| Telemedicine: The role of specialist second opinion for GPs in the care of hypertensive patients. | |
| | |
MedLine Citation:
|
PMID: 21241165 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Abstract Rationale. To evaluate the feasibility of a second-opinion consultation in supporting general practitioners (GPs) during the daily diagnosis and therapeutic management of patients with essential hypertension. Methods. Italian GPs were encouraged to follow-up their patients by the use of the Telemedicine Service. All known hypertensive patients with signs and symptoms (teleconsultation for symptoms) and all asymptomatic patients (teleconsultation for clinical control) undergoing a visit by their GPs were enrolled. During the first visit, the GP performed electrocardiography (ECG), measured blood pressure and required cardiological teleconsultation. Results. 399 GPs examined 1719 consecutive patients (mean age 73±13 years, 38% male). During teleconsultation for a routine control, GPs identified 36% of new episodes of atrial fibrillation in the absence of any symptom and about 70% of patients with uncontrolled blood pressure. In about 50% of the cases, 10 min of teleconsultation helped GP to quicken the solution of the clinical problems, reducing time and number of specialist's visit. In 8% of cases, an emergency department admission was suggested. Conclusions. Telemedicine applied to hypertensive patients at high risk of cardiovascular problems offers to GPs an easy-to-use tool to control blood pressure by improving connection with second-opinion specialist consultations. |
| | |
Authors:
|
Simonetta Scalvini; Francesca Rivadossi; Laura Comini; Maria Lorenza Muiesan; Fulvio Glisenti |
Related Documents
:
|
973565 - Amniotic fluid lecithin concentrations in pregnancies complicated by hypertensive disor... 6894915 - Effects of phrenic nerve section on the respiratory system of fetal lambs. 20855655 - Pregnancy downregulates actin polymerization and pressure-dependent myogenic tone in ov... 7964245 - Intrauterine-pressure studies in thai nulliparous labour: the use of catheter-tip press... 7030085 - Hypotensive effect of water restriction in the two-kidney one-clip hypertensive rat. 8292465 - The incidence of first-dose hypotension with quinapril in patients with mild to moderat... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-1-17 |
Journal Detail:
|
Title: Blood pressure Volume: - ISSN: 1651-1999 ISO Abbreviation: - Publication Date: 2011 Jan |
Date Detail:
|
Created Date: 2011-1-18 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9301454 Medline TA: Blood Press Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Telemedicine Service, IRCCS Fondazione Salvatore Maugeri (Lumezzane) (BS), Italy. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Production of Bovine Hand-Made Cloned Embryos by Zygote-Oocyte Cytoplasmic Hemi-complementation.
Next Document: The use of hot and cold high pressure homogenization to enhance the loading capacity and encapsulati...