Early cardiologist input via LIFENET ECG transmission and pre-hospital thrombolysis achieves improved lysis times for STEMI in a rural setting
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The rate of failed fibrinolysis in rural areas is approximately 30%, requiring rescue PCI.
“The rate of failed fibrinolysis in rural areas is approximately 30% [18,19], requiring rescue PCI.”
From Rural and Remote Cardiology During the COVID-19 Pandemic: Cardiac Society of Australia and New Zealand (CSANZ) Consensus Statement (2020) · cites this paper as [18]
The Methods/Results passage (page not provided) reports that 65 of 104 thrombolysed STEMI patients in Western NSW successfully reperfused, implying about 38% did not—rather than approximately 30%. It does not say that those patients required rescue PCI, and its regional cohort does not establish a rate for rural areas generally. (LLM, conf=0.86)
Experimental — accuracy not yet measuredEarly specialist input improves outcomes and delivers more cost-effective care closer to patients' homes.
“Early specialist input improves outcomes and delivers more cost-effective care closer to patients' homes [18].”
From Rural and Remote Cardiology During the COVID-19 Pandemic: Cardiac Society of Australia and New Zealand (CSANZ) Consensus Statement (2020) · cites this paper as [18]
The Results and Conclusion (page not available) report shorter treatment times with pre-hospital thrombolysis and suggest that early cardiologist input could further improve treatment times and reduce mortality in rural STEMI patients. The observed treatment-time trend specifically associated with early cardiologist input was not statistically significant. The paper does not establish improved patient outcomes or assess cost-effectiveness. (LLM, conf=0.88)
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Arnold, R. H., Tideman, P. A., Devlin, G. P., Carroll, G. E., Elder, A., Lowe, H., Macdonald, P. S., Bannon, P. G., Juergens, C., McGuire, M., et al. (2020) · Heart, Lung and Circulation · doi:10.1016/j.hlc.2020.05.001 · Cited by 38 · see citing works
“The rate of failed fibrinolysis in rural areas is approximately 30% [18,19], requiring rescue PCI.”
Self-citationArnold, R. H., Luscombe, G. M., Edwards, S., Ryan, E., Faddy, S. C., Gadeley, R., Larnach, G., Lowe, H. C., Juergens, C., Hawke, C. I., et al. (2025) · Heart Lung and Circulation · doi:10.1016/j.hlc.2024.11.029 · Cited by 4 · see citing works
Self-citation
- Authors
- Elder, A., Dunkerton, S., Arnold, R., French, A., Amos, D., Ryan, E., Faddy, S., & McMullen, M.
- Affiliations
- Royal Prince Alfred Hospital (AU)
- NSW Ambulance (AU)
- Corresponding author
- Elder, A.
- Venue
- Heart, Lung and Circulation
- Publisher
- Elsevier BV
- Published
- 2016-08
- Volume
- 25
- Pages
- S269
- ISSN
- 1443-9506 (ISSN-L)
- OpenAlex
- W2501838964
- Cited by
- 2
- References
- 0
- Citations by year
- 2025: 1 · 2020: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Heart Lung and Circulation (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Acute Myocardial Infarction Research
- Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
- Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
- Keywords
- ST-elevation myocardial infarction, prehospital thrombolysis, ECG transmission, paramedics
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