Send to

Choose Destination
Heart Views. 2018 Oct-Dec;19(4):121-127. doi: 10.4103/HEARTVIEWS.HEARTVIEWS_81_17.

Implementation of an ST-Segment Elevation Myocardial Infarction Bypass Protocol in the Northern United Arab Emirates.

Author information

National Ambulance, Abu Dhabi, UAE.
CQ University, Rockhampton, Australia.
Fanshawe College, Ontario, Canada.
Retrieval, Emergency and Disaster Medicine Research and Development Unit, University Hospital Limerick, Ireland, UK.
Cardiff University, Wales, UK.
Charles Sturt University, Bathurst, Australia.
Graduate Entry Medical School, University of Limerick, Ireland.



The aim was to evaluate the translation of an ST-segment elevation myocardial infarction (STEMI) bypass protocol to the outcomes of patients with acute coronary syndrome in the Emirate of Ras al-Khaimah in the United Arab Emirates (UAE).


A prospective cohort study was conducted, which included all patients who had a prehospital 12-lead electrocardiogram (ECG) performed by ambulance crews. Analysis of those who were identified as having STEMI and who subsequently underwent percutaneous coronary intervention (PCI) was performed.


A total of 152 patients had a 12-lead ECG performed during the pilot study period (February 24, 2016-August 31, 2016) with 118 included for analysis. Mean patient age was 52 years. There were 87 male (74%) and 31 female (26%) patients. Twenty-nine patients suffered a STEMI, and data were available for 11 who underwent PCI. There was no mortality, and no major adverse cardiac events were reported. The median door-to-balloon (D2B) time was 73 min (range 48-124), and 81% of patients had a D2B time < 90 min. Discharge data were available for six patients: All were discharged home with no impediments to rehabilitation.


This pilot study has demonstrated agreement with the existing literature surrounding prehospital ECG and PCI activation in an unstudied STEMI population and in a novel clinical setting. It has demonstrated a D2B time of < 90 min in over 80% of STEMI patients, and a faster mean D2B time than self-presentations (mean 77 min vs. 113 min), with no associated mortality or major adverse cardiac events.


12-lead electrocardiogram; Middle East; ST-segment elevation myocardial infarction; myocardial infarct; percutaneous coronary intervention; prehospital

Supplemental Content

Full text links

Icon for Medknow Publications and Media Pvt Ltd Icon for PubMed Central
Loading ...
Support Center