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. 2025 Aug 25;13:e66605. doi: 10.2196/66605

Table 1. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) framework for study eligibility.

Criteria Description
Population
  • Patients >18 years of age treated for suspected acute ST-segment elevation myocardial infarction in prehospital or hospital setting eligible to receive primary intervention (percutaneous coronary intervention or lysis where applicable).

Intervention





Inclusion criteria
  • Smartphone or tablet-enabled mobile apps.

  • Used by health care provider.

  • Cloud-based ECGa transmission.

  • Real-time communication between relevant health care providers or stakeholders involved in the chain of care in acute STEMIb.

Exclusion criteria
  • Patient-centered app usage.

  • Chronic care or postmyocardial infarction management.

  • Nonmobile or cellular-enabled telemedicine.

  • Posthoc communication (ie, not enabled in real time).

  • Focus on qualitative or technical process–related outcomes.

Comparator
  • Patients treated for suspected acute STEMI using traditional communication methods (ie, nonmobile data sources or tablet app–based communication) between relevant stakeholders.

Outcomes
  • Reperfusion times (door to balloon and first medical contact to balloon), proportion of patients meeting targets (eg, D2Bc <90 min and FMC2Bd <120 min), false activation rate, and clinical events (eg, mortality and heart failure).

a

ECG: electrocardiogram.

b

STEMI: ST-segment elevation myocardial infarction.

c

D2B: door to balloon.

d

FMC2B: first medical contact to balloon time.