Insights and challenges of indonesia's acute coronary syndrome telecardiology network: three year experience from a single center and in west Jakarta, Indonesia

摘要

Acute Coronary Syndrome (ACS) is the leading cause of morbidity and mortality globally and in Indonesia. Reduce time to reperfusion is crucial in reducing cardiac myocardium necrosis and improving prognosis in ACS patients. The use of telecardiology shows great potential to bridge current inefficiencies and the Indonesian STEMI network (iSTEMI) was hence introduced in 2014. This study aims to provide insights and describe the challenges faced by Indonesia's Acute Coronary Syndrome telecardiology network over the past 3 years based on a single center experience and in West Jakarta. Data was derived from the iSTEMI Network West Jakarta database obtained from the Department of Cardiology, Cengkareng General Hospital for the period of 30th June 2014 to 30th June 2017. The availability of the iSTEMI network in West Jakarta has made it more accessible for primary care facilities to receive direct consult and advice from cardiologists. Overall, over the three years patient ischemic time had reduced from a median of 330 minutes to 275 minutes. This study has shown great potential of pre-hospital telecardiology network in improving care in acute coronary syndrome patients by reducing ischemic time and hence improve patient's chance of survival and recovery. A nationwide implementation of this system is therefore recommended to make better ACS care not only available to residents in Jakarta but to other parts of Indonesia as well.