RESUMO
We report a case series of three low to intermediate risk chest pain patients who presented to the emergency department and were managed as outpatients via the Cellular Outpatient Twelve-Lead Telemetry with Emergency Response (COTTER™). This technology allows for certain chest pain patients to be managed remotely via telemedicine while receiving care comparable to that which would be available in a hospital or chest pain observation unit.
Assuntos
Dor no Peito/diagnóstico , Eletrocardiografia , Serviço Hospitalar de Emergência/estatística & dados numéricos , Infarto do Miocárdio/prevenção & controle , Telemedicina , Idoso , Dor no Peito/fisiopatologia , Protocolos Clínicos , Eletrocardiografia/instrumentação , Teste de Esforço/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Seleção de Pacientes , Medição de Risco , Conduta ExpectanteRESUMO
We report a case of new-onset atrial fibrillation with rapid ventricular response in a 37-year-old male who presented to the emergency department. This patient was not admitted to the hospital or placed on observation, but rather placed on a cellular outpatient 12-lead telemetry (COTLT) device with emergency response capabilities and discharged home. We define a new modality that allows these patients to be managed via telemedicine and receive care similar to that which would be rendered in a hospital or observation unit.