARCH   (United States)

^e DUKE CLINICAL RESEARCH INSTITUTE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

COPPER DERIVATIVE;

ANIMAL EXPERIMENT; ANIMAL MODEL; ARTICLE; CARDIAC PATIENT; CORONARY ARTERY DISEASE; CORONARY STENT; ELECTROGRAPHY; HEART INFARCTION; HEART MUSCLE ISCHEMIA; HEART VENTRICLE FIBRILLATION; LEFT ANTERIOR DESCENDING CORONARY ARTERY; NONHUMAN; PRIORITY JOURNAL; REPERFUSION; SENSITIVITY AND SPECIFICITY; ST SEGMENT ELEVATION; SWINE; TELEMETRY; THROMBOSIS; TIME;

ACUTE DISEASE; ANIMALS; COMPUTER SYSTEMS; CORONARY DISEASE; CORONARY THROMBOSIS; DIFFERENTIAL THRESHOLD; ELECTROCARDIOGRAPHY; ELECTRODIAGNOSIS; EQUIPMENT DESIGN; FEASIBILITY STUDIES; MONITORING, AMBULATORY; MYOCARDIAL ISCHEMIA; PROSTHESES AND IMPLANTS; SENSITIVITY AND SPECIFICITY; STENTS; SWINE; TELEMETRY; VENTRICULAR FIBRILLATION;

EID: 33845224834     PISSN: 07351097     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jacc.2006.07.058     Document Type: Article

References (24)

1. American Heart Association. Heart and Stroke statistical Update (1999), American Heart Association, Dallas, TX
2. Canto J.G., Zalenski R.J., Ornato J.P., et al. Use of emergency medical services in acute myocardial infarction and subsequent quality of care observations from the national registry of myocardial infarction 2. Circulation 106 (2002) 3018-3023
3. Ryan T.J., Anderson J.L., Antman E.M., et al. The physician's role in minimizing pre-hospital delay in patients at high risk for acute myocardial infarction: recommendations from the National Heart Attach Alert Program. Working Group on Educational Strategies to Prevent Prehospital Delay in Patients at High Risk for Acute Myocardial Infarction. Ann Intern Med 126 (1997) 645-651
4. GISSI (Gruppo Italiano per lo Studio della Streptochinasi nel'Infarcto Miocardico). Effectiveness of intravenous thrombolytic treatment in acute myocardial infarction. Lancet 1 (1986) 397-402
5. Second International Study of Infarct Survival (ISIS-2) Collaborative Group. Randomized trial of intravenous streptokinase, oral aspirin, both or neither among 17,187 cases of suspected acute myocardial infarction. Lancet 2 (1988) 349-360
6. Grines C.L., Browne K.F., Marco J., et al. A comparison of immediate angioplasty with thrombolytic therapy for acute myocardial infarction. N Engl J Med 328 (1993) 673-679
7. Gibbons R.J., Holmes D.R., Reeder G.S., et al. Immediate angioplasty compared with the administration of a thrombolytic agent followed by conservative treatment for myocardial infarction. N Engl J Med 328 (1993) 685-691
8. Faxon D., and Lenfant C. Timing is everything: motivating patients to call 9-1-1 at onset of acute myocardial infarction. Circulation 104 (2001) 1210-1211
9. DeLuca G., Suryapranata H., Ottervanger J.P., and Antman E.M. Time delay to treatment and mortality in primary angioplasty for acute myocardial infarction. Every minute counts. Circulation 109 (2004) 1223-1225
10. Brown A.L., Mann C., Daya M., et al. Demographic, belief and situational factors influencing the decision to utilize emergency medical services among chest pain patients. Circulation 102 (2000) 173-178
11. Meischke H., Ho M.T., Eisenbert M.S., et al. Reasons patients with chest pain delay or do not call 911. Ann Emerg Med 25 (1995) 193-197
12. Chew D.P., Moliterno D.J., and Herrmann H.C. Present and potential future paradigms for the treatment of ST-segment elevation acute myocardial infarction. J Invasive Cardiol 14 Suppl A (2002) 3A-20A
13. Antman E.M., Anbe D.T., Armstrong P.W., et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction: executive summary: a report of the ACC/AHA Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines on the Management of Patients With Acute Myocardial Infarction). J Am Coll Cardiol 44 (2004) 671-719
14. Sekulic M., Hassunlzadeh B., McGraw S., and David S. Feasibility of early emergency room notification to improve door-to-balloon times for patients with acute ST segment elevation myocardial infarction. Cath Cardiovasc Intervent 66 (2005) 316-319
15. Luepker R.V., Raczynski J.M., Osganian S., et al. Effort of a community intervention on patient delay and emergency medical service use in acute coronary heart disease: the Rapid Early Action for Coronary Treatment (REACT) trial. JAMA 284 (2000) 60-67
16. Fischell T.A., Fischell D.R., Fischell R.E., et al. Potential of an intracardiac electrogram for the rapid detection of coronary artery occlusion. Cardiovasc Revasc Med 6 (2005) 14-20
17. Varriale P., and Niznik J. Unipolar ventricular electrogram in the diagnosis of right ventricular ischemic injury. Pacing Clin Electrophysiol 1 (1978) 335-341
18. Krucoff M.W., Parente A.R., Bottner R.K., et al. Stability of multi-lead ST segment "fingerprints" over time following angioplasty: a new approach to noninvasive detection of reocclusion. Am J Cardiol 61 (1988) 1232-1237
19. Wagner N.B., Sevilla D.C., Krucoff M.W., et al. Transient alterations of the QRS complex and ST segment during percutaneous transluminal balloon angioplasty of the right and left circumflex coronary arteries. Am J Cardiol 63 (1989) 1208-1213
20. Ikeno F., Rezaee M., Suzuki T., et al. Initial experience with novel 6F compatible helixicision system for debulking de novo coronary arterial lesions. Cathet Cardiovasc Intervent 63 (2004) 617-624
21. Siegel S., Brodman R., Fischer J., et al. Intracardiac electrode detection of early or subendocardial ischemia. Pacing Clin Electrophysiol 5 (1982) 892-902
22. Theres H., Stadler R.W., Stylos L., et al. Comparison of electrocardiogram and intrathoracic electrogram signals for detection of ischemic ST segment changes during normal sinus and ventricular paced rhythms. J Cardiovasc Electrophysiol 13 (2002) 990-995
23. Krucoff M.W., Croll M.A., Pope J.E., et al. Continuously updated 12-lead ST-segment recovery analysis for myocardial infarct artery patency assessment and its correlation with multiple simultaneous early angiographic observations. Am J Cardiol 71 (1993) 145-151
24. Hopenfeld B., Stinstra J., and MacLeod R. The effect of conductivity on ST-segment epicardial potentials arising form subendocardial ischemia. Ann Biomed Eng 33 (2005) 751-763