Rissam H S, Kishore S, Srivastava S, Bhatia M L, Trehan N
Department of Telecardiology, Escorts Heart Institute and Research Centre, New Delhi.
Indian Heart J. 1998 Jan-Feb;50(1):55-8.
Between May 1996 and May 1997, a total of 398 patients (321 males, 77 females) were registered at our institute for trans-telephonic electro-cardiographic monitoring (TTEM). Their age ranged from one month to 95 years. Almost two-third (67%) of patients were from Delhi and one-third (33%) from other places in India and neighbouring countries. Clinical profile of these patients was post-bypass surgery, post-myocardial infarction, chest pain for evaluation, post-percutaneous transluminal coronary angioplasty, chronic stable angina, evaluation of palpitations, arrhythmias, and pace-maker follow-up. Out of 664 symptomatic transmissions, 568 (86%) were received for cardiac symptoms and 96 (14%) for non-cardiac symptoms. Seventy-nine percent patients had chest pain or palpitations at the time of transmission, whereas 21 percent had other symptoms like chest discomfort, breathlessness or dizziness. The electro-cardiograms were transmitted within one hour of the onset of chest pain in 84 percent, palpitations in 78 percent and dizziness in 75 percent. Of patients with symptomatic transmissions, 628 (95%) required either reassurance or drug-dose adjustment and outpatient department review. Only 36 (5%) patients were hospitalised as an emergency, and out of these only 19 (3%) needed acute management. In conclusion, trans-telephonic electro-cardiographic monitoring is a very convenient and an 'all-time-available' monitoring facility for establishing patient-physician contact in the shortest time. It is useful in rendering instant advice for hospitalisation in emergency situations while avoiding unnecessary visits to the hospital.
1996年5月至1997年5月期间，共有398例患者（男性321例，女性77例）在我院登记接受远程心电监测（TTEM）。他们的年龄从1个月到95岁不等。几乎三分之二（67%）的患者来自德里，三分之一（33%）来自印度其他地区和周边国家。这些患者的临床情况包括搭桥手术后、心肌梗死后、胸痛待评估、经皮腔内冠状动脉成形术后、慢性稳定型心绞痛、心悸评估、心律失常以及起搏器随访。在664次有症状的传输中，568次（86%）是因心脏症状，96次（14%）是因非心脏症状。79%的患者在传输时伴有胸痛或心悸，而21%的患者有其他症状，如胸部不适、呼吸急促或头晕。84%的胸痛患者、78%的心悸患者和75%的头晕患者在症状发作后1小时内传输了心电图。在有症状传输的患者中，628例（95%）需要安心治疗或调整药物剂量并到门诊复查。只有36例（5%）患者作为急诊住院，其中只有19例（3%）需要紧急处理。总之，远程心电监测是一种非常方便且“随时可用”的监测工具，能在最短时间内建立医患联系。它有助于在紧急情况下提供即时住院建议，同时避免不必要的医院就诊。
