Smartphone ECG for evaluation of ST-segment elevation myocardial infarction (STEMI): Design of the ST LEUIS International Multicenter Study

J Electrocardiol. 2018 Mar-Apr;51(2):260-264. doi: 10.1016/j.jelectrocard.2017.10.011. Epub 2017 Oct 19.

Abstract

In patients experiencing an ST-elevation myocardial infarction (STEMI), rapid diagnosis and immediate access to reperfusion therapy leads to optimal clinical outcomes. The rate-limiting step in STEMI diagnosis is the availability and performance of a 12-lead ECG. Recent technology has provided access to a reliable means of obtaining an ECG reading through a smartphone application (app) that works with an attachment providing all 12-leads of a standard ECG system. The ST LEUIS study was designed to validate the smartphone ECG app and its ability to accurately assess the presence or absence of STEMI in patients presenting with chest pain compared with the gold standard 12-lead ECG. We aimed to support the diagnostic utility of smartphone technology to provide a timely diagnosis and treatment of STEMI. The study will take place over 12months at five institutions. Approximately 60 patients will be enrolled per institution, for a total recruitment of 300 patients.

Keywords: ECG; Myocardial infarction; STEMI; Smartphone.

Publication types

  • Comparative Study
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Chest Pain / diagnosis
  • Diagnosis, Differential
  • Electrocardiography*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Mobile Applications*
  • Predictive Value of Tests
  • Prospective Studies
  • Research Design*
  • ST Elevation Myocardial Infarction / diagnosis*
  • Sensitivity and Specificity
  • Smartphone*