Caldarola Pasquale, Gulizia Michele Massimo, Gabrielli Domenico, Sicuro Marco, De Gennaro Luisa, Giammaria Massimo, Grieco Niccolò Brenno, Grosseto Daniele, Mantovan Roberto, Mazzanti Marco, Menotti Alberto, Brunetti Natale Daniele, Severi Silva, Russo Giancarmine, Gensini Gian Franco
Cardiology Department, San Paolo Hospital, Via Caposcardicchio, 70123 Bari, Italy.
Cardiology Department, Garibal-Nesima Hospital, Ospedale Nesima-Garibaldi, Azienda di Rilievo Nazionale e Alta Specializzazione "Garibaldi", Catania, Italy.
Eur Heart J Suppl. 2017 May;19(Suppl D):D229-D243. doi: 10.1093/eurheartj/sux028. Epub 2017 May 2.
Telemedicine has deeply innovated the field of emergency cardiology, particularly the treatment of acute myocardial infarction. The ability to record an ECG in the early prehospital phase, thus avoiding any delay in diagnosing myocardial infarction with direct transfer to the cath-lab for primary angioplasty, has proven to significantly reduce treatment times and mortality. This consensus document aims to analyse the available evidence and organizational models based on a support by telemedicine, focusing on technical requirements, education, and legal aspects.
远程医疗已深刻革新了急诊心脏病学领域,尤其是急性心肌梗死的治疗。在院前早期阶段记录心电图的能力,从而避免在诊断心肌梗死后直接转至导管室进行直接血管成形术时出现任何延误,已被证明可显著缩短治疗时间并降低死亡率。本共识文件旨在分析基于远程医疗支持的现有证据和组织模式,重点关注技术要求、教育和法律方面。