Telecardiology assessment of patients undergoing non-cardiac surgery.
Duenhas, A.T.A., Daniela, C., Dornfeld, B.L., Tocci, M.F., Aires, E.A., Reges, A.B.D., de, A.M.P., Francine, K.K., & Sartorato, P.C.H. (2026). Telecardiology assessment of patients undergoing non-cardiac surgery.. Einstein (Sao Paulo, Brazil). https://doi.org/10.31744/einstein_journal/2026AO1949
Duenhas ATA, Daniela C, Dornfeld BL, Tocci MF, Aires EA, Reges ABD, et al. Telecardiology assessment of patients undergoing non-cardiac surgery.. Einstein (Sao Paulo, Brazil). 2026; doi: 10.31744/einstein_journal/2026AO1949
Duenhas ATA, Daniela C, Dornfeld BL, et al. Telecardiology assessment of patients undergoing non-cardiac surgery.[J]. Einstein (Sao Paulo, Brazil). 2026. DOI: 10.31744/einstein_journal/2026AO1949.
@article{duenhas2026,
author = {Accorsi Tarso Augusto Duenhas and Calderaro Daniela and Bichuette Luciana Dornfeld and Moreira Flavio Tocci and Eduardo Anderson Aires and Amaral Bruna Dayanne Reges and Arruda Marianne Pojali de and Köhler Karen Francine and Pedrotti Carlos Henrique Sartorato},
title = {Telecardiology assessment of patients undergoing non-cardiac surgery.},
journal = {Einstein (Sao Paulo, Brazil)},
year = {2026},
doi = {10.31744/einstein_journal/2026AO1949},
note = {PMID: 42525061},
}
TY - JOUR AU - Accorsi Tarso Augusto Duenhas AU - Calderaro Daniela AU - Bichuette Luciana Dornfeld AU - Moreira Flavio Tocci AU - Eduardo Anderson Aires AU - Amaral Bruna Dayanne Reges AU - Arruda Marianne Pojali de AU - Köhler Karen Francine AU - Pedrotti Carlos Henrique Sartorato TI - Telecardiology assessment of patients undergoing non-cardiac surgery. T2 - Einstein (Sao Paulo, Brazil) PY - 2026 DO - 10.31744/einstein_journal/2026AO1949 AN - PMID:42525061 ER -
OBJECTIVE: This study aimed to investigate the clinical characteristics and management strategies of patients referred for telecardiology consultations, specifically for preoperative cardiovascular risk assessment. METHODS: A retrospective observational study at a Telemedicine Center in São Paulo, Brazil, reference for 380 primary health care facilities was performed from May 2021 to March 2024. Adults aged >18 years were included in this study. Thirty-five cardiologists conducted real-time teleconsultations with general practitioners and reviewed patient data, type of surgery, clinical details, complementary examinations, and consultation outcomes. Descriptive statistics were used for analyses. RESULTS: A total of 3,476 patients (63% female, mean age 52.1 years) were evaluated. Among them, 3,307 (95.1%) were asymptomatic, 1,241 (35.70%) had hypertension, and 1,312 (48.4%) had a sedentary lifestyle. The most frequently performed surgical procedure was intra-abdominal surgery, performed in 1,665 (47.9%) cases. Risk stratification categorized 3,161 (90.93%) patients as low risk, 90 (2.59%) as intermediate risk, and 36 (1.03%) as high risk. Ancillary testing was requested in 504 (14.50%) patients, with laboratory evaluations conducted in 304 (8.74%) and electrocardiograms in 234 (6.73%). Telecardiology interventions included antihypertensive medications in 192 (5.52%) patients, statin prescriptions in 88 (2.53%) patients, and guidance for postoperative monitoring in 98 (2.81%) patients. CONCLUSION: This exploratory study demonstrated that most cardiologists successfully performed perioperative risk stratification via telemedicine during initial consultation, targeting a predominantly low-risk population.