{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T22:40:33Z","timestamp":1780440033968,"version":"3.54.1"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2020,10,8]],"date-time":"2020-10-08T00:00:00Z","timestamp":1602115200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,10,8]],"date-time":"2020-10-08T00:00:00Z","timestamp":1602115200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Charit\u00e9"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Med Klin Intensivmed Notfmed"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>In case of suspected acute coronary syndrome (ACS), international guidelines recommend to obtain a\u00a012-lead ECG as soon as possible after first medical contact, to administrate platelet aggregation inhibitors and antithrombins, and to transfer the patient as quickly as possible to an emergency department.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A\u00a0German emergency care service database was retrospectively analysed from 2014 to 2016. Data were tested for normal distribution and the Mann\u2013Whitney test was used for statistical analysis. Results are presented as medians (IQR).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 1424\u00a0patients with suspected ACS were included in the present analysis. A\u00a012-lead ECG was documented in 96% of patients (<jats:italic>n<\/jats:italic>\u202f=\u20091369). The prehospital incidence of ST-segment elevation myocardial infarction (STEMI) was 18% (<jats:italic>n<\/jats:italic>\u202f=\u2009250). In 981\u00a0patients (69%), acetylsalicylic acid (ASA), unfractionated heparin (UFH), or ASA and UFH was given. Time in prehospital care differed significantly between non-STEMI (NSTEMI) ACS (37\u00a0[IQR\u00a030, 44] min) and STEMI patients (33\u00a0[IQR\u00a026, 40] min, <jats:italic>n<\/jats:italic>\u202f=\u20091395, <jats:italic>p<\/jats:italic>\u202f&lt;\u20090.0001). Most of NSTEMI ACS and STEMI patients were brought to the emergency care unit, while 30% of STEMI patients were directly handed over to a\u00a0cardiac catheterization laboratory.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Prehospital ECG helps to identify patients with STEMI, which occurs in 18% of suspected ACS. Patients without ST-elevations suffered from longer prehospital care times. Thus, it is tempting to speculate that ST-elevations in patients prompt prehospital medical teams to act more efficiently while the absence of ST-elevations even in patients with suspected ACS might cause unintended delays. Moreover, this analysis suggests the need for further efforts to make the cardiac catheterization laboratory the standard hand-over location for all STEMI patients.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00063-020-00739-3","type":"journal-article","created":{"date-parts":[[2020,10,8]],"date-time":"2020-10-08T14:08:43Z","timestamp":1602166123000},"page":"694-697","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Prehospital management of patients with suspected acute coronary syndrome","Pr\u00e4klinisches Management von Patienten mit akuter Angina-pectoris-Symptomatik"],"prefix":"10.1007","volume":"116","author":[{"given":"V.-S.","family":"Eckle","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Lehmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Drexler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,10,8]]},"reference":[{"key":"739_CR1","unstructured":"Adler C, Baldus S (2019) Troponin elevation-does every patient require coronary angiography? 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