[Telecardiology in the management of acute myocardial infarction: the experience of the provincial network of Mantova].
Identifieur interne : 000533 ( PubMed/Corpus ); précédent : 000532; suivant : 000534[Telecardiology in the management of acute myocardial infarction: the experience of the provincial network of Mantova].
Auteurs : Roberto Zanini ; Michele Romano ; Francesca Buffoli ; Corrado Lettieri ; Nicola Baccaglioni ; Giorgio Schiavone ; Marco Aroldi ; Luca Tomasi ; Helène Kuwornu ; Antonio IzzoSource :
- Italian heart journal. Supplement : official journal of the Italian Federation of Cardiology [ 1129-4728 ] ; 2005.
English descriptors
- KwdEn :
- MESH :
- geographic : Italy.
- therapy : Myocardial Infarction.
- Aged, Angioplasty, Balloon, Coronary, Humans, Telemedicine, Time Factors.
Abstract
Since June 2001 we activated a program for the treatment of acute myocardial infarction, based on the early assessment of the patient's risk profile, on telematic connection among care centers and optimization of critical pathways for access to care. The aim of this work was to assess the effectiveness of telemedicine in the reduction of time to treatment.
PubMed: 15875502
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pubmed:15875502Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[Telecardiology in the management of acute myocardial infarction: the experience of the provincial network of Mantova].</title><author><name sortKey="Zanini, Roberto" sort="Zanini, Roberto" uniqKey="Zanini R" first="Roberto" last="Zanini">Roberto Zanini</name><affiliation><nlm:affiliation>Struttura Complessa di Cardiologia, A.O. "Carlo Ponma", Mantova. cardiomantova@virgilio.it</nlm:affiliation></affiliation></author><author><name sortKey="Romano, Michele" sort="Romano, Michele" uniqKey="Romano M" first="Michele" last="Romano">Michele Romano</name></author><author><name sortKey="Buffoli, Francesca" sort="Buffoli, Francesca" uniqKey="Buffoli F" first="Francesca" last="Buffoli">Francesca Buffoli</name></author><author><name sortKey="Lettieri, Corrado" sort="Lettieri, Corrado" uniqKey="Lettieri C" first="Corrado" last="Lettieri">Corrado Lettieri</name></author><author><name sortKey="Baccaglioni, Nicola" sort="Baccaglioni, Nicola" uniqKey="Baccaglioni N" first="Nicola" last="Baccaglioni">Nicola Baccaglioni</name></author><author><name sortKey="Schiavone, Giorgio" sort="Schiavone, Giorgio" uniqKey="Schiavone G" first="Giorgio" last="Schiavone">Giorgio Schiavone</name></author><author><name sortKey="Aroldi, Marco" sort="Aroldi, Marco" uniqKey="Aroldi M" first="Marco" last="Aroldi">Marco Aroldi</name></author><author><name sortKey="Tomasi, Luca" sort="Tomasi, Luca" uniqKey="Tomasi L" first="Luca" last="Tomasi">Luca Tomasi</name></author><author><name sortKey="Kuwornu, Helene" sort="Kuwornu, Helene" uniqKey="Kuwornu H" first="Helène" last="Kuwornu">Helène Kuwornu</name></author><author><name sortKey="Izzo, Antonio" sort="Izzo, Antonio" uniqKey="Izzo A" first="Antonio" last="Izzo">Antonio Izzo</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2005">2005</date><idno type="RBID">pubmed:15875502</idno><idno type="pmid">15875502</idno><idno type="wicri:Area/PubMed/Corpus">000533</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000533</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Telecardiology in the management of acute myocardial infarction: the experience of the provincial network of Mantova].</title><author><name sortKey="Zanini, Roberto" sort="Zanini, Roberto" uniqKey="Zanini R" first="Roberto" last="Zanini">Roberto Zanini</name><affiliation><nlm:affiliation>Struttura Complessa di Cardiologia, A.O. "Carlo Ponma", Mantova. cardiomantova@virgilio.it</nlm:affiliation></affiliation></author><author><name sortKey="Romano, Michele" sort="Romano, Michele" uniqKey="Romano M" first="Michele" last="Romano">Michele Romano</name></author><author><name sortKey="Buffoli, Francesca" sort="Buffoli, Francesca" uniqKey="Buffoli F" first="Francesca" last="Buffoli">Francesca Buffoli</name></author><author><name sortKey="Lettieri, Corrado" sort="Lettieri, Corrado" uniqKey="Lettieri C" first="Corrado" last="Lettieri">Corrado Lettieri</name></author><author><name sortKey="Baccaglioni, Nicola" sort="Baccaglioni, Nicola" uniqKey="Baccaglioni N" first="Nicola" last="Baccaglioni">Nicola Baccaglioni</name></author><author><name sortKey="Schiavone, Giorgio" sort="Schiavone, Giorgio" uniqKey="Schiavone G" first="Giorgio" last="Schiavone">Giorgio Schiavone</name></author><author><name sortKey="Aroldi, Marco" sort="Aroldi, Marco" uniqKey="Aroldi M" first="Marco" last="Aroldi">Marco Aroldi</name></author><author><name sortKey="Tomasi, Luca" sort="Tomasi, Luca" uniqKey="Tomasi L" first="Luca" last="Tomasi">Luca Tomasi</name></author><author><name sortKey="Kuwornu, Helene" sort="Kuwornu, Helene" uniqKey="Kuwornu H" first="Helène" last="Kuwornu">Helène Kuwornu</name></author><author><name sortKey="Izzo, Antonio" sort="Izzo, Antonio" uniqKey="Izzo A" first="Antonio" last="Izzo">Antonio Izzo</name></author></analytic><series><title level="j">Italian heart journal. Supplement : official journal of the Italian Federation of Cardiology</title><idno type="ISSN">1129-4728</idno><imprint><date when="2005" type="published">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Angioplasty, Balloon, Coronary</term><term>Humans</term><term>Italy</term><term>Myocardial Infarction (therapy)</term><term>Telemedicine</term><term>Time Factors</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Italy</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Myocardial Infarction</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Angioplasty, Balloon, Coronary</term><term>Humans</term><term>Telemedicine</term><term>Time Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Since June 2001 we activated a program for the treatment of acute myocardial infarction, based on the early assessment of the patient's risk profile, on telematic connection among care centers and optimization of critical pathways for access to care. The aim of this work was to assess the effectiveness of telemedicine in the reduction of time to treatment.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">15875502</PMID><DateCreated><Year>2005</Year><Month>05</Month><Day>06</Day></DateCreated><DateCompleted><Year>2006</Year><Month>01</Month><Day>19</Day></DateCompleted><DateRevised><Year>2010</Year><Month>11</Month><Day>18</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1129-4728</ISSN><JournalIssue CitedMedium="Print"><Volume>6</Volume><Issue>3</Issue><PubDate><Year>2005</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Italian heart journal. Supplement : official journal of the Italian Federation of Cardiology</Title><ISOAbbreviation>Ital Heart J Suppl</ISOAbbreviation></Journal><ArticleTitle>[Telecardiology in the management of acute myocardial infarction: the experience of the provincial network of Mantova].</ArticleTitle><Pagination><MedlinePgn>165-71</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Since June 2001 we activated a program for the treatment of acute myocardial infarction, based on the early assessment of the patient's risk profile, on telematic connection among care centers and optimization of critical pathways for access to care. The aim of this work was to assess the effectiveness of telemedicine in the reduction of time to treatment.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Mantova, a province of eastern Lombardy (northern Italy) is provided with one single sanitary district with one (tertiary hospital) referring hospital equipped with a cath lab on call 24/24 hours for primary coronary angioplasty (PTCA) and cardiac surgery and 6 community hospitals: 2 with coronary care units, 2 with a cardiology section, and 2 rehabilitation hospitals. The emergency medical system transport, activated 24/24 hours, consists of 6 advanced life support (ALS) ambulances and 11 basic life support (BLS) ambulances (2 with trained nurse staff). Each ALS ambulance is equipped with a semiautomatic defibrillator LIFEPACK 12 coupled with cellular telephone GSM transmission of the 12-lead ECG.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In the first 3-year activity of the project 340 patients with acute myocardial infarction underwent primary PTCA: 248 (73%) referred to first aid of the nearest hospital reached either by BLS ambulance or by their own means of transport and were hence transferred to the referring hospital for primary PTCA (group A), while 92 patients (27%) were aided at their own house by ALS ambulances and, after transmission of the 12-lead ECG to the referring coronary care unit, were directly transferred to the cath lab (group B). Decisional delay was 144 +/- 65 min in group A while 74 +/- 37 min in group B. Mean door-to-balloon time was 76 +/- 26 min in group A and 47 +/- 21 min in group B. High incidence of post-procedural TIMI 3 flow was achieved in both groups. In-hospital mortality was 6.8% in group A e 5.4% in group B.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our data show that patients referring directly to ALS ambulances had a lower decisional delay. Transmission of the patient's ECG and clinical parameters allows an early and accurate diagnosis and assessment of the individual risk profile with a consistent reduction in time to treatment and positive effects on the mortality rate.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zanini</LastName><ForeName>Roberto</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Struttura Complessa di Cardiologia, A.O. "Carlo Ponma", Mantova. cardiomantova@virgilio.it</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Romano</LastName><ForeName>Michele</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Buffoli</LastName><ForeName>Francesca</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Lettieri</LastName><ForeName>Corrado</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Baccaglioni</LastName><ForeName>Nicola</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Schiavone</LastName><ForeName>Giorgio</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Aroldi</LastName><ForeName>Marco</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Tomasi</LastName><ForeName>Luca</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Kuwornu</LastName><ForeName>Helène</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Izzo</LastName><ForeName>Antonio</ForeName><Initials>A</Initials></Author></AuthorList><Language>ita</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>La telecardiologia nella gestione dell'infarto miocardico acuto: l'esperienza della rete provinciale di Mantova.</VernacularTitle></Article><MedlineJournalInfo><Country>Italy</Country><MedlineTA>Ital Heart J Suppl</MedlineTA><NlmUniqueID>101223651</NlmUniqueID><ISSNLinking>1129-4728</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D015906">Angioplasty, Balloon, Coronary</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" Type="Geographic" UI="D007558">Italy</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D009203">Myocardial Infarction</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000628">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D017216">Telemedicine</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013997">Time Factors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2005</Year><Month>5</Month><Day>7</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2006</Year><Month>1</Month><Day>20</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2005</Year><Month>5</Month><Day>7</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">15875502</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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