Abstract:

In the state of Amazonas, the activities of the Telemedicine Pole, which later became the Center for Telehealth Brazil in Amazonas, started in August 2005, serving the 62 existing municipalities and also covering 05 points located within indigenous villages. Regarding teleducation, the permanent education actions developed aim at education for work in the perspective of improving the quality of care, thus strengthening primary care in the capital and especially in the interior of the state. Other benefits arise since professionals who are part of the municipality's primary care, have access to teleconsulting with specialists from the State University of Amazonas and other reference centers in Manaus receiving a second medical opinion, also counting on teleducation activities and telediagnosis. Considering that cardiovascular diseases are currently, in the middle of the 21st century, the major cause of morbidity and mortality at a global level, including Brazil, the possibility of using instruments that allow a more effective action in its prevention, diagnosis, treatment and monitoring opens up very relevant perspectives, in order to provide better care to the populations and communities we serve. Thus, this article proposes to describe telehealth with a focus on cardiology as a tool to support the health care network in Amazonas, both in telediagnosis and teleducation. This is a descriptive study that used data from the Telehealth Amazonas database regarding telediagnosis and teleducation activities aimed at the cardiology area, from January to October 2020. The variables used for telecardiology were mainly quantity examinations per month and requesting municipalities. In tele-education, the number of participants in each one as well as the number of activities involving cardiology. The training activities in cardiology by telehealth were in the form of a web lecture with the following themes: "Main cardiovascular emergencies in primary care Coronavirus"; "QT interval tutorial on the electrocardiogram in COVID times"; "Semiology: respiratory and cardiovascular system"; "Cardiovascular risk factors and lifestyle medicine". Regarding the electrocardiogram (ECG) exams, 13,409 reports were requested from March to November 2020, of which 2,623 were in September and 2,567 in October. The municipalities that most needed this support were Parintins, Tefé and Itacoatiara. The analyzed data show an increase in the number of respondents to the Center for Telehealth in Amazonas, thus expanding access to diagnosis and education activities in cardiology in the health care network. What makes the treatment more assertive, contributing to the reduction of complications from coronary heart disease.

Keywords:

Teleducation, telecardiology, health care, Amazon.