Remote Acute Coronary Syndrome Chest Pain Triage by Electrocardiogram and Cardiac Biomarker Using Telemedicine
4 affiliations
- 1Shakhipur Upazila Health Complex, Tangail, Ministry of Health and Family Welfare (MoH&FW), Sakhipur, Bangladesh
- 2National Institute of Cardiovascular Diseases, Dhaka, Bangladesh
- 3Directorate General of Health Services (DGHS), Ministry of Health and Family Welfare (MoH&FW), Dhaka, Bangladesh
- 4Bangladesh Medical University (BMU), Dhaka, Bangladesh
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.
Project 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.
Project 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).
Take-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.
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BibTeX
@article{biswas2026remote,
title = {{Remote Acute Coronary Syndrome Chest Pain Triage by Electrocardiogram and Cardiac Biomarker Using Telemedicine}},
author = {Suman Kumar Biswas and Rashedul Islam and Khandaker A.T.M. Farhad Hossain and A.K.M. Fazlur Rahman},
journal = {JACC Case Reports},
year = {2026},
month = sep,
doi = {10.1016/j.jaccas.2026.109666},
url = {https://doi.org/10.1016/j.jaccas.2026.109666},
note = {CC BY-NC-ND 4.0},
}
RIS
TY - JOUR
TI - Remote Acute Coronary Syndrome Chest Pain Triage by Electrocardiogram and Cardiac Biomarker Using Telemedicine
AU - Suman Kumar Biswas
AU - Rashedul Islam
AU - Khandaker A.T.M. Farhad Hossain
AU - A.K.M. Fazlur Rahman
PY - 2026
DA - 2026/09/16
JO - JACC Case Reports
DO - 10.1016/j.jaccas.2026.109666
UR - https://doi.org/10.1016/j.jaccas.2026.109666
AB - 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. Project 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. Project 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). Take-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.
SN - 2666-0849
ER -