Open AccessImplementing “Chest Pain Pathway” Using Smartphone Messaging Application “WhatsApp” as a Corrective Action Plan to Improve Ischemia Time in “ST-Elevation Myocardial Infarction” in Primary PCI Capable Center “WhatsApp-STEMI Trial”
Author(s) -
Wesam A. Alhejily
Publication year - 2021
Publication title -
critical pathways in cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 24
eISSN - 1535-282X
pISSN - 1535-2811
DOI - 10.1097/hpc.0000000000000264
Subject(s) - medicine , chest pain , conventional pci , medical emergency , myocardial infarction , action plan , protocol (science) , emergency medical services , emergency medicine , physical therapy , cardiology , alternative medicine , ecology , pathology , biology
ST-elevation myocardial infarction (STEMI) is a life-threatening medical emergency that requires immediate medical attention. Each hospital should implement a clinical pathway with the main objective to reduce ischemia time from diagnosis to revascularization (because this has shown to save myocardial tissues and, subsequently, patients' lives), utilizing the most evidence-based approach and the most up-to-date management protocol. In this study, we aimed to assess the utility of structuring chest pain pathway (CPP) with the instantaneous case-by-case feedback protocol using WhatsApp and its impact on improving 2 major key performance indicators-the impact on initial emergency room (ER) door-to-electrocardiogram (ECG) time, and door-to-balloon time-in a predefined 6-month corrective action period.