Chazard Emmanuel, Marcolino Milena Soriano, Dumesnil Chloé, Caron Alexandre, Palhares Daniel Moore F, Ficheur Grégoire, Marino Barbara C A, Alkmim Maria Beatriz M, Beuscart Régis, Ribeiro Antonio Luiz
Department of Public Health, CHU Lille; EA 2694, University of Lille; Lille, France.
Medical School, Universidade Federal de Minas Gerais; Belo Horizonte, MG, Brazil.
Stud Health Technol Inform. 2015;216:69-73.
In 722 cities of Minas Gerais (Brazil), primary care patients can have their ECGs remotely interpreted by cardiologists of the Telehealth Network of Minas Gerais (TNMG), a public telehealth service. As of December 2014, more than 1.9 million ECGs were interpreted. This study analyzed the database of all ECGs performed by the TNMG on primary care patients from 2009 to 2013 (n=1,101,993). Structured patient data and the results of automated ECG interpretation by the Glasgow Program are described. Mean patient age is 51 years old, 59% of them are women. The average body mass index is 25.9 kg/m2, with an average increase of 0.15 kg/m2 per civil year. Those patients notably have hypertension (33.2%), family history of coronary artery disease (14.5%), smoking (6.9%), diabetes (5.8%), obesity (5.8%) or Chagas Disease (3.0%). Seventy percent of ECGs are normal. This percentage is higher in women (72.3%) and decreases in average by 7.4 every 10 years of life. There are notably 12% of possible myocardial infarction, 10% of possible left ventricular hypertrophy and 8% of possible supraventricular extra systole.
在巴西米纳斯吉拉斯州的722个城市，初级保健患者的心电图可由该州远程医疗网络（TNMG）的心脏病专家进行远程解读，这是一项公共远程医疗服务。截至2014年12月，已解读的心电图超过190万份。本研究分析了TNMG在2009年至2013年期间为初级保健患者进行的所有心电图数据库（n = 1,101,993）。描述了结构化的患者数据以及格拉斯哥程序自动解读心电图的结果。患者平均年龄为51岁，其中59%为女性。平均体重指数为25.9 kg/m²，平均每年增加0.15 kg/m²。这些患者中显著患有高血压（33.2%）、冠状动脉疾病家族史（14.5%）、吸烟（6.9%）、糖尿病（5.8%）、肥胖（5.8%）或恰加斯病（3.0%）。70%的心电图正常。这一比例在女性中更高（72.3%），并且每增加10岁平均下降7.4个百分点。显著存在12%的可能心肌梗死、10%的可能左心室肥大和8%的可能室上性早搏。
