{
  "abstract": "Background: Due to unawareness, many patients, particularly older ones, often misattribute cardiac pain to dyspepsia, leading to delayed acute coronary syndrome (ACS) diagnosis and failure to attain timely referral in resource-limited settings.\n\nProject Rationale: Differentiating ACS chest pain from noncardiac causes remains a challenge in remote settings where prompt triage by electrocardiogram and troponin can potentially save time and life.\n\nProject Summary: We conducted baseline assessments on 43 patients over 2 months (group 1) at a remote health center. After setting up electrocardiogram and troponin testing, telemedicine service for test interpretation and referral guidance was provided. Concurrently, awareness initiatives were implemented. Data collected over next 4 months on 78 patients (group 2) showed significant awareness build-up, more ACS detection with loading antiplatelet treatment, and positive patient attitude (P < 0.05).\n\nTake-Home Message: It is possible to implement quality improvement initiatives in practice by utilizing existing resources properly and employing simple measures to improve patient outcomes.",
  "abstract_shown": true,
  "affiliations": [
    "Shakhipur Upazila Health Complex, Tangail, Ministry of Health and Family Welfare (MoH&FW), Sakhipur, Bangladesh",
    "National Institute of Cardiovascular Diseases, Dhaka, Bangladesh",
    "Directorate General of Health Services (DGHS), Ministry of Health and Family Welfare (MoH&FW), Dhaka, Bangladesh",
    "Bangladesh Medical University (BMU), Dhaka, Bangladesh"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Suman Kumar Biswas"
    },
    {
      "affs": [
        1
      ],
      "name": "Rashedul Islam"
    },
    {
      "affs": [
        2
      ],
      "name": "Khandaker A.T.M. Farhad Hossain"
    },
    {
      "affs": [
        3
      ],
      "name": "A.K.M. Fazlur Rahman"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/5jpvw82yqvpc8.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jaccas.2026.109666",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13728281/",
  "id": "5jpvw82yqvpc8",
  "issns": [
    "2666-0849"
  ],
  "landing_url": "https://doi.org/10.1016/j.jaccas.2026.109666",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Outcomes and Quality"
    ],
    [
      "heading",
      "Quality Improvement Projects"
    ],
    [
      "openalex",
      "2705|Acute Myocardial Infarction Research"
    ]
  ],
  "openalex": "W7213411219",
  "pdf_url": "https://www.jacc.org/doi/pdf/10.1016/j.jaccas.2026.109666?download=true",
  "pmcid": "PMC13728281",
  "pmid": "42752021",
  "published": "2026-09-16",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/5jpvw82yqvpc8.ris",
  "sources": [
    {
      "first_seen": "2026-11-06T12:23:59Z",
      "native_id": "PMC13728281",
      "source": "pmc",
      "url": "https://doi.org/10.1016/j.jaccas.2026.109666"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Acute Myocardial Infarction Research",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Remote Acute Coronary Syndrome Chest Pain Triage by Electrocardiogram and Cardiac Biomarker Using Telemedicine",
  "title_text": "Remote Acute Coronary Syndrome Chest Pain Triage by Electrocardiogram and Cardiac Biomarker Using Telemedicine",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:21:18Z",
  "url": "https://research.draconitic.com/paper/5jpvw82yqvpc8",
  "venue": "JACC Case Reports",
  "versions": []
}