Prognostication of late left ventricular systolic dysfunction in patients with acute coronary syndrome during the acute period

Babarskienė, Marija Rūta; Venclovienė, Jonė; Lukšienė, Dalia; Šlapikienė, Birutė; Milvidaitė, Irena; Šlapikas, Rimvydas; Janėnaitė, Jūratė

doi:10.3390/medicina43050045

Cited by 2 publications

(3 citation statements)

References 27 publications

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“…This study as a part of project "eHealth for Regions" was partly financed by EU Interreg IIIb program in 2004-2006. 1 Širdies, krūtinės ir kraujagyslių chirurgijos klinika, 2 Kardiologijos institutas, 3 Profilaktinės medicinos katedra Raktažodžiai: telemedicina, telekardiologija, telekonsultacijos.…”

Section: Acknowledgementunclassified

“…Ischemic heart disease (IHD) in European countries over decades has been a common cause of sudden death (up to 55% of all cases) and also has a high rate of mortality, morbidity, and hospital admission and requires long and intensive hospital care (1,2). The first idea of transtelephonic transmissions of electrocardiograms (ECGs), ballistocardiograms (BCGs), and electroencephalograms (EEGs) in the former Soviet Union was developed by Prof. Zigmas Januškevičius and implemented in 1962, when transmissions from Kaunas to Moscow were performed (3).…”

Section: Introductionmentioning

confidence: 99%

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Implementation of international transtelephonic ECG platform for patients with ischemic heart disease

Žaliūnas¹,

Benetis²,

Vanagas³

et al. 2009

Medicina

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Ischemic heart disease in European countries over decades causes up to 55% of all cases of sudden death and also has a high rate of mortality, morbidity, and hospital admission. Patients with such chronic diseases also require intensive home care facilities from community nurses. The aim was to establish international multilingual platform for transtelephonic ECG system as an alternative solution for home care and assess its performance. Methods. During this pilot study, the international toll-free line between Lithuania and Germany was established, and practical applicability of the tele-ECG device was tested. Transtelephonic ECG system was implemented between Telemedicine Center in Bad Segeberg (Bad Segeberg Clinic, Germany), the Call Center in Kaunas at the Hospital of Kaunas University of Medicine, and a patient residence. Results. Over a 6-month follow-up period, 34 patients were recruited. Following the ECG transmission, 86 teleconsultations were done. During the study, a total of 329 ECGs were sent by the patients; out of them, 14 ECGs were with clinical changes. Technical problems due to insufficient patient training, telecommunication systems, acoustic data transmission, and device itself were reported. Up to 23% of ECGs sent by patients were unreadable and not applicable for further clinical analysis. Conclusions. Our study showed the potential of telemedicine facilities to overcome the problems of access that makes the technique so potentially useful, but for telemonitoring application at patient homes in a wider population, it needs to be improved in terms of technical performance, transmission and analysis automatization.

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Section: Acknowledgementunclassified

Section: Introductionmentioning

confidence: 99%

Implementation of international transtelephonic ECG platform for patients with ischemic heart disease

Žaliūnas¹,

Benetis²,

Vanagas³

et al. 2009

Medicina

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“…The results of these studies have shown that a history of heart failure (EF <40%) also contributes to a poor prognosis of patients with chronic coronary syndromes, because the most common cause of heart failure is myocardial infarction (5,6). The GRACE registry suggests that acute heart failure 3 to 4 times increased risk of death after MI during 6-month period (7), and by data of other studies, the risk of death was even greater after MI and unstable angina, complicated with heart failure, during an 18-month period (8,9). Our data show that Killip class III or IV is one of the major risk factor for one-year mortality.…”

Section: Discussionmentioning

confidence: 99%

Prognostication of long-term outcomes for patients with ischemic heart disease

et al. 2010

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Cardiovascular disease, including coronary heart disease (CHD), is the leading cause of death among elderly adults across many European countries. In 2005, the Clinic of Cardiology, Hospital of Lithuanian University of Health Sciences (former Kaunas University of Medicine), started to gather the clinical data of patients with acute and chronic coronary syndromes according to the standards set by the Cardiology Audit and Registration Data Standards Project. The aim of our study was to evaluate one-year mortality after inpatient treatment for acute and chronic coronary syndromes in different risk groups. Material and methods. A total of 3268 patients who were treated for coronary heart disease - acute myocardial infarction, unstable angina, stable angina – at the Clinic of Cardiology, Hospital of Lithuanian University of Health Sciences (former Kaunas University of Medicine) in 2005 were randomly selected. Clinical data of the patients were collected by means of a standardized questionnaire. After one year, 1908 patients were reexamined, and predominant symptoms, treatment during one-year period, outcomes were evaluated. Results. Multiple logistic regression analysis revealed that one-year mortality after acute coronary syndromes was most influenced by age of 70–80 years, history of stroke, Killip class III-IV, and reduced high-density lipoprotein cholesterol levels. For patients who were treated for chronic coronary syndromes, reduced EF (<40%) and increased heart rate (>70 beats per minute) were the strongest independent predictors of one-year mortality. Conclusion. A scoring system for the assessment of mortality risk within one year for patients with acute and chronic coronary syndromes was constructed, which could be useful for cardiologists as well as family physicians for risk evaluation in inpatient and outpatient settings.

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Prognostication of late left ventricular systolic dysfunction in patients with acute coronary syndrome during the acute period

Cited by 2 publications

References 27 publications

Implementation of international transtelephonic ECG platform for patients with ischemic heart disease

Implementation of international transtelephonic ECG platform for patients with ischemic heart disease

Prognostication of long-term outcomes for patients with ischemic heart disease

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