{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T06:55:37Z","timestamp":1761893737330,"version":"3.38.0"},"reference-count":0,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2002,4,1]],"date-time":"2002-04-01T00:00:00Z","timestamp":1017619200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2002,4,1]]},"abstract":"<jats:p> We studied the role of telecardiology in reducing unnecessary hospital admissions of patients with suspected life-threatening cardiac events (CEs), evaluated by general practitioners (GPs). Over one month, 456 consecutive patients (mean age 65 years, SD 19) complaining of typical (10%) or atypical (42%) chest pain, palpitations (19%), dyspnoea (19%) or syncope (10%) were enrolled. Before teleconsultation, the GPs recorded their own opinion (based on clinical evaluation only) about the presence of a CE. Following transmission of the electrocardiogram (ECG), this opinion was compared with that of the cardiologist. In total there was agreement between the GP and cardiologist about the presence of a CE in 316 of the patients (69%) and disagreement in 140 patients (31%). This represents a specificity and sensitivity of the GPs' diagnosis of 76% and 47%, respectively. For 84 of 134 patients judged as having a CE by the GP, telecardiology avoided hospitalization; on the other hand, telecardiology identified a CE in 56 of 322 patients judged as not having a CE by the GP. Telecardiology is a useful tool with which to reduce unnecessary hospitalizations in patients with suspected life-threatening CEs. <\/jats:p>","DOI":"10.1258\/1357633021937541","type":"journal-article","created":{"date-parts":[[2002,10,16]],"date-time":"2002-10-16T09:48:30Z","timestamp":1034761710000},"page":"97-101","source":"Crossref","is-referenced-by-count":38,"title":["The role of telecardiology in supporting the decision-making process of                general practitioners during the management of patients with suspected cardiac                events"],"prefix":"10.1177","volume":"8","author":[{"given":"G","family":"Molinari","sequence":"first","affiliation":[{"name":"Department of Cardiology, University of Genova; Telecardiology Call\r                  Centre, Medicina Domani Telemedicina, Genova, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Reboa","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Genova, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Frascio","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Genova, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Leoncini","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Genova, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Rolandi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Genova, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Balzan","sequence":"additional","affiliation":[{"name":"Telecardiology Call Centre, Medicina Domani Telemedicina, Genova,\r                  Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Barsotti","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Genova, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2002,4,1]]},"container-title":["Journal of Telemedicine and Telecare"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/1357633021937541","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/1357633021937541","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T22:59:49Z","timestamp":1740956389000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1258\/1357633021937541"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,4,1]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2002,4,1]]}},"alternative-id":["10.1258\/1357633021937541"],"URL":"https:\/\/doi.org\/10.1258\/1357633021937541","relation":{},"ISSN":["1357-633X","1758-1109"],"issn-type":[{"type":"print","value":"1357-633X"},{"type":"electronic","value":"1758-1109"}],"subject":[],"published":{"date-parts":[[2002,4,1]]}}}