Standard 12-lead electrocardiogram tele-transmission: Support in diagnosing cardiovascular diseases in operations undertaken by Warsaw-area basic medical rescue teams between 2009 and 2013

Rekosz, Jerzy; Kasznicka, Maria; Kwiatkowska, Dorota; Mączyńska-Mazuruk, Renata; Kołak, Katarzyna; Mierzejewska, Beata; Drogosiewicz, Dorota; Timler, Dariusz; Gałązkowski, Robert

doi:10.5603/cj.a2015.0059

Cited by 7 publications

(4 citation statements)

References 13 publications

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“…5 Tele-ECG has been used very effectively to improve the ACS detection rate by the basic medial rescue team, even without a physician. 6 Researchers in India have also tried to find a solution in the form of a portable handheld electrocardiography (ECG) machine. 7 These machines, however, require additional cost, training and maintenance.…”

Section: Introductionmentioning

confidence: 99%

Smartphone-based tele-electrocardiography support for primary care physicians reduces the pain-to-treatment time in acute coronary syndrome

et al. 2017

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Background The Himachal Pradesh state acute coronary syndrome registry recorded a median delay of 13 h between the time of onset of pain to the time of making the diagnosis and giving treatment for acute coronary syndrome. We conducted a pilot study on providing 24-h tele-electrocardiography (Tele-ECG) services in the district Kangra of Himachal Pradesh, with the aim to reduce the time taken for diagnosis of acute coronary syndrome. Methods The intervention group for the study included eight rural community health centres, each with one to three primary care physicians, who were all unskilled in electrocardiogram interpretation. We provided them with 24-h Tele-ECG support. The primary care physicians used their smartphones to transmit the electrocardiogram image to the command centre, which was then read by the skilled specialist physicians in our medical college hospital and the report sent back within five minutes of having received the electrocardiogram. Antiplatelets were given by the primary care physician to patients diagnosed with acute coronary syndrome, who was then transported to the medical college hospital. The urban sub-divisional hospitals ( n = 6) formed the control group for the study. These hospitals had five to fifteen unskilled primary care physicians and one to two skilled specialist physicians; no intervention was done in this group. A pilot was run from February 2015-January 2016. Results We received 819 Tele-ECG consultations within the intervention group; 157 cases of acute coronary syndrome were confirmed and transferred to our medical college hospital facility. Similarly, we admitted 177 cases of acute coronary syndrome at the medical college hospital, who were first attended to by the primary care physician in the control group. Aspirin was administered to 91% and 58% of patients with acute coronary syndrome in the intervention and the control groups, respectively ( p < 0.0001). The median hospital-to-aspirin time (h) in the intervention and the control groups was 0.7 ± 1.45 h and 3.5 ± 10 h, respectively ( p < 0.0001). In the intervention group, 72% of the ST elevation myocardial infarction patients were diagnosed within 12 h by the primary care physician using Tele-ECG support. Interpretation and conclusions Smartphone-based Tele-ECG support for primary care physicians reduced the hospital-to-aspirin time in acute coronary syndrome significantly ( p < 0.0001). This is an effective low cost strategy and is easily replicable anywhere in the world.

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Section: Introductionmentioning

confidence: 99%

Smartphone-based tele-electrocardiography support for primary care physicians reduces the pain-to-treatment time in acute coronary syndrome

et al. 2017

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“…The indications for remote ECG monitoring in the diagnostic workup of cardiac patients are directly related to the benefits of this technique over standard ECG monitoring (TABLE 3). 18,[22][23][24][25][26][27][28][29][30][31][32][33][34] We would like to emphasize that in the case of frequent symptoms (occurring daily or several times a week), conventional ambulatory ECG monitoring (Holter), which in practice can be used for continuous monitoring for up to 72 hours, should be the diagnostic method of choice. 34 In the case of indications for an ECG assessment over a period longer than 14 days, the preferred diagnostic method should be remote ECG monitoring.…”

Section: Indications For Remote Electrocardiographic Monitoringmentioning

confidence: 99%

“…13,22 Transmission of short event -based ECG recordings by medical personnel is a typical part of teleconsultation, which may be also used in emergency medical services and as part of cooperation between higher -level specialist facilities and both primary care and lower -level referral facilities. 16,23 The transfer of continuous ECG recording with the option of online analysis is an advanced method that makes it possible to analyze the complete uninterrupted ECG recording. Such a recording may be sent online to a monitoring center in real time or at a later time.…”

Section: Indications For Remote Electrocardiographic Monitoringmentioning

confidence: 99%

Telemedicine solutions in cardiology: a joint expert opinion by the Information Technology and Telemedicine Committee of the Polish Cardiac Society, the Section of Noninvasive Electrocardiology and Telemedicine of the Polish Cardiac Society, and the Clinical Research Committee of the Polish Academy of Sciences (short version, 2021)

Piotrowicz¹,

Krzesiński²,

Balsam³

et al. 2021

Kardiol Pol

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Telemedicine involves diagnostic, therapeutic and educational services being offered remotely by healthcare professionals to exchange crucial clinical information. It is a rapidly developing form of medical activity and part of medical industry, with advanced technologies already available in Poland. Cardiology is one of the fields in which telemedicine methods were pioneered and introduced into everyday practice. Some of these methods have already become standard procedures for diagnosis and treatment in some Polish centers, with other soon to follow. Clinical study results not only demonstrate reliability and usefulness of telemedicine technologies but also show that their use in clinical practice improves the patients' prognoses and quality of life. Moreover, study results in highly developed countries show a potential cost-effectiveness of telemedicine from the perspective of healthcare systems. There is an unquestionable need to establish clear rules for telemedicine use in Poland, which would ensure their high quality and adequate clinical application. This paper is a summary of the current status of telemedicine solutions used in cardiology, with a particular focus on the Polish healthcare system, and presents both the commonly available solutions and those that are expected to develop rapidly in the near future.

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“…24,25 Kleinrok et al 26 showed that 1500 of 7000 patients in whom ECG transmission was applied were diagnosed with STEMI. Rekosz et al 27 analyzed MET interventions in the region of Warsaw in the years 2009 to 2013 and showed that ECG transmission considerably improved the diagnostic ability of METs, which led to better treatment of patients with CVDs. Transmitting electrocardiograms from an ambulance to an invasive cardiology center is one of the strategies used by METs for the management of patients with STEMI.…”

Section: What's New?mentioning

confidence: 99%

Medical emergency team interventions in patients with ST-segment elevation myocardial infarction in Poland in 2018

et al. 2020

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Standard 12-lead electrocardiogram tele-transmission: Support in diagnosing cardiovascular diseases in operations undertaken by Warsaw-area basic medical rescue teams between 2009 and 2013

Abstract: (Cardiol J 2015; 22, 6: 675-682)

Cited by 7 publications

References 13 publications

Smartphone-based tele-electrocardiography support for primary care physicians reduces the pain-to-treatment time in acute coronary syndrome

Smartphone-based tele-electrocardiography support for primary care physicians reduces the pain-to-treatment time in acute coronary syndrome

Medical emergency team interventions in patients with ST-segment elevation myocardial infarction in Poland in 2018

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