“…To add a "layer" to tele-ECG and risk factor-based considerations, tele-echocardiography can be performed to increase the accuracy and distinguish whether patients are at a high probability of true STEMI, COVID-19 myocarditis, or cardiac injury to guide efficient treatment and patient transfer. The development of a more complex scoring system or artificial intelligence [15] integrating other variables such as clinical history, risk factors, chest X-ray, and laboratory markers can provide a better prediction for ST elevation ECG in COVID-19 patients. Nevertheless, the distribution of echocardiography machines and establishment of tele-cardiology care can provide a lasting foundation beyond the COVID-19 era.…”