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. 2020 Dec 8;16(5):1191–1196. doi: 10.1007/s11739-020-02564-0

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© The Author(s) 2020

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 1 — a Changes in pre-hospital electrocardiogram number and diagnosis March 2019/March 2020 during Covid-19 outbreak in Italy. A 54% reduction was observed for non-urgent dispatch center in Genoa, 67% in Brescia, and 24% for EMS dispatch center in Bari. The relative reduction of diagnosis with suspect acute coronary syndrome was 24–38%. b Comparison of relative prevalence of diagnosis in pre-hospital telemedicine electrocardiograms. c Male/female ratio comparison of pre-hospital telemedicine electrocardiograms