PMID- 35454392
OWN - NLM
STAT- MEDLINE
DCOM- 20220426
LR  - 20220716
IS  - 1648-9144 (Electronic)
IS  - 1010-660X (Print)
IS  - 1010-660X (Linking)
VI  - 58
IP  - 4
DP  - 2022 Apr 17
TI  - Practical Aspects of the Use of Telematic Systems in the Diagnosis of Acute 
      Coronary Syndrome in Poland.
LID - 10.3390/medicina58040554 [doi]
LID - 554
AB  - Background and Objectives: The guidelines of the European Society of Cardiology 
      (ESC) recommend the use of telematic methods in the diagnosis of myocardial 
      infarction, allowing for transtelephonic electrocardiography (TTECG) from the 
      emergency scene to centers performing percutaneous coronary interventions (PCI 
      center). It has been proven that such a procedure has a beneficial effect on the 
      survival of patients with ST elevation myocardial infarction (STEMI). Fewer data 
      can be found on the correct use of these methods in everyday clinical practice. 
      The aim of this study was to indicate potential indications and contraindications 
      for the use of the TTECG system, and provide recommendations for proper 
      collaboration between emergency medical systems (EMS) teams and PCI centers. 
      Materials and Methods: The article is a systematic review of cardiological 
      emergencies, with an assessment of indications for the use of the TTECG system. 
      The authors introduced their own grading of the validity of indications for 
      transmission of the TTECG, similar to those used in the official ESC guidelines.: 
      Results:: The authors described individual cardiological emergencies occurring in 
      the practice of EMS, considering specific indications or contraindications for 
      the transmission of the TTECG. The article also discusses individual practical 
      recommendations for proper cooperation between EMS teams and PCI centers in 
      detail. All of the recommendations are compiled in a handy table to facilitate 
      its use in everyday clinical practice. Conclusions: The summary presents a 
      comparison of the realities of the functioning of the telematic support system in 
      Poland in the field of STEMI diagnostics, with the model's recommendations. The 
      necessity of further educating the members of individual teams included in the 
      network dealing with STEMI treatment was indicated, as well as the necessity of 
      introducing legal regulations sanctioning the functioning of telematic systems in 
      modern medicine.
FAU - Gawinski, Lukasz
AU  - Gawinski L
AUID- ORCID: 0000-0002-0466-0642
AD  - Department of Management and Logistics in Health Care, Medical University of 
      Lodz, 90-237 Lodz, Poland.
FAU - Burzynska, Monika
AU  - Burzynska M
AUID- ORCID: 0000-0001-9875-7383
AD  - Department of Epidemiology and Biostatistics, Medical University of Lodz, 90-237 
      Lodz, Poland.
FAU - Kamecka, Karolina
AU  - Kamecka K
AUID- ORCID: 0000-0001-9033-7747
AD  - Department of Management and Logistics in Health Care, Medical University of 
      Lodz, 90-237 Lodz, Poland.
FAU - Kozlowski, Remigiusz
AU  - Kozlowski R
AUID- ORCID: 0000-0003-2781-5341
AD  - Department of Emergency Medicine and Disaster Medicine, Medical University of 
      Lodz, 90-237 Lodz, Poland.
LA  - eng
GR  - POWR. 03.02.00-00-I027/16)./Medical University of Lodz/
PT  - Journal Article
PT  - Systematic Review
DEP - 20220417
PL  - Switzerland
TA  - Medicina (Kaunas)
JT  - Medicina (Kaunas, Lithuania)
JID - 9425208
SB  - IM
MH  - *Acute Coronary Syndrome/diagnosis
MH  - Electrocardiography
MH  - Emergencies
MH  - Humans
MH  - *Percutaneous Coronary Intervention
MH  - Poland
MH  - *ST Elevation Myocardial Infarction/diagnosis/therapy
PMC - PMC9030116
OTO - NOTNLM
OT  - decision making process
OT  - myocardial infarction
OT  - transtelephonic electrocardiography
COIS- The authors declare no conflict of interest.
EDAT- 2022/04/24 06:00
MHDA- 2022/04/27 06:00
PMCR- 2022/04/17
CRDT- 2022/04/23 01:03
PHST- 2022/03/14 00:00 [received]
PHST- 2022/04/08 00:00 [revised]
PHST- 2022/04/14 00:00 [accepted]
PHST- 2022/04/23 01:03 [entrez]
PHST- 2022/04/24 06:00 [pubmed]
PHST- 2022/04/27 06:00 [medline]
PHST- 2022/04/17 00:00 [pmc-release]
AID - medicina58040554 [pii]
AID - medicina-58-00554 [pii]
AID - 10.3390/medicina58040554 [doi]
PST - epublish
SO  - Medicina (Kaunas). 2022 Apr 17;58(4):554. doi: 10.3390/medicina58040554.