Telehealth Bridge to Tertiary Care: E-VICTORS Trial Evaluates Real-Time Cardiovascular Support for Rural Emergency Patients
247 Health News Editorial
·31 July 2026
·4 min read
·clinical-trialsThe E-VICTORS trial is evaluating a multi-node cardiovascular telehealth platform connecting Wake Forest University specialists with rural EMS, emergency department, and community clinic teams in Wilkes County, North Carolina. With 215 participants enrolled and completion expected in August 2025, the study aims to determine whether real-time specialist support can reduce ED utilisation and improve care pathways for rural patients presenting with suspected acute coronary syndrome. Results are anticipated to have broad implications for rural cardiovascular care delivery in the US and comparable international settings.
Originally reported by ClinicalTrials.gov
References
- 1.Wake Forest University Health Sciences. (2020). Enhancing rural health via cardiovascular telehealth for rural patients (E-VICTORS) project (NCT04617834). ClinicalTrials.gov. https://clinicaltrials.gov/study/NCT04617834
- 2.Roth, G. A., Mensah, G. A., Johnson, C. O., Addolorato, G., Ammirati, E., Baddour, L. M., & GBD-NHLBI-JACC Global Burden of Cardiovascular Diseases Writing Group. (2020). Global burden of cardiovascular diseases and risk factors, 1990–2019: Update from the GBD 2019 study. Journal of the American College of Cardiology, 76(25), 2982–3021. https://doi.org/10.1016/j.jacc.2020.11.010
- 3.Bashshur, R. L., Shannon, G. W., Smith, B. R., Alverson, D. C., Antoniotti, N., Barsan, W. G., & Yellowlees, P. (2014). The empirical foundations of telemedicine interventions for chronic disease management. Telemedicine and e-Health, 20(9), 769–800. https://doi.org/10.1089/tmj.2014.9981
- 4.Rokos, I. C., French, W. J., Mattu, A., Nichol, G., Farkouh, M. E., Reiffel, J., & Stone, G. W. (2010). Appropriate cardiac cath lab activation: Optimizing electrocardiogram interpretation and clinical decision-making for acute ST-elevation myocardial infarction. American Heart Journal, 160(6), 995–1003. https://doi.org/10.1016/j.ahj.2010.08.011
- 5.Henning, D. J., Bhatt, D. L., & Bhatt, A. B. (2022). Rural-urban disparities in acute myocardial infarction: A review of current evidence and future directions. Circulation: Cardiovascular Quality and Outcomes, 15(3), e008354. https://doi.org/10.1161/CIRCOUTCOMES.121.008354
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247 Health News Editorial
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