Applications compete with the medical ECG to identify fatal heart attacks



An international study, led by the Intermountain Medical Center Heart Institute, found that smartphone applications can determine if someone has ST-Elevation Myocardial Infarction.

STEMI is a heart attack in which the artery is completely blocked and requires rapid detection and treatment that saves the patient's life.

"The sooner you can open the artery, the better the patient will do," says J. Brent Muhlestein, MD, senior researcher and cardiovascular scientist at the Heart Institute Intermountain Medical Center. "We've found that this app can dramatically speed up things and save lives."

Intermountain Healthcare

According to Muhlestein, AliveCor's mobile healthcare provider, which is managed via a dual-wired smartphone, can immediately remove an electrocardiogram, send data to the cloud, where the cardiologist can check it, and if STEMI is found, the patient went to the hospital.

"If someone gets chest pain and has never had chest pain before, maybe they think it's just a mistake or gas and they will not go to emergency room," Muhlestein adds. "This is dangerous because the faster you open the blocked artery, the better the outcome of the patient."

In fact, scientists have found that the application has almost the same precision as a standard electrocardiogram (ECG) with 12 electrodes used to diagnose a heart attack.

See also: Mobile heart monitor is effective at detecting atrial fibrillation

The results of the study involving 204 chest pain patients who received both standard 12-lead ECG and ECG via the AliveCor application were presented on Sunday at the 2018 Scientific American Heart Association meeting in Chicago.

The application was able to clearly distinguish STEMI from ECGs other than STEMI with high sensitivity compared to traditional ECG with 12 effects, according to a study conducted at five international locations associated with the Duke University Cooperative Cardiovascular Society.

The Research Institute of the Intermountain Medical Center Heart Institute served as coordinating institution for which study data were collected and collected.

"We found that the application helped us very effectively diagnose heart attacks, and that does not mean that there was a heart attack when you did not," concludes Muhlestein.


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