International Journal of Medical Sciences And Clinical Research
16
https://theusajournals.com/index.php/ijmscr
VOLUME
Vol.05 Issue07 2025
PAGE NO.
16-19
10.37547/ijmscr/Volume05Issue07-04
Effectiveness of ECG Telemetry Technology in
Preventing Myocardial Infarction in Patients with Acute
Coronary Syndrome
Fattakhov Nusratullo Khamidullaevich
DSc., Associate Professor, Fergana Medical Institute of Public Health, Republican Ambulance Center, Fergana Regional Branch,
Uzbekistan
Abdulkhakimov Arsen Renatovich
PhD, Fergana Medical Institute of Public Health, Republican Ambulance Center, Fergana Regional Branch, Uzbekistan
Abdurakhmonov Azamat Shukhratovich
Fergana Medical Institute of Public Health, Republican Ambulance Center, Fergana Regional Branch, Uzbekistan
Received:
25 May 2025;
Accepted:
21 June 2025;
Published:
23 July 2025
Abstract:
This study evaluates the clinical effectiveness of ECG telemetry technology in the early diagnosis and
prevention of myocardial infarction in patients with acute coronary syndrome (ACS) in the Fergana region. A total
of 48 patients who contacted the ambulance due to chest pain were included. Each patient underwent an ECG
examination at the site of the call, with the results transmitted in real-time to regional or national cardiologists
via telemetry. ST-segment elevation was detected in all cases, and patients were promptly referred to specialized
cardiology centers for coronary angiography and stenting within an average of 2.2 ± 1.1 hours. Statistical analysis
revealed that none of the patients developed myocardial infarction, disability, or death (0%). Most of the patients
were male (77.1%) and over the age of 60 (54.2%). Hypertension was present in 100% of patients, followed by
obesity (56.3%), smoking (39.6%), hereditary predisposition (27.1%), and diabetes mellitus (12.5%). The results
highlight the high preventive value of ECG telemetry in managing ACS, especially among high-risk groups. The
integration of digital diagnostics with a coordinated ambulance system significantly improved clinical outcomes
and demonstrates the potential for widespread implementation in regional emergency response systems.
Keywords:
ECG telemetry, acute coronary syndrome, prevention of myocardial infarction, ambulance, remote
cardiologist consultation, coronary angiography, cardiovascular risk factors, ST-segment elevation, digital
integration, telemedicine, cardiac disease diagnostics, Fergana region.
Introduction:
Cardiovascular diseases represent one of
the most significant challenges in modern medicine,
being directly linked to both the duration and quality of
human life. In particular, acute coronary syndrome
(ACS) is a severe clinical condition characteristic of
ischemic heart disease, resulting from inadequate
blood supply to the myocardium. ACS cases often
present with myocardial infarction, ventricular
arrhythmias, ST-segment elevation, and acute heart
failure. If not identified in a timely manner and treated
with appropriate ambulance intervention, such
conditions may lead to death or irreversible disability.
According to statistical data published by the World
Health Organization (WHO), in 2023 more than 18
million people worldwide died due to cardiovascular
diseases. This underscores the fact that this group of
diseases remains a pressing medical and social issue
not only in developing but also in developed countries.
For this reason, the integration of advanced
technologies into clinical practice
—
particularly those
International Journal of Medical Sciences And Clinical Research
17
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International Journal of Medical Sciences And Clinical Research (ISSN: 2771-2265)
expanding early diagnostic capabilities
—
has become
an urgent necessity.
One of the innovative approaches widely implemented
in recent years is ECG telemetry technology. Using this
m
ethod, ambulance teams record the patient’s cardiac
activity at the site of the call using an ECG and transmit
it in real time to a specialized cardiologist. This enables
accurate and rapid diagnosis, timely receipt of medical
recommendations, and the immediate transfer of the
patient to a specialized treatment facility. Early
detection of infarction risk through this system, and the
availability of timely stenting, play a crucial role in the
prevention of myocardial infarction.
Objective
The main objective of this study is to determine the
clinical effectiveness of using ECG telemetry technology
for the early diagnosis of acute coronary syndrome
(ACS) at the site of emergency calls and to prevent
myocardial infarction through remote cardiologist
consultation.
In addition, within the framework of this study, the
practical implementation of the ambulance algorithm
based on ECG telemetry, the time required for hospital
delivery, the speed of diagnosis and stenting, the
influence of risk factors, and differences related to the
age and sex of the patients are analyzed. The results
obtained will help to determine the preventive
effectiveness of this technology at the regional level.
METHODS
In this study, the term “ambulance” is used to denote
the integrated emergency medical care services
including dispatch, on-site examination, remote
consultation, and hospital transport.
The study was conducted from August 13, 2024, to
February 13, 2025, in the Fergana region by the Fergana
Regional Branch of the Republican Ambulance Center.
A total of 48 patients who contacted emergency
medical services with chest pain were selected as the
study subjects. All patients were included in a random
sequence, and only cases suspected of ischemic heart
disease were analyzed [1, 2, 3].
Each patient underwent an electrocardiographic
examination (ECG) at the site of the emergency call.
The obtained ECG results were transmitted in real time
via telemetry to specialists at the Fergana Regional
Cardiology Center or to remote cardiologists at the
national level. All patients with detected ST-segment
elevation were immediately referred to a specialized
cardiology facility and hospitalized within an average of
2.2 ± 1.1 hours. In the hospital, all of them underwent
coronary angiography, and coronary stents were
implanted.
Patients were analyzed according to age groups (under
40 years, 40
–
60 years, over 60 years), gender
(male/female),
and
key
risk
factors
—
arterial
hypertension, obesity, smoking, diabetes mellitus, and
hereditary predisposition. All statistical data collected
during the study were analyzed using the SPSS 25.0
software. The data were presented in the form of
percentages and mean values. [4, 5, 6].
RESULTS
In all 48 patients analyzed within the study, i.e., in 100%
of cases, ST-segment elevation was detected through
ECG examinations, indicating myocardial oxygen
International Journal of Medical Sciences And Clinical Research
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International Journal of Medical Sciences And Clinical Research (ISSN: 2771-2265)
deficiency and a high risk of infarction development.
These findings were identified by the ambulance team
at the site of the call and transmitted via telemetry to
cardiology specialists at the regional or national level.
Each patient's ECG results were evaluated remotely in
real time, and the probability of infarction was assessed
as high.
According to the analysis, all patients (48 individuals,
100%) were reviewed remotely by a cardiologist based
on the diagnosis established via ECG telemetry and
were promptly referred to specialized cardiology
centers for emergency coronary angiography. During
angiography, coronary artery stenosis was confirmed in
all patients, and stents were placed according to
modern clinical standards. As a result of these
interventions, the development of myocardial
infarction was successfully prevented.
The time taken to transport patients to the hospital is
also considered an important diagnostic indicator.
According to the study, patients were delivered to the
hospital within an average of 2.2 ± 1.1 hours. This
outcome reflects the effectiveness of ECG telemetry
technology and the rapid coordination within the
ambulance system.
The results were positive, as none of the 48 patients
observed developed myocardial infarction, death, or
disability (0%). These outcome indicators clearly
demonstrate the high efficiency of the technology and
inter-service collaboration.
The following trends were identified regarding the
main risk factors among the patients:
•
Hypertension
—
present in all 48 patients
(100%), being the leading risk factor in cardiovascular
disease.
•
Obesity
—
observed in 27 patients (56.3%),
contributing to increased cardiac workload.
•
Smoking
—
present in 19 patients (39.6%),
being one of the main factors in arterial narrowing and
reduced oxygen delivery.
•
Hereditary predisposition
—
detected in 13
patients (27.1%).
•
Diabetes mellitus
—
observed in 6 patients
(12.5%), considered a factor that worsens myocardial
metabolic condition.
In terms of gender distribution, the majority of patients
were male, with 37 individuals (77.1%), while females
accounted for 11 individuals (22.9%). This reflects the
relatively higher prevalence of cardiovascular diseases
among men.
With regard to age, 26 patients (54.2%) were over 60
years old, highlighting the increased risk of heart
diseases in this age group. Patients aged 40
–
60 years
made up 21 individuals (43.8%), while only 1 patient
(2.1%) was under 40 years of age. This clearly confirms
that the incidence of cardiovascular diseases increases
with age. [6, 7].
CONCLUSION
Based on the above analysis, it can be confidently
stated that the diagnostic approach based on ECG
telemetry technology demonstrated exceptionally high
effectiveness in preventing myocardial infarction,
death, and disability among patients with acute
coronary syndrome (ACS). Despite ST-segment
elevation being present in all 48 patients included in
the study, none of them developed infarction, no
deaths were recorded, and there were no
complications leading to disability.
These outcomes clearly reflect the accurate and
consistent functioning of digital integration between
the ambulance system and specialized cardiology
centers. The prompt execution of ECG by the
emergency team, obtaining remote cardiology
consultation via telemetry, and transporting the
patients to the hospital in less than two hours based on
the diagnostic outcome significantly contributed to
preserving the patients' lives and health.
Furthermore, this approach showed that it is possible
to prevent clinical complications even in the presence
of severe risk factors. It clearly demonstrates the
preventive value and clinical benefit of ECG telemetry
technology,
especially
in
populations
where
hypertension, obesity, smoking, diabetes, and
hereditary predispositions are present.
From
a
practical
standpoint,
the
broader
implementation of ECG telemetry technology across
wider regions and the full digital equipping of all
emergency medical teams may become one of the key
factors in saving patients’ lives.
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