Rissam H S, Kishore S, Bhatia M L, Trehan N
Escorts Heart Institute And Research Centre, New Delhi, India.
Stud Health Technol Inform. 1998;50:361-3.
Trans-Telephonic Electro-Cardiographic Monitoring (TTEM) centre, is an easy to use tool, now freely available in India. Between May 1996 and May 1997, 398 patients were registered at Escorts Heart Alert Centre (EHAC) for TTEM; 321 (81%) males and 77(19%) females. Age range was from 1 month to 95 years 65% patients were from New Delhi; 35% from other cities in India and abroad. Patients' clinical profile were post-CABG, post-PTCA, post-MI, patients after discharge; evaluation of chest pain, palpitation, chronic angina, arrhythmias, and pace-maker follow up. Out of 664 symptomatic transmissions, 510 (77%) were for cardiac symptoms like chest pain 309 (61%); palpitation 90 (18%); uneasiness 61(12%); dizziness 28(5%) breathlessness 22(4%). 154(23%) were for non-cardiac symptoms like stitch pain and backache (51); Atypical chest pain (39); weakness and fever (45) and sweating (19). 84%, 78% and 75% patients of chest pain, palpitation and dizziness respectively transmitted their ECGs within one hour of the onset of the symptoms. Out of 664 symptomatic transmissions, 531 required either re-assurance or drug-dose adjustment on telephone. 97 were called to OPD on elective basis. 36 patients were advised immediate hospitalization, for acute management. TTEM was useful in avoiding 628 unnecessary visits to the hospital whereas 36 patients, were immediately hospitalized, for receiving acute life-saving interventions.
跨电话心电图监测（TTEM）中心是一种易于使用的工具，目前在印度免费提供。1996年5月至1997年5月期间，398名患者在 Escorts 心脏警报中心（EHAC）登记接受 TTEM 监测；其中男性321名（81%），女性77名（19%）。年龄范围从1个月到95岁，65%的患者来自新德里；35%来自印度其他城市和国外。患者的临床情况包括冠状动脉旁路移植术（CABG）后、经皮冠状动脉腔内血管成形术（PTCA）后、心肌梗死（MI）后、出院后的患者；胸痛、心悸、慢性心绞痛、心律失常的评估以及起搏器随访。在664次有症状的传输中，510次（77%）是针对心脏症状，如胸痛309次（61%）；心悸90次（18%）；不适61次（12%）；头晕28次（5%）；呼吸急促22次（4%）。154次（23%）是针对非心脏症状，如刺痛和背痛（51次）；非典型胸痛（39次）；虚弱和发热（45次）以及出汗（19次）。胸痛、心悸和头晕的患者分别有84%、78%和75%在症状发作后1小时内传输了心电图。在664次有症状的传输中，531次需要通过电话进行安慰或调整药物剂量。97名患者被选择性地召回门诊。36名患者被建议立即住院进行紧急处理。TTEM有助于避免628次不必要的医院就诊，而36名患者则立即住院接受挽救生命的紧急干预。
