Emergency Medical Services (EMS) Telehealth to Speed STEMI Reperfusion

NCT06945900 | Completed

• 1 other identifier: IRB00094324
• Study Type: observational
• Target: 11
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to evaluate the impact of a Telehealth program on the time from First Medical Contact (FMC) to Reperfusion in STEMI (ST-elevation myocardial infarction) patients, by supporting local paramedics in their care delivery.

Conditions

STEMI - ST Elevation Myocardial Infarction

Keywords

Heart Attack; Reperfusion therapy; Percutaneous Coronary Intervention

Outcome Measures

Primary Outcomes (4)

• First Medical Contact to Reperfusion Time

  FMC to reperfusion time will be recorded in a study database. Data will be aggregated from patients before (baseline) and after EMS telehealth STEMI program implementation. FMC to reperfusion time will be reported as a mean with standard deviation and as a median with interquartile range.

  Year 2

• First Medical Contact to Electrocardiogram (EKG) time

  FMC to EKG time will be recorded in a study database. Data will be aggregated from patients before (baseline) and after EMS telehealth STEMI program implementation. Time will be reported as a mean with standard deviation and as a median with interquartile range.

  Year 2

• Electrocardiogram (EKG) to Activation time

  FMC to activation time will be recorded in a study database. Data will be aggregated from patients before (baseline) and after EMS telehealth STEMI program implementation. Time will be reported as a mean with standard deviation and as a median with interquartile range.

  Year 2

• Activation to reperfusion [by fibrinolytic or PCI] time)

  Activation to reperfusion \[by fibrinolytic or PCI\] time) will be recorded in a study database. Data will be aggregated from patients before (baseline) and after EMS telehealth STEMI program implementation. Time will be reported as a mean with standard deviation and as a median with interquartile range.

  Year 2

Interventions

Telehealth OTHER

Paramedics will utilize Telehealth for STEMI patients during transport to determine appropriate care steps.

Eligibility Criteria

• Age: 30 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients calling 9-1-1 in the Wilkes County that present with a possible STEMI as determined by the on scene paramedics.

You may qualify if:

• All patients calling 9-1-1 in Wilkes County with possible STEMI as determined by the on scene paramedics will be included in the data.

You may not qualify if:

• As this is a Quality Surveillance study, subjects will not be excluded.

Sponsors & Collaborators

• Wake Forest University Health Sciences: lead
• The Duke Endowment: collaborator
• Genentech, Inc.: collaborator

Study Sites (1)

Wake Forest University Health Sciences

Winston-Salem, North Carolina, 27157, United States

Location

MeSH Terms

Conditions

ST Elevation Myocardial Infarction; Myocardial Infarction

Interventions

Telemedicine

Condition Hierarchy (Ancestors)

Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Vascular Diseases; Infarction; Ischemia; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Necrosis

Intervention Hierarchy (Ancestors)

Delivery of Health Care; Patient Care Management; Health Services Administration

Study Officials

• Simon Mahler, MD

  Wake Forest University Health Sciences

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 15, 2025
• First Posted: April 27, 2025
• Study Start: June 18, 2025
• Primary Completion: December 31, 2025
• Study Completion: December 31, 2025
• Last Updated: April 2, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)