Comparative performance of spoke centers versus telemedicine service in the emergency activation of ST elevation myocardial infarction network: Insights from the “detective” registry

Martino Pepe, Rocco Tritto, Carlo D, Gianluigi Napoli, Davide Rodio, Maria Ludovica Naccarati, Angela Ivana Bruno, Anna Maria Natola, Salvatore Giordano, Pasquale Caldarola, Vincenzo Pestrichella, Plinio Cirillo, Arturo Giordano, Giuseppe Biondi Zoccai, Marcello De Giosa, Sabino Iliceto, Marco Matteo Ciccone

Journal of Telemedicine and Telecare

Published online on December 10, 2025

Abstract

Journal of Telemedicine and Telecare, Volume 32, Issue 7, Page 576-586, August 2026.
IntroductionTelemedicine has implemented the regional networks between 24/7 catheterization laboratories of “Hub” hospitals and the Territorial Emergency Medical Service (TEMS) to reduce time to diagnosis and treatment of ST segment elevation myocardial ...