Impacto da implementação do serviço de telecardiologia na assistência aos pacientes com infarto agudo do miocárdio no Estado de Sergipe

• Autor(a) principal: Oliveira, José Victor Furtado Jacó de
• Data de Publicação: 2023
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da UFS
• Texto Completo: https://ri.ufs.br/jspui/handle/riufs/18709
• topic: Infarto do miocárdio; Cardiologia; Infarto Agudo do Miocárdio com supradesnivelamento de Segmento ST; Telecardiologia; Telemedicina; Acute Myocardial Infarction with ST-Segment Elevation; Telecardiology; Telemedicine

INTRODUCTION: The Pre-hospital Care Service (SAMU) of Sergipe implemented a Telecardiology (TCL) system in June 2021. This service was created with the main purpose of attending cases of Acute Myocardial Infarction with ST elevation (STEMI) in the state. This research aims to evaluate the impact of the implementation of TCL in the care of these patients. METHODS: This is an observational, longitudinal and retrospective study, which analyzed data on cases of STEMI in the state, which occurred from August 2021 to July 2022. The information was extracted from the electronic medical records of patients at SAMU-192 and received electronically, and complemented with data taken in person from the electronic medical records of patients at the Reference Hospital. This research was approved by the University’s Ethics Committee. RESULTS: The TCL professionals were called for the care of 475 patients in the aforementioned period. Of these, 305 (64%) were male, 169 (36%) female and in 1 case it was not possible to obtain this information. The mean age of the patients was 61.8±12.4 years. The main symptoms presented were typical chest pain (74%), epigastric pain (17%), nausea and/or vomiting (13%) and cold sweating (11%). In 22 (5%) occasions, patients were admitted at cardiorespiratory arrest. The most prevalent comorbidities among patients were: Hypertension (69%), Diabetes mellitus type 2 (36%), smoking (29%) and dyslipidemia (17%). The main affected walls were inferior and anterior, with 157 (33.4%) and 125 (26.6%) cases, respectively. The rate of thrombolysis was 16.1% and primary angioplasty (PA) 50.3%, making a reperfusion rate of 66.4%. The mean ischemia time was 07h and 45 minutes (7.75±2.31h) for patients who underwent PA. There were 56 in-hospital deaths, with a mortality rate of 13.2%. CONCLUSIONS: The implementation of the TCL service brought great advances to the STEMI care line in the state of Sergipe, when comparing with previous data in the state. It is expected that with the greater consolidation of the Service, the STEMI care rates will become progressively better over time.