Establishment of a Digital Tele-Electrocardiographic System in southern Brazil [Abstract in English]
Autor(a) principal: | |
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Data de Publicação: | 2006 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Scientia Medica (Porto Alegre. Online) |
Texto Completo: | https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1563 |
Resumo: | Introduction: A lack of medical specialists in remote areas can delay the diagnosis and the management of diseases. A pioneer Tele-ECG Digital System, DES, was established in Brazil to overcome this situation. Method: DES allows electronic data transmission to and interpretation by a remote cardiologist. Hospitals in Sao Lourenco do Sul, and an outpatient unit in Turucu, both in RS state employed the DES, which includes a digital ECG machine, standard computers, a modem connection, internet facilities, telecommunication software and fixed or mobile phones. Results: A total of 1063 tele-ECGs were performed in the three locations in 1 year: 622 via online and 441 via ehealth. The transmission time was 8.1 min for the online and up to 24h and e-health tele-ECGs. The results showed that 71.2% (443 out of 622) of the online tele-ECGs presented important ECGs alterations, including 66 (14.9%) ECGs with acute signs of myocardial ischemia and 39 ECGs (8.8%) with S-T elevation myocardial infarction. Conclusion: The low cost of DES make it appropriate for small cities and rural areas of developing countries. DES has promoted a significant improvement in the acute management of patients in remote areas, with a consequent decrease in the morbidity and mortality rates from cardiovascular diseases. KEY WORDS: TELEMEDICINE; ELECTROCARDIOGRAPHY; HEART DISEASES/diagnosis; TELECOMMUNICATIONS; INTERNET; EMERGENCIES. |
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Establishment of a Digital Tele-Electrocardiographic System in southern Brazil [Abstract in English]Estabelecimento de Serviço de Tele-Eletrocardiografia Digital no sul do BrasilIntroduction: A lack of medical specialists in remote areas can delay the diagnosis and the management of diseases. A pioneer Tele-ECG Digital System, DES, was established in Brazil to overcome this situation. Method: DES allows electronic data transmission to and interpretation by a remote cardiologist. Hospitals in Sao Lourenco do Sul, and an outpatient unit in Turucu, both in RS state employed the DES, which includes a digital ECG machine, standard computers, a modem connection, internet facilities, telecommunication software and fixed or mobile phones. Results: A total of 1063 tele-ECGs were performed in the three locations in 1 year: 622 via online and 441 via ehealth. The transmission time was 8.1 min for the online and up to 24h and e-health tele-ECGs. The results showed that 71.2% (443 out of 622) of the online tele-ECGs presented important ECGs alterations, including 66 (14.9%) ECGs with acute signs of myocardial ischemia and 39 ECGs (8.8%) with S-T elevation myocardial infarction. Conclusion: The low cost of DES make it appropriate for small cities and rural areas of developing countries. DES has promoted a significant improvement in the acute management of patients in remote areas, with a consequent decrease in the morbidity and mortality rates from cardiovascular diseases. KEY WORDS: TELEMEDICINE; ELECTROCARDIOGRAPHY; HEART DISEASES/diagnosis; TELECOMMUNICATIONS; INTERNET; EMERGENCIES. Introdução: A deficiência de médicos em áreas remotas dificulta o diagnóstico e o manejo de doenças. O Tele-ECG Digital (SED) foi estabelecido objetivando a disponibilização de laudos de eletrocardiogramas através de dois protocolos: o primeiro com transmissão em ‘tempo real’, destinado ao atendimento emergências cardiológicas; e o segundo, com utilização da Internet, para os casos de avaliação cardiológica não emergencial. Método: O SED foi implantado em dois hospitais da cidade de São Lourenço do Sul – um localizado na zona rural e outro no centro da cidade, e em um posto de saúde da cidade de Turuçu, ambas no RS. O SED inclui um aparelho digital de ECG, um software de telecomunicação, computadores, uma conexão de modem, linha fixa de telefonia e um telefone celular remoto. Resultados: A amostra coletada por 1 ano envolveu as três instituições participantes. No total, foram realizados 1063 Tele-ECGs, sendo 622 por transmissão em tempo real e 441 através da Internet. No protocolo em tempo real, o tempo médio de transmissão foi de 8.1 (DP ± 1.7) minutos. Os resultados obtidos mostraram que 71.2% (443 de 622) dos ECGs transmitidos em tempo real foram considerados como patológicos, incluindo 66 (14.9%) de ECGs com sinais de alteração isquêmica aguda e 39 ECGs (8.8%) IAM com elevação do segmento S-T. Conclusão: Em decorrência dos resultados descritos e de seu baixo custo, o Sistema de Tele-ECG Digital foi considerado como de grande utilidade para as Instituições de Saúde, beneficiando pequenas cidades, comunidades remotas e áreas rurais do Brasil. UNITERMOS: TELEMEDICINA; ELETROCARDIOGRAFIA; CARDIOPATIAS/diagnóstico; TELECOMUNICAÇÕES; INTERNET; EMERGÊNCIAS. Editora da PUCRS - ediPUCRS2006-10-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/1563Scientia Medica; Vol. 15 No. 3 (2005)Scientia Medica; v. 15 n. 3 (2005)1980-61081806-5562reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporenghttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/1563/1166https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1563/7942Sparenberg, Adolfo L. F.Russomano, ThaisAzevedo, Dario F. G. deSoares, Eleonora R.Schaun, Tatiane R.info:eu-repo/semantics/openAccess2012-06-25T16:23:47Zoai:ojs.revistaseletronicas.pucrs.br:article/1563Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2012-06-25T16:23:47Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Establishment of a Digital Tele-Electrocardiographic System in southern Brazil [Abstract in English] Estabelecimento de Serviço de Tele-Eletrocardiografia Digital no sul do Brasil |
title |
Establishment of a Digital Tele-Electrocardiographic System in southern Brazil [Abstract in English] |
spellingShingle |
Establishment of a Digital Tele-Electrocardiographic System in southern Brazil [Abstract in English] Sparenberg, Adolfo L. F. |
title_short |
Establishment of a Digital Tele-Electrocardiographic System in southern Brazil [Abstract in English] |
title_full |
Establishment of a Digital Tele-Electrocardiographic System in southern Brazil [Abstract in English] |
title_fullStr |
Establishment of a Digital Tele-Electrocardiographic System in southern Brazil [Abstract in English] |
title_full_unstemmed |
Establishment of a Digital Tele-Electrocardiographic System in southern Brazil [Abstract in English] |
title_sort |
Establishment of a Digital Tele-Electrocardiographic System in southern Brazil [Abstract in English] |
author |
Sparenberg, Adolfo L. F. |
author_facet |
Sparenberg, Adolfo L. F. Russomano, Thais Azevedo, Dario F. G. de Soares, Eleonora R. Schaun, Tatiane R. |
author_role |
author |
author2 |
Russomano, Thais Azevedo, Dario F. G. de Soares, Eleonora R. Schaun, Tatiane R. |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Sparenberg, Adolfo L. F. Russomano, Thais Azevedo, Dario F. G. de Soares, Eleonora R. Schaun, Tatiane R. |
description |
Introduction: A lack of medical specialists in remote areas can delay the diagnosis and the management of diseases. A pioneer Tele-ECG Digital System, DES, was established in Brazil to overcome this situation. Method: DES allows electronic data transmission to and interpretation by a remote cardiologist. Hospitals in Sao Lourenco do Sul, and an outpatient unit in Turucu, both in RS state employed the DES, which includes a digital ECG machine, standard computers, a modem connection, internet facilities, telecommunication software and fixed or mobile phones. Results: A total of 1063 tele-ECGs were performed in the three locations in 1 year: 622 via online and 441 via ehealth. The transmission time was 8.1 min for the online and up to 24h and e-health tele-ECGs. The results showed that 71.2% (443 out of 622) of the online tele-ECGs presented important ECGs alterations, including 66 (14.9%) ECGs with acute signs of myocardial ischemia and 39 ECGs (8.8%) with S-T elevation myocardial infarction. Conclusion: The low cost of DES make it appropriate for small cities and rural areas of developing countries. DES has promoted a significant improvement in the acute management of patients in remote areas, with a consequent decrease in the morbidity and mortality rates from cardiovascular diseases. KEY WORDS: TELEMEDICINE; ELECTROCARDIOGRAPHY; HEART DISEASES/diagnosis; TELECOMMUNICATIONS; INTERNET; EMERGENCIES. |
publishDate |
2006 |
dc.date.none.fl_str_mv |
2006-10-17 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1563 |
url |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1563 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1563/1166 https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1563/7942 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
Scientia Medica; Vol. 15 No. 3 (2005) Scientia Medica; v. 15 n. 3 (2005) 1980-6108 1806-5562 reponame:Scientia Medica (Porto Alegre. Online) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Scientia Medica (Porto Alegre. Online) |
collection |
Scientia Medica (Porto Alegre. Online) |
repository.name.fl_str_mv |
Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
scientiamedica@pucrs.br || editora.periodicos@pucrs.br |
_version_ |
1809101748382466048 |