{"id":670,"date":"2026-05-10T22:00:00","date_gmt":"2026-05-11T01:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=670"},"modified":"2026-05-10T22:00:00","modified_gmt":"2026-05-11T01:00:00","slug":"descarte-cardiologia-ambulatorial-ecg-holter-ergometrico-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/descarte-cardiologia-ambulatorial-ecg-holter-ergometrico-rss\/","title":{"rendered":"Cardiologia ambulatorial: descarte de ECG, Holter, teste ergom\u00e9trico e ecocardiograma"},"content":{"rendered":"<p>A cardiologia ambulatorial em consult\u00f3rio cl\u00ednico-diagn\u00f3stico tem <strong>perfil RSS muito baixo<\/strong> \u2014 a maioria dos exames n\u00e3o envolve fluido biol\u00f3gico significativo. Diferente da cardiologia intervencionista (cateterismo, eletrofisiologia, hemodin\u00e2mica), o consult\u00f3rio \u00e9 um dos perfis mais &#8220;limpos&#8221; dentre as especialidades m\u00e9dicas.<\/p>\n<h2>Os 5 procedimentos t\u00edpicos<\/h2>\n<table border=\"1\" cellpadding=\"6\" cellspacing=\"0\" style=\"border-collapse:collapse;\">\n<tr>\n<th>Procedimento<\/th>\n<th>Res\u00edduo<\/th>\n<th>Grupo<\/th>\n<\/tr>\n<tr>\n<td>ECG (eletrocardiograma)<\/td>\n<td>Eletrodo adesivo descart\u00e1vel + papel<\/td>\n<td>A1 (eletrodo com microcontamina\u00e7\u00e3o) ou D em paciente saud\u00e1vel<\/td>\n<\/tr>\n<tr>\n<td>Holter 24h<\/td>\n<td>Eletrodo adesivo (fixado por 24h) + EPI<\/td>\n<td>A1 (24h de uso, suor + microcontamina\u00e7\u00e3o)<\/td>\n<\/tr>\n<tr>\n<td>Teste ergom\u00e9trico<\/td>\n<td>Eletrodo adesivo + EPI + len\u00e7o suor<\/td>\n<td>A1<\/td>\n<\/tr>\n<tr>\n<td>Ecocardiograma<\/td>\n<td>Gel transdutor + papel + len\u00e7o<\/td>\n<td>D (lixo comum)<\/td>\n<\/tr>\n<tr>\n<td>MAPA (24h)<\/td>\n<td>Manga + EPI ocasional<\/td>\n<td>D ou A1 conforme contato<\/td>\n<\/tr>\n<\/table>\n<h2>Eletrodo adesivo: D ou A1?<\/h2>\n<p>A regra pr\u00e1tica:<\/p>\n<ul>\n<li><strong>ECG simples em paciente saud\u00e1vel<\/strong> (gel + eletrodo) \u2192 eletrodo descartado pode ser <strong>D<\/strong> (lixo comum) \u2014 microcontamina\u00e7\u00e3o salina\/suor m\u00ednima.<\/li>\n<li><strong>Holter 24h<\/strong>, <strong>ergom\u00e9trico<\/strong>, <strong>paciente com les\u00e3o de pele<\/strong> \u2192 <strong>A1<\/strong> (suor + sebo + descama\u00e7\u00e3o por tempo prolongado).<\/li>\n<\/ul>\n<p>Algumas cl\u00ednicas tratam <strong>todo eletrodo como A1<\/strong> por seguran\u00e7a regulat\u00f3ria \u2014 defens\u00e1vel, mas inflaciona o custo. Decis\u00e3o depende do PGRSS e protocolo da cl\u00ednica.<\/p>\n<h2>Volume e custo m\u00e9dio<\/h2>\n<p>Consult\u00f3rio cardiol\u00f3gico ambulatorial padr\u00e3o (20-30 atendimentos\/dia, 5-10 ECGs + Holters\/dia):<\/p>\n<ul>\n<li><strong>Volume RSS A1<\/strong>: 2-6 kg\/m\u00eas (baixo).<\/li>\n<li><strong>Coleta especial<\/strong>: R$80-200\/m\u00eas.<\/li>\n<li><strong>PGRSS<\/strong>: R$1.500-3.000.<\/li>\n<\/ul>\n<p>Centro de cardiologia diagn\u00f3stica maior (cl\u00ednica de exames com 30-50 ECGs\/dia + Holter + ergom\u00e9trico): 5-15 kg\/m\u00eas, R$150-350\/m\u00eas.<\/p>\n<h2>Conclus\u00e3o<\/h2>\n<p>Cardiologia ambulatorial diagn\u00f3stica \u00e9 um dos perfis RSS mais baixos do setor. PGRSS simplificado, segrega\u00e7\u00e3o proporcional, custo absoluto baixo.<\/p>\n<p>A <a href=\"https:\/\/sevenresiduosaude.com.br\/\">Seven Res\u00edduos Sa\u00fade<\/a> atende cl\u00ednicas cardiol\u00f3gicas ambulatoriais em S\u00e3o Paulo. <a href=\"https:\/\/sevenresiduosaude.com.br\/blog\/\">Solicite avalia\u00e7\u00e3o<\/a> ao perfil espec\u00edfico.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Consult\u00f3rio cardiol\u00f3gico: ECG, Holter 24h, ergom\u00e9trico, ecocardiograma. Veja segrega\u00e7\u00e3o RSS, custo de coleta especial e o que N\u00c3O \u00e9 RSS.<\/p>\n","protected":false},"author":3,"featured_media":669,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[1257,1258,1261,1259,1260],"class_list":["post-670","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-cardiologia-ambulatorial-rss","tag-ecg-eletrodo-descarte","tag-ecocardiograma-residuo","tag-holter-24h-pgrss","tag-teste-ergometrico-residuo"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/670","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=670"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/670\/revisions"}],"predecessor-version":[{"id":2419,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/670\/revisions\/2419"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/669"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=670"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=670"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=670"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}