Resumen

QUILEZ GUERRERO, S.C.; QUILEZ CABALLERO, E.  y  PICHOTO URBANO, J.L.. Military health effectiveness in cardiovascular prevention of contingent in Melilla: relevance of Telemedicine. Sanid. Mil. [online]. 2014, vol.70, n.3, pp.147-156. ISSN 1887-8571.  https://dx.doi.org/10.4321/S1887-85712014000300004.

Background and aims: The IGESAN (General Inspectorate of the Military Health Service) sets the protocol of the medical examination prior to the annual performing of the General Test of Physical Condition that all the military members of the Army must undergo. Melilla Military Clinic participates in the carrying out of these medicals. We intend to study the cardiovascular health condition of the military in Melilla garrison; to compare it with other similar samples and evaluate the efficiency of the use of telemedicine concerning the improvement in cardiovascular event prevention during the performing of the test. Material and methods: Medical history; physical examination; electrocardiogram; telemedicine; data collecting and statistical study. Results: 634 male adults with an age range from 39 to 61 ( = 47.8) were studied in Melilla. 58 electrocardiograms were considered pathological and they were sent, via telemedicine, to the Cardiology Department of the Armed Forces Central Hospital where 20 out of the 58 electrocardiograms were deemed to belong to subjects unfit to perform the test. High blood pressure (p <0.005) was associated with lack of fitness for the test. Many of the electrocardiographic patterns detected were the same as those of sports men's. Smoking was the prevalent risk factor. More than 95% of the subjects affected by vascular risk factors were following their pharmacological treatments. Conclusions: Compared to similar studies, Melilla military contingent shows a low prevalence in vascular risk factors, and this is so, probably, due to its high level of sports activities. Telemedicine is a useful and efficient tool for the cardiological evaluation prior to the test of physical condition. Cardiovascular prevention as well as knowledge on sports medicine are essential to optimize the efficiency in the general test of physical condition.

Palabras clave : General Test of Physical Condition; Electrocardiogram; Cardiovascular trouble prevention; Melilla military contingent; Telemedicine; Sports medicine.

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