ANMCO/SIT Consensus Document: telemedicine for cardiovascular emergency networks

Eur Heart J Suppl. 2017 May;19(Suppl D):D229-D243. doi: 10.1093/eurheartj/sux028. Epub 2017 May 2.

Abstract

Telemedicine has deeply innovated the field of emergency cardiology, particularly the treatment of acute myocardial infarction. The ability to record an ECG in the early prehospital phase, thus avoiding any delay in diagnosing myocardial infarction with direct transfer to the cath-lab for primary angioplasty, has proven to significantly reduce treatment times and mortality. This consensus document aims to analyse the available evidence and organizational models based on a support by telemedicine, focusing on technical requirements, education, and legal aspects.

Keywords: Acute coronary syndrome; Acute myocardial infarction; Hub & spoke networks; STEMI; Telecardiology; Telemedicine; Unstable angina.