We thank Drs. Berger and Yiadom for their comments regarding our article on electrocardiogram
(ECG)-to-activation (ETA) time, and we wish to address their concerns about this metric,
its application to ST-elevation myocardial infarction (STEMI) delays, and its use
for quality improvement (
1
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REFERENCES
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McLaren JTT, Meyers HP, Smith SW, Chartier LB. From STEMI to occlusion MI: paradigm shift and quality improvement [published online ahead of print December 30, 2021]. CJEM doi:10.1007/s43678-021-00255-z
Article info
Publication history
Published online: March 03, 2022
Accepted:
February 7,
2022
Received:
February 1,
2022
Identification
Copyright
© 2022 Published by Elsevier Inc.
ScienceDirect
Access this article on ScienceDirectLinked Article
- ECG to Activation: Not an Appropriate Physician Metric, but a Worthy Process MetricJournal of Emergency MedicineVol. 62Issue 1
- PreviewIn the recently published paper titled, “Using ECG-To-Activation Time to Assess Emergency Physicians’ Diagnostic Time for Acute Coronary Occlusion,” the authors conclude that ECG [electrocardiogram]-to-activation (ETA) “can serve as a quality metric for emergency physicians” (1). There is value in directing attention to the ETA interval within the ST-elevation myocardial infarction (STEMI) care pathway from screening to treatment. However, we suggest caution with the use of ETA as a metric for physician performance comparisons.
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