Assessment of prehospital chest pain using telecardiology.

Simonetta Scalvini, Emanuela Zanelli, Claudia Conti, Maurizio Volterrani, Riccardo Pollina, Amerigo Giordano, Fulvio Glisenti

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Two hundred general practitioners were equipped with a portable electrocardiograph which could transmit a 12-lead electrocardiogram (ECG) via a telephone line. A cardiologist was available 24 h a day for an interactive teleconsultation. In a 13-month period there were 5073 calls to the telecardiology service and 952 subjects with chest pain were identified. The telecardiology service allowed the general practitioners to manage 700 cases (74%) themselves; further diagnostic tests were requested for 162 patients (17%) and 83 patients (9%) were sent to the hospital emergency department. In the last group a cardiological diagnosis was confirmed in 60 patients and refuted in 23. Seven patients in whom the telecardiology service failed to detect a cardiac problem were hospitalized in the subsequent 48 h. The telecardiology service showed a sensitivity of 97.4%, a specificity of 89.5% and a diagnostic accuracy of 86.9% for chest pain. Telemedicine could be a useful tool in the diagnosis of chest pain in primary care.

Original languageEnglish
Pages (from-to)231-236
Number of pages6
JournalJournal of Telemedicine and Telecare
Volume8
Issue number4
Publication statusPublished - 2002

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Chest Pain
General Practitioners
Electrocardiography
Remote Consultation
Telemedicine
Hospital Departments
Routine Diagnostic Tests
Telephone
Hospital Emergency Service
Primary Health Care

ASJC Scopus subject areas

  • Health Policy
  • Nursing(all)
  • Health Informatics

Cite this

Assessment of prehospital chest pain using telecardiology. / Scalvini, Simonetta; Zanelli, Emanuela; Conti, Claudia; Volterrani, Maurizio; Pollina, Riccardo; Giordano, Amerigo; Glisenti, Fulvio.

In: Journal of Telemedicine and Telecare, Vol. 8, No. 4, 2002, p. 231-236.

Research output: Contribution to journalArticle

Scalvini, S, Zanelli, E, Conti, C, Volterrani, M, Pollina, R, Giordano, A & Glisenti, F 2002, 'Assessment of prehospital chest pain using telecardiology.', Journal of Telemedicine and Telecare, vol. 8, no. 4, pp. 231-236.
Scalvini, Simonetta ; Zanelli, Emanuela ; Conti, Claudia ; Volterrani, Maurizio ; Pollina, Riccardo ; Giordano, Amerigo ; Glisenti, Fulvio. / Assessment of prehospital chest pain using telecardiology. In: Journal of Telemedicine and Telecare. 2002 ; Vol. 8, No. 4. pp. 231-236.
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