Coronary disease & ACS

Telemedicine Compared to Office-Based Care of Patients With Cardiac Symptoms: Treatment and Outcomes

JACC AdvPublished Retrospective cohort study

Corrected 23 Oct 2026: The values shown beside the odds ratios were the share of visits by type, not the outcome's rate; removed.

Authors' conclusion

Virtual visits may be appropriate for some clinical concerns but not all.

Study context

Population
Adults with outpatient visits for dyspnea, dizziness or palpitations, integrated health system, 2017–2021
Participants
992,526 outpatient visits
Exposure
Virtual visits vs office-based visits
Outcome
Referral for noninvasive cardiac testing and 30-day clinical outcomes
Follow-up
30 days
Methodological detailsintegrated health system
  • Integrated health system

Main finding

As reported in the abstract

30-day CV hospitalization
Dyspnea: 30-day HF hospitalization
Each group vs officeAdjusted odds ratio (95% CI)
Telephone
1.25(1.16–1.36)
Video
1.45(1.17–1.80)

Observational data: associations, not effects.

Further findings

OutcomeaOR (95% CI)
Referral for echocardiogram (dyspnea)Telephonevs Office0.73 (0.72–0.75)
Referral for echocardiogram (dyspnea)Videovs Office0.92 (0.87–0.98)

Patient characteristics associated with virtual visits

Younger age, female sex, non-Hispanic Black, lower-income households associated with increased likelihood of virtual visits

Original publication

Telemedicine Compared to Office-Based Care of Patients With Cardiac Symptoms: Treatment and Outcomes. JACC Adv. Published 18 October 2024. doi:10.1016/j.jacadv.2024.101353

Composed by AI from the published abstract and checked against it. How Briefs are made →

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