Эффективность Централизации
Электрокардиографических Исследований
В Первичном Звене Здравоохранения

Морозов, С.П.; Владзимирский, А.В.; Сименюра, С.С.; Демкина, А.Е.; Шутов, Д.В.; Тяжельников, А.А.; Фокина, Е.В.; Садыкова, Э.А.

doi:10.24022/1997-3187-2020-14-1-16-23

Cited by 2 publications

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“…Одной из приоритетных отраслей цифровизации стало развитие цифровых технологий в медицине [1][2][3][4][5][6][7][8]. В частности, эпидемия COVID-19 перестроила формы взаимодействия между людьми и профессиональными сообществами: в профессиональную жизнь вошли дистанционные технологии [9][10][11][12][13][14][15]. Благодаря сквозным технологиям, в сфере здравоохранения появилась новая цифровая отрасль медицины -телемедицина, особенно актуальная для первичного звена здравоохранения [1, 2, 7-9, 11, 13, 16].…”

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Experience in teaching telemedicine in the system of higher professional education.

Kupaev,

Krylova,

Slobodyanyuk

2023

RJTEH

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In healthcare, a new digital branch of medicine has emerged – telemedicine, which is especially relevant for primary healthcare. To ensure the quality functioning of telemedicine centers, it is important to provide timely and high-quality training of medical personnel in the relevant field of knowledge. The solution of this problem is entrusted to the leading medical universities of the country. The article is devoted to the generalization of the experience of teaching telemedicine technologies at the Department of Family Medicine with the course of telemedicine technologies of the Samara State Medical University at the levels of specialist, residency, advanced training of doctors and primary retraining of doctors in the specialty "General Medical Practice (Family Medicine)" and «Therapy». A successful combination of presenting theoretical material and developing practical skills for conducting telemedicine consultations in practical classes in the form of training simulation telemedicine consultations in real conditions of outpatient practices, including using the capabilities of the Center for Remote Medicine Clinics of the Samara State Medical University, made it possible to train more than 300 specialists who have the skills to conduct telemedicine consultations, who use telemedicine consultations in real medical practice in medical institutions of the Samara region.

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Section: Introductionunclassified

Experience in teaching telemedicine in the system of higher professional education.

Kupaev,

Krylova,

Slobodyanyuk

2023

RJTEH

View full text Add to dashboard Cite

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Electrocardiographic findings in COVID-19: analysis of tele-ECGs in Moscow ECG IT Center

Taskina

Демкина

Gazashvili³

et al. 2021

Digital Diagnostics

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Background: Along with the primary damage to the respiratory system, coronavirus disease (COVID-19) affects the cardiovascular system, which is thus involved in the pathological process. However, in the available literature, analyses of electrocardiographic (ECG) findings are based only on small-sample studies and case reports, which determines the relevance of larger-scale studies to clarify the nature and prevalence of ECG abnormalities in subjects with confirmed coronavirus infection. Aim: To determine the distribution of ECG changes in 42,799COVID-19 patients representing a non-selective population of Moscow residents. Materials and methods: From March10, 2020 to March10, 2021, a retrospective analysis of ECGs from 42,799patients with a verified diagnosis of COVID-19 was performed. The study included patients admitted to Moscow clinical hospitals connected to the ECG IT Center. A standard 12-lead ECG was obtained and then transmitted via an Internet connection to the server of the ECG IT Center where the ECG interpretation was performed. Results: ECG changes were detected in 54% of patients. The most common cardiac arrhythmias were supraventricular extrasystole and atrial fibrillation reported in 12.6% and 12.0% of patients, respectively. Signs of overloaded right heart were detected in 12.5% of cases, of which the ECG pattern of pulmonary embolism was confirmed in 485patients (1,13%). Infarction ECG pattern was observed in 4.5% of subjects, among which 3cases of Brugada ECG pattern were reported. The incidence of ST-T changes was 2.2% of all study patients. Prolonged QT and QTc intervals were recorded in 540patients (1.26%). Individual cases of ventricular fibrillation, Frederick syndrome, and atrioventricular block of various degrees were reported. Conclusion: Based on the data obtained, the distribution of incidence of ECG changes in COVID-19 was shown. The high incidence of atrial fibrillation, which is a risk factor for thromboembolic complications, was confirmed. At the same time, a significant prevalence of ECG patterns of overloaded right heart was shown, some of which are associated with pulmonary embolism. Other reported ECG changes were characterized by a significantly lower prevalence, which does not reduce their clinical significance. The data obtained may be used to improve COVID-19 patient management strategy in the future.

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Эффективность Централизации Электрокардиографических Исследований В Первичном Звене Здравоохранения

Cited by 2 publications

References 0 publications

Experience in teaching telemedicine in the system of higher professional education.

Experience in teaching telemedicine in the system of higher professional education.

Electrocardiographic findings in COVID-19: analysis of tele-ECGs in Moscow ECG IT Center

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