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Cuán importante es la telemedicina en la fase inicial del IMCEST
| Content Provider | Semantic Scholar |
|---|---|
| Author | Widimský, Petr |
| Copyright Year | 2015 |
| Abstract | Silberstein A. et al. (1) in this issue of the Argentina Journal of Cardiology present data on the development of a regional STEMI network including incorporation of a telemedicine system with 24-hour webbased electrocardiogram inter-hospital transmission, theoretical-practical courses, written algorithm for the management of chest pain and for STEMI and a system of private ambulances incorporated for transfer of primary PCI patients. The authors should be congratulated on the progress they made during few years: almost from “scratch” they developed an effective STEMI network. The focus of this article is on telemedicine and one paragraph is even described as “influence of telemedicine on reperfusion”. I would like to describe here two different views on the use of telemedicine in acute STEMI. 1. Telemedicine used to select patients for reperfusion therapy and to speed-up the initiation of such therapy. In countries or regions, where first medical contact is mostly without a physician (e.g. nurses or paramedics serving in the emergency medical service – EMS – ambulances) or where patients with chest pain are first seen by a medical doctor inexperienced in reading electrocardiograms (ECG), transmission of 12-lead ECG is very useful, especially when the tertiary cardiology center performing primary percutaneous coronary interventions (pPCI) is overloaded by too many patients and/or has limited capacity of intensive care unit (ICU) beds. In these situations ECG teletransmission helps to select the right patients and to transfer them to the right places (i.e. directly to a cath-lab as fast as possible). 2. Telemedicine not needed or even delaying treatment. In areas, where first medical contact is frequently by an experienced physician able to diagnose STEMI from ECG (e.g. SAMU in France, some regions in the Czech Republic) and where patients with chest pain are presenting to doctors experienced in reading ECG and where tertiary cardiology centers have sufficient capacity to admit more patients, telemedicine is not needed. In |
| Starting Page | 180 |
| Ending Page | 180 |
| Page Count | 1 |
| File Format | PDF HTM / HTML |
| Volume Number | 83 |
| Alternate Webpage(s) | http://www.scielo.org.ar/pdf/rac/v83n3/v83n3a04.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
