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A Tale of Two Cities: STEMI Interventions in Developed and Developing Countries and the Potential of Telemedicine to Reduce Disparities in Care
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| Zeitschriftentitel: | Journal of Interventional Cardiology |
|---|---|
| Personen und Körperschaften: | , , , , , , , , , , , |
| In: | Journal of Interventional Cardiology, 27, 2014, 2, S. 155-166 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Wiley
|
| Schlagwörter: |
| author_facet |
MEHTA, SAMEER BOTELHO, ROBERTO RODRIGUEZ, DANIEL FERNÁNDEZ, FRANCISCO J. OSSA, MARIA M. ZHANG, TRACY KOSTELA, JENNIFER C. REYNBAKH, OLGA FALCÃO, BRENO VELÁSQUEZ, ALICIA HENAO OLIVEROS, ESTEFANIA PENA, CAMILO MEHTA, SAMEER BOTELHO, ROBERTO RODRIGUEZ, DANIEL FERNÁNDEZ, FRANCISCO J. OSSA, MARIA M. ZHANG, TRACY KOSTELA, JENNIFER C. REYNBAKH, OLGA FALCÃO, BRENO VELÁSQUEZ, ALICIA HENAO OLIVEROS, ESTEFANIA PENA, CAMILO |
|---|---|
| author |
MEHTA, SAMEER BOTELHO, ROBERTO RODRIGUEZ, DANIEL FERNÁNDEZ, FRANCISCO J. OSSA, MARIA M. ZHANG, TRACY KOSTELA, JENNIFER C. REYNBAKH, OLGA FALCÃO, BRENO VELÁSQUEZ, ALICIA HENAO OLIVEROS, ESTEFANIA PENA, CAMILO |
| spellingShingle |
MEHTA, SAMEER BOTELHO, ROBERTO RODRIGUEZ, DANIEL FERNÁNDEZ, FRANCISCO J. OSSA, MARIA M. ZHANG, TRACY KOSTELA, JENNIFER C. REYNBAKH, OLGA FALCÃO, BRENO VELÁSQUEZ, ALICIA HENAO OLIVEROS, ESTEFANIA PENA, CAMILO Journal of Interventional Cardiology A Tale of Two Cities: STEMI Interventions in Developed and Developing Countries and the Potential of Telemedicine to Reduce Disparities in Care Cardiology and Cardiovascular Medicine Radiology, Nuclear Medicine and imaging |
| author_sort |
mehta, sameer |
| spelling |
MEHTA, SAMEER BOTELHO, ROBERTO RODRIGUEZ, DANIEL FERNÁNDEZ, FRANCISCO J. OSSA, MARIA M. ZHANG, TRACY KOSTELA, JENNIFER C. REYNBAKH, OLGA FALCÃO, BRENO VELÁSQUEZ, ALICIA HENAO OLIVEROS, ESTEFANIA PENA, CAMILO 0896-4327 1540-8183 Wiley Cardiology and Cardiovascular Medicine Radiology, Nuclear Medicine and imaging http://dx.doi.org/10.1111/joic.12117 <jats:sec><jats:label /><jats:p><jats:bold>Objectives:</jats:bold> <jats:italic>To utilize telemedicine as a foundation platform for creating population‐based STEMI networks</jats:italic>.</jats:p><jats:p><jats:bold>Background:</jats:bold> <jats:italic>Disparate acute myocardial infarction (AMI) management occurs in developed and developing countries on account of differences in infrastructure resources. As a result, developed countries utilize primary percutaneous coronary intervention (PCI) and second‐ and third‐generation thrombolytic therapy, in contrast to developing countries, which primarily rely on earlier‐generation thrombolytic therapy and basic medical management. Reducing the vast gap in AMI care between developed and developing countries is an abysmally slow process</jats:italic>.</jats:p><jats:p><jats:bold>Methods:</jats:bold> <jats:italic>Remote access, telemedicine IT platforms, expert EKG interpretation, teleconsultation, and a strict quality assurance process are incorporated into a population‐based AMI network</jats:italic>.</jats:p><jats:p><jats:bold>Results:</jats:bold> <jats:italic>Lumen Americas Telemedicine Infarct Network (LATIN) is an applied hub‐and‐spoke strategy, which creates a telemedicine‐based STEMI management network across large populations. Primary PCI with targeted door‐to‐balloon times is the preferred strategy for the hub sites. Telemedicine‐guided accurate EKG interpretation and teleconsultation are applied at the spoke sites. An integrated IT platform is used to navigate an effective prehospital triage system. The pilot phase has created 100 LATIN sites in Brazil and Colombia</jats:italic>.</jats:p><jats:p><jats:bold>Conclusion:</jats:bold> <jats:italic>Telemedicine provides an attractive strategy to reduce the gaps that presently exist in managing AMI in developed and developing countries</jats:italic>. (J Interven Cardiol 2014;27:155–166)</jats:p></jats:sec> A Tale of Two Cities: STEMI Interventions in Developed and Developing Countries and the Potential of Telemedicine to Reduce Disparities in Care Journal of Interventional Cardiology |
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| title |
A Tale of Two Cities: STEMI Interventions in Developed and Developing Countries and the Potential of Telemedicine to Reduce Disparities in Care |
| title_unstemmed |
A Tale of Two Cities: STEMI Interventions in Developed and Developing Countries and the Potential of Telemedicine to Reduce Disparities in Care |
| title_full |
A Tale of Two Cities: STEMI Interventions in Developed and Developing Countries and the Potential of Telemedicine to Reduce Disparities in Care |
| title_fullStr |
A Tale of Two Cities: STEMI Interventions in Developed and Developing Countries and the Potential of Telemedicine to Reduce Disparities in Care |
| title_full_unstemmed |
A Tale of Two Cities: STEMI Interventions in Developed and Developing Countries and the Potential of Telemedicine to Reduce Disparities in Care |
| title_short |
A Tale of Two Cities: STEMI Interventions in Developed and Developing Countries and the Potential of Telemedicine to Reduce Disparities in Care |
| title_sort |
a tale of two cities: stemi interventions in developed and developing countries and the potential of telemedicine to reduce disparities in care |
| topic |
Cardiology and Cardiovascular Medicine Radiology, Nuclear Medicine and imaging |
| url |
http://dx.doi.org/10.1111/joic.12117 |
| publishDate |
2014 |
| physical |
155-166 |
| description |
<jats:sec><jats:label /><jats:p><jats:bold>Objectives:</jats:bold> <jats:italic>To utilize telemedicine as a foundation platform for creating population‐based STEMI networks</jats:italic>.</jats:p><jats:p><jats:bold>Background:</jats:bold> <jats:italic>Disparate acute myocardial infarction (AMI) management occurs in developed and developing countries on account of differences in infrastructure resources. As a result, developed countries utilize primary percutaneous coronary intervention (PCI) and second‐ and third‐generation thrombolytic therapy, in contrast to developing countries, which primarily rely on earlier‐generation thrombolytic therapy and basic medical management. Reducing the vast gap in AMI care between developed and developing countries is an abysmally slow process</jats:italic>.</jats:p><jats:p><jats:bold>Methods:</jats:bold> <jats:italic>Remote access, telemedicine IT platforms, expert EKG interpretation, teleconsultation, and a strict quality assurance process are incorporated into a population‐based AMI network</jats:italic>.</jats:p><jats:p><jats:bold>Results:</jats:bold> <jats:italic>Lumen Americas Telemedicine Infarct Network (LATIN) is an applied hub‐and‐spoke strategy, which creates a telemedicine‐based STEMI management network across large populations. Primary PCI with targeted door‐to‐balloon times is the preferred strategy for the hub sites. Telemedicine‐guided accurate EKG interpretation and teleconsultation are applied at the spoke sites. An integrated IT platform is used to navigate an effective prehospital triage system. The pilot phase has created 100 LATIN sites in Brazil and Colombia</jats:italic>.</jats:p><jats:p><jats:bold>Conclusion:</jats:bold> <jats:italic>Telemedicine provides an attractive strategy to reduce the gaps that presently exist in managing AMI in developed and developing countries</jats:italic>. (J Interven Cardiol 2014;27:155–166)</jats:p></jats:sec> |
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| author | MEHTA, SAMEER, BOTELHO, ROBERTO, RODRIGUEZ, DANIEL, FERNÁNDEZ, FRANCISCO J., OSSA, MARIA M., ZHANG, TRACY, KOSTELA, JENNIFER C., REYNBAKH, OLGA, FALCÃO, BRENO, VELÁSQUEZ, ALICIA HENAO, OLIVEROS, ESTEFANIA, PENA, CAMILO |
| author_facet | MEHTA, SAMEER, BOTELHO, ROBERTO, RODRIGUEZ, DANIEL, FERNÁNDEZ, FRANCISCO J., OSSA, MARIA M., ZHANG, TRACY, KOSTELA, JENNIFER C., REYNBAKH, OLGA, FALCÃO, BRENO, VELÁSQUEZ, ALICIA HENAO, OLIVEROS, ESTEFANIA, PENA, CAMILO, MEHTA, SAMEER, BOTELHO, ROBERTO, RODRIGUEZ, DANIEL, FERNÁNDEZ, FRANCISCO J., OSSA, MARIA M., ZHANG, TRACY, KOSTELA, JENNIFER C., REYNBAKH, OLGA, FALCÃO, BRENO, VELÁSQUEZ, ALICIA HENAO, OLIVEROS, ESTEFANIA, PENA, CAMILO |
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| description | <jats:sec><jats:label /><jats:p><jats:bold>Objectives:</jats:bold> <jats:italic>To utilize telemedicine as a foundation platform for creating population‐based STEMI networks</jats:italic>.</jats:p><jats:p><jats:bold>Background:</jats:bold> <jats:italic>Disparate acute myocardial infarction (AMI) management occurs in developed and developing countries on account of differences in infrastructure resources. As a result, developed countries utilize primary percutaneous coronary intervention (PCI) and second‐ and third‐generation thrombolytic therapy, in contrast to developing countries, which primarily rely on earlier‐generation thrombolytic therapy and basic medical management. Reducing the vast gap in AMI care between developed and developing countries is an abysmally slow process</jats:italic>.</jats:p><jats:p><jats:bold>Methods:</jats:bold> <jats:italic>Remote access, telemedicine IT platforms, expert EKG interpretation, teleconsultation, and a strict quality assurance process are incorporated into a population‐based AMI network</jats:italic>.</jats:p><jats:p><jats:bold>Results:</jats:bold> <jats:italic>Lumen Americas Telemedicine Infarct Network (LATIN) is an applied hub‐and‐spoke strategy, which creates a telemedicine‐based STEMI management network across large populations. Primary PCI with targeted door‐to‐balloon times is the preferred strategy for the hub sites. Telemedicine‐guided accurate EKG interpretation and teleconsultation are applied at the spoke sites. An integrated IT platform is used to navigate an effective prehospital triage system. The pilot phase has created 100 LATIN sites in Brazil and Colombia</jats:italic>.</jats:p><jats:p><jats:bold>Conclusion:</jats:bold> <jats:italic>Telemedicine provides an attractive strategy to reduce the gaps that presently exist in managing AMI in developed and developing countries</jats:italic>. (J Interven Cardiol 2014;27:155–166)</jats:p></jats:sec> |
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| spelling | MEHTA, SAMEER BOTELHO, ROBERTO RODRIGUEZ, DANIEL FERNÁNDEZ, FRANCISCO J. OSSA, MARIA M. ZHANG, TRACY KOSTELA, JENNIFER C. REYNBAKH, OLGA FALCÃO, BRENO VELÁSQUEZ, ALICIA HENAO OLIVEROS, ESTEFANIA PENA, CAMILO 0896-4327 1540-8183 Wiley Cardiology and Cardiovascular Medicine Radiology, Nuclear Medicine and imaging http://dx.doi.org/10.1111/joic.12117 <jats:sec><jats:label /><jats:p><jats:bold>Objectives:</jats:bold> <jats:italic>To utilize telemedicine as a foundation platform for creating population‐based STEMI networks</jats:italic>.</jats:p><jats:p><jats:bold>Background:</jats:bold> <jats:italic>Disparate acute myocardial infarction (AMI) management occurs in developed and developing countries on account of differences in infrastructure resources. As a result, developed countries utilize primary percutaneous coronary intervention (PCI) and second‐ and third‐generation thrombolytic therapy, in contrast to developing countries, which primarily rely on earlier‐generation thrombolytic therapy and basic medical management. Reducing the vast gap in AMI care between developed and developing countries is an abysmally slow process</jats:italic>.</jats:p><jats:p><jats:bold>Methods:</jats:bold> <jats:italic>Remote access, telemedicine IT platforms, expert EKG interpretation, teleconsultation, and a strict quality assurance process are incorporated into a population‐based AMI network</jats:italic>.</jats:p><jats:p><jats:bold>Results:</jats:bold> <jats:italic>Lumen Americas Telemedicine Infarct Network (LATIN) is an applied hub‐and‐spoke strategy, which creates a telemedicine‐based STEMI management network across large populations. Primary PCI with targeted door‐to‐balloon times is the preferred strategy for the hub sites. Telemedicine‐guided accurate EKG interpretation and teleconsultation are applied at the spoke sites. An integrated IT platform is used to navigate an effective prehospital triage system. The pilot phase has created 100 LATIN sites in Brazil and Colombia</jats:italic>.</jats:p><jats:p><jats:bold>Conclusion:</jats:bold> <jats:italic>Telemedicine provides an attractive strategy to reduce the gaps that presently exist in managing AMI in developed and developing countries</jats:italic>. (J Interven Cardiol 2014;27:155–166)</jats:p></jats:sec> A Tale of Two Cities: STEMI Interventions in Developed and Developing Countries and the Potential of Telemedicine to Reduce Disparities in Care Journal of Interventional Cardiology |
| spellingShingle | MEHTA, SAMEER, BOTELHO, ROBERTO, RODRIGUEZ, DANIEL, FERNÁNDEZ, FRANCISCO J., OSSA, MARIA M., ZHANG, TRACY, KOSTELA, JENNIFER C., REYNBAKH, OLGA, FALCÃO, BRENO, VELÁSQUEZ, ALICIA HENAO, OLIVEROS, ESTEFANIA, PENA, CAMILO, Journal of Interventional Cardiology, A Tale of Two Cities: STEMI Interventions in Developed and Developing Countries and the Potential of Telemedicine to Reduce Disparities in Care, Cardiology and Cardiovascular Medicine, Radiology, Nuclear Medicine and imaging |
| title | A Tale of Two Cities: STEMI Interventions in Developed and Developing Countries and the Potential of Telemedicine to Reduce Disparities in Care |
| title_full | A Tale of Two Cities: STEMI Interventions in Developed and Developing Countries and the Potential of Telemedicine to Reduce Disparities in Care |
| title_fullStr | A Tale of Two Cities: STEMI Interventions in Developed and Developing Countries and the Potential of Telemedicine to Reduce Disparities in Care |
| title_full_unstemmed | A Tale of Two Cities: STEMI Interventions in Developed and Developing Countries and the Potential of Telemedicine to Reduce Disparities in Care |
| title_short | A Tale of Two Cities: STEMI Interventions in Developed and Developing Countries and the Potential of Telemedicine to Reduce Disparities in Care |
| title_sort | a tale of two cities: stemi interventions in developed and developing countries and the potential of telemedicine to reduce disparities in care |
| title_unstemmed | A Tale of Two Cities: STEMI Interventions in Developed and Developing Countries and the Potential of Telemedicine to Reduce Disparities in Care |
| topic | Cardiology and Cardiovascular Medicine, Radiology, Nuclear Medicine and imaging |
| url | http://dx.doi.org/10.1111/joic.12117 |