alexa Tele-Medicine for Cardiovascular Emergencies: Ready for the Prime Time? | OMICS International | Abstract
ISSN: 2155-9880

Journal of Clinical & Experimental Cardiology
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Editorial

Tele-Medicine for Cardiovascular Emergencies: Ready for the Prime Time?

Natale Daniele Brunetti1*, Daniele Amoruso2, Luisa De Gennaro1, Giulia Dellegrottaglie3, Giuseppe Di Giuseppe3, Gianfranco Antonelli4 and Matteo Di Biase5
1Post-graduate in Cardiology, PhD, Cardiology Department, University of Foggia, Italy
2Post-graduate in Radiology, U.O. Cardiologia, Azienda Ospedaliera Policlinico, Bari, Italy
3Cardio on Line Europe S.R.L., Bari, Italy
4Post-graduate in Cardiology, Cardiology Department, Azienda Ospedaliera Policlinico, Bari, Italy
5Post-graduate in Cardiology, Cardiology Department, University of Foggia, Italy
Corresponding Author : Natale Daniele Brunetti, MD
post-graduate in Cardiology, PhD
Cardiology Department, University of Foggia
Viale Pinto 1, 71100 Foggia, Italy
Tel: +393389112358
Fax: +390881745424
E-mail: [email protected]
Received June 07, 2012; Accepted July 02, 2012; Published July 05, 2012
Citation: Brunetti ND, Amoruso D, Gennaro LD, Dellegrottaglie G, Giuseppe GD, et al. (2012) Tele-Medicine for Cardiovascular Emergencies: Ready for the Prime Time? J Clin Exp Cardiolog 3:e109. doi:10.4172/2155-9880.1000e109
Copyright: © 2012 Brunetti ND, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

According to the Wikipedia definition, “Tele-Medicine [(TM)] is the use of telecommunication and information technologies in order to provide clinical health care at a distance. It helps eliminate distance barriers and can improve access to medical services that would often not be consistently available in distant rural communities. It is also used to save lives in critical care and emergency situations”. TM may therefore be extremely useful in reducing time of treatment, especially when time is paramount, such as in cardiovascular emergencies. Pre-hospital Electrocardiograms (ECGs) may be useful in improving timeliness of treatments in acute cardiovascular disease, and TM may play a primary role in allowing any patient with a suspected cardiovascular emergency to be examined with pre-hospital ECG by a cardiologist, wherever the patient is, either in rural or urban areas. In the field of TM applied to cardiovascular emergencies managed by an Emergency Medical Service (EMS) in a large region-wide area, the focus is on Apulia, a region in South-Eastern Italy (19,358 km², population 4,091,259). The region is currently served by a TM hub from where cardiologists report back, 24/7, on pre-hospital ECGs transmitted by telephone (mobile or other). Evidence is provided showing the clinical utility of pre-hospital TM ECG in improving the quality of medical assistance in cardiovascular emergencies. The Apulia TM network provides an interesting demonstration of TM potential in health-care management, combining high-quality medical assistance with optimal spending of public resources.

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