EXPERIENCE IN USING INTERNET ELECTROCARDIOGRAPHY IN AN INPATIENT EMERGENCY DEPARTMENT

Abstract

Introduction. A resting electrocardiography (ECG) is the most important routine system. In many cases, ECG recording is performed in the first minutes of contact between the doctor and the patient — in case of suspected rhythm and conduction disorders, myocardial infarction, and chest pain. In such situations, an ECG is taken at home or in an emergency car, which allows, when transferring a patient to a hospital, to form a differential diagnosis tactic and determine a followup examination plan. In the same cases, when the patient is hospitalized for indications unrelated to hemodynamic disorders (pneumonia, gynecological pathology, injuries and other causes), an ECG recording is necessary in the emergency department of the hospital, while the qualification of the doctor on duty does not always allow a reliable assessment of the ECG. Aim. To evaluate the experience of using an Internet ECG in the inpatient emergenc y department of a multidisciplinary hospital. Materials and methods. From August 2023 to October 2024, the complex for automated integrated assessment of the functional state of the cardiovascular system “Cardiometer-MT” was used in the examination of patients seeking medical care at the emergency department of the City Mariinsky Hospital (St. Petersburg). A total of 18,864 ECG recordings were performed. Results. According to the automatic conclusion, an ECG variant of the norm was verified in 23% of patients, various deviations from the norm in 37%, and pathological ECG changes in 25%. Conclusion. The use of Internet ECG systems allows you to optimize the operation of the emergency department, significantly saving time and consumables (thermal paper). Evaluation of the automatic conclusion of an Internet ECG using the “Traffic Light” mode is possible already at the stage of patient admission by the secondary medical staff.