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34 The Pre-Hospital Electrocardiogram

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Comprehensive Electrocardiology

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1 34.1 Background

1.1 34.1.1 Historical Background

The first mobile coronary care unit was reported by Frank Pantridge in 1967 [1]. He described 352 patients with presumed acute myocardial infarction who were treated prior to hospital admission. Ten of them were successfully resuscitated following an out-of-hospital cardiac arrest. In 1970, electrocardiographic telemetry from ambulances was first described [2]. At that stage, only rhythm strips were transmitted. However, in the 1980s, at the time of the introduction of fibrinolysis, many ambulance organizations started to routinely record a 12-lead electrocardiogram (ECG). This was originally done with the sole purpose of detecting ST-segment elevation, thereby starting treatment with fibrinolysis prior to hospital admission. However, when this research area was in its infancy, it was thought that all patients with an impending myocardial infarction could perhaps benefit from this treatment [3] and the need for a prehospital ECG was...

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Authors and Affiliations

  1. Sahlgrenska University Hospital, Gothenburg, Sweden

    Johan Herlitz & Per Johansson

  2. Stockholm Prehospital Center, Stockholm, Sweden

    Leif Svensson

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  1. Johan Herlitz
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  2. Leif Svensson
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  3. Per Johansson
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Editors and Affiliations

  1. University of Glasgow, Glasgow, UK

    Peter W. Macfarlane

  2. Radboud University Nijmegen, Nijmegen, The Netherlands

    A. van Oosterom

  3. Lund University, Lund, Sweden

    Olle Pahlm

  4. Weill Cornell Medical College, New York, NY, USA

    Paul Kligfield

  5. University of Amsterdam, Amsterdam, The Netherlands

    Michiel Janse

  6. St. George's, University of London, London, UK

    John Camm

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Herlitz, J., Svensson, L., Johansson, P. (2010). 34 The Pre-Hospital Electrocardiogram. In: Macfarlane, P.W., van Oosterom, A., Pahlm, O., Kligfield, P., Janse, M., Camm, J. (eds) Comprehensive Electrocardiology. Springer, London. https://doi.org/10.1007/978-1-84882-046-3_34

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