Telecardiology on the Diagnostic Support of Chest Pain in Twenty-Two Emergency Care Units (UPA 24h) in The State of Rio de Janeiro
| Autor: | Alexandra Maria Vieira Monteiro, Rogério Casemiro da Silva, Simone Farah, Bruno Rustum Andrea |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Emergency Medical Services medicine.medical_specialty Electrocardiography/methods Chest Pain/diagnostic imaging business.industry Unstable angina Myocardial Infarction medicine.disease Chest pain 03 medical and health sciences 030104 developmental biology Telemedicine/methods Heart failure Intensive care Emergency medicine medicine Emergency medical services Hypertensive emergency Myocardial infarction medicine.symptom business Myopericarditis |
| Zdroj: | International Journal of Cardiovascular Sciences v.32 n.2 2019 International Journal of Cardiovascular Sciences Sociedade Brasileira de Cardiologia (SBC) instacron:SBC International Journal of Cardiovascular Sciences, Volume: 32, Issue: 2, Pages: 158-162, Published: 21 JAN 2019 |
| ISSN: | 2359-4802 |
| Popis: | Background: Telecardiology may be a useful support in diagnosis and management of chest pain. Objective: Evaluate the application of telecardiology to support the differential diagnosis of chest pain in patients admitted to Emergency Care Units. Method: Observational, retrospective and documental study of 5,816 patients admitted with supposedly cardiological chest pain in twenty two Emergency Care Units in the state of Rio de Janeiro. Data were tabulated and analyzed by Excel® software, using simple descriptive statistics, from the database of the Cardiology Consultancy Nucleus. Results: Diagnostic disagreement was found in 1,593 (27.39%) cases. Of these, 1,477 (92.72%) were diagnosed locally as non-ST-elevation myocardial infarction (non-STEMI), 74 (4.64%) as acute myocardial infarction with ST-segment elevation (STEMI), 40 (2.52%) as acute pulmonary edema (APE) and 2 (0.12%) as tachyarrhythmia. Intensive care referral was requested to 100% of these patients. After telecardiology, the diagnoses were: 385 (24.17%) unstable angina, 289 (18.14%) congestive heart failure, 212 (13.31%) APE, 174 (10.92%) STEMI, 152 (9.54%) hypertensive emergency, 113 (7.09%) acute chronic renal failure, 89 (5.59%) non-STEMI, 89 (5.59%) pneumonia, 39 (2.45%) sepsis, 26 (1.63 %) myopericarditis, 20 (1.26%) tachyarrhythmia and 5 (0.31%) orovalvar disease. The outcome after telecardiology was 1,178 discharges (73.94%), 338 (21.21%) referrals, 62 (3.90%) deaths and 15 (0.95%) unknown. Conclusion: Telecardiology was effective in chest pain diagnosis and management, optimizing hospital admission in the public health system. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|