Articolul precedent |
Articolul urmator |
351 0 |
SM ISO690:2012 MELNICOV, Victoria, CIOBANU, Gheorghe. Integrarea telemedicinei ca instrument pentru diagnosticul precoce al sindromului coronarian acut. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 240. |
EXPORT metadate: Google Scholar Crossref CERIF DataCite Dublin Core |
Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
|
||||||
Pag. 240-240 | ||||||
|
||||||
Descarcă PDF | ||||||
Rezumat | ||||||
Background. Cardiology is a promising field in telemedicine. Cardiovascular disease is one of the leading causes of death with a growing number of hospitalizations and health-care costs. In patients with acute coronary syndrome, the time interval from symptoms onset to reperfusion is a critical determinant. Objective of the study. The aim of this study was to develop a clinical tool for predicting and evaluating the efficacy and impact of telemedicine in the early diagnosis of acute coronary syndrome in patients with chest pain at home. Material and Methods. Two groups of respondents were created for the research: L1 included respondents with chest pain and consulted at a distance and L0 included respondents treated according to the national clinical protocol. In the first stage, a computerized protocol was developed to predict acute coronary syndrome. In stage 2 this protocol was applied for the diagnosis of acute coronary syndrome. Results. Wireless transmition and physician interpretation of prehospital ECG and data collected contributed to lower rates of false-positive and false-negative ACS diagnosis and guide selection of the treatment and transportation details. Prehospital ECG transmission systems were also useful for risk stratification and triage for patients with suspected cardiovascular emergency and presenting atypical symptoms. Analysis of collected data showed a higher incidence of acute coronary syndrome in male, but with a higher addressability of female. Evaluation of risk factors showed presence of arterial hypertension, dislipidemia, diabetes mielitus, atrial fibrillation, smoking and obesity. Conclusion. In addition to providing more extensive health services, the practical application of telemedicine systems substantially reduces health costs, transportation time, the number of subsequent hospitalizations, and increased clinical efficiency through more appropriate management of ACS |
||||||
Cuvinte-cheie acute coronary syndrome, telemedicine, chest pain, sindrom coronarian acut, telemedicină, durere toracică |
||||||
|