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Reperfusion Therapy Optimization in Acute Myocardial Infarction with ST-Segment Elevation using WhatsApp®-Based
Alessandra Batista Teixeira1, Leonardo Fiaschi Zancaner1, Fernando Fonseca de França Ribeiro2
1Universidade de São Paulo Faculdade de Medicina de Ribeirão Preto - Divisão de Medicina de Emergência do Departamento de Clínica Médica,Ribeirão Preto, SP - Brasil.
Arquivos Brasileiros De Cardiologia
|February 9, 2022
Summary
WhatsApp® telemedicine significantly increased reperfusion therapy for ST-segment elevation myocardial infarction (STEMI) patients in Brazil. This innovation also reduced in-hospital mortality rates, improving patient outcomes.
Area of Science:
- Cardiology
- Telemedicine
- Public Health
Background:
- ST-segment elevation myocardial infarction (STEMI) affects numerous patients in Brazil.
- A significant percentage of STEMI patients do not receive timely reperfusion therapy.
Purpose of the Study:
- To evaluate the impact of a WhatsApp®-based telemedicine network on reperfusion therapy rates.
- To assess changes in in-hospital mortality following telemedicine implementation for STEMI patients.
Main Methods:
- A cross-sectional study compared outcomes before and after implementing a telemedicine network using WhatsApp® for STEMI patient ECG transmission.
- Data from 25 municipalities were analyzed, comparing 82 patients pre-implementation (2016-2018) with 196 post-implementation (2018-2020).
Main Results:
- Reperfusion therapy rates increased significantly from 60% to 92% (RR: 1.594, p < 0.0001).
- In-hospital mortality decreased from 13.4% to 5.6% (RR: 0.418, p = 0.028).
Conclusions:
- WhatsApp®-based telemedicine is effective in increasing reperfusion therapy for STEMI patients.
- The implemented telemedicine network led to a significant reduction in STEMI patient mortality.
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