ECG handling on a telemedicine platform

Economakos, George; Koulouris, A.; Thanos, A; Παπακωνσταντίνου, Γ.; Tsanakas, Panayiotis

doi:10.1258/1357633961929349

Cited by 9 publications

(2 citation statements)

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“…Telemedicine is well developed in a number of medical disciplines, for example dermatology and psychiatry, but telecardiology has not received the same attention. Development to date has concentrated on emergency cases 1 or interpretation of the resting electrocardiogram (ECG) [2][3][4] . There appear to be no reports of ambulatory monitoring systems in a remote health clinic.…”

Section: Introductionmentioning

confidence: 99%

The AIDMAN project – a telemedicine approach to cardiology investigation, referral and outpatient care

et al. 2000

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Section: Introductionmentioning

confidence: 99%

The AIDMAN project – a telemedicine approach to cardiology investigation, referral and outpatient care

et al. 2000

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“…For example, there are telemedicine services to islands in the Mediterranean Sea (Greek Aegean islands [3][4][5][6], in the Baltic Sea (Finnish islands 7 ), in the Atlantic Ocean (the Canaries 2,8,9 and the Azores 10 ) and in the Pacific Ocean (Taiwan 11 , Marshall Islands 12 , Micronesia 13,14 , Japan 15 and Hawaii 16 ). These telemedicine services offer access to different medical specialties principally cardiology 3,5,6,10,17 , radiology 3,7,12,15 and dermatology 8,10,12 as well as continuing medical education 11 via a range of different telecommunication technologies, including telephone lines and satellite links. While advantages in terms of health service quality are evident, few studies have measured the cost-benefits 7,8 .…”

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Telemedicine services for two islands in the Bay of Naples

2002

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In July 1997, telemedicine services were established for two islands, Procida and Ischia, in the Bay of Naples. The telemedicine network allowed a 24 h consultation service to be provided between the islands' health centres and mainland hospitals in the towns of Pozzuoli and Giugliano. Realtime videoconferencing was used, over an ISDN link at 384 kbit/s; radiographs were digitized using a scanner. During 1999 and 2000, there was an average of 46 telemedicine consultations per year from Procida (60% radiology, 30% cardiology, 10% other), 35% of which were emergencies, and 16 training sessions per year; there was an average of 28 telemedicine consultations per year from Ischia (80% radiology, 10% cardiology, 10% other), 10% of which were emergencies, and 12 training sessions per year. The average duration of a telemedicine consultation was 15 min. The total fixed cost of the telemedicine system between the two islands and the two mainland hospitals was approximately Euro 48,000 per year. The total variable costs of the telemedicine service at the observed workload were about Euro 750 per year. The total savings due to telemedicine were approximately Euro 40,000 per year. There was therefore little difference in the overall costs of health-care delivery. The positive consequences of the introduction of the telemedicine service included more rapid diagnosis and treatment, improved quality of service, and the transfer of skills and education. A costs-consequences analysis suggested that the telemedicine service was worthwhile.

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Wireless ECG Monitoring by Telephone

Орлов¹,

Дроздов²,

Doarn³

et al. 2001

Telemedicine Journal and e-Health

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The objective of this work was to study a wireless one channel limited (3-lead) home electrocardiogram (ECG) transmission system and ambulatory devices data transmission using telephone lines. ECG screenings were conducted in two groups. The first group consisted of construction workers examined at first aid stations at construction sites in Moscow, Russia. The second group was a selected set of patients admitted to a hospital in Tblisi, Republic of Georgia. All patients were on constant monitoring and follow-up after hospitalization. Patients themselves connected the ECG leads at home or with the help of paramedics at ambulatory stations. The ECG signals were transmitted to receiving stations where doctors interpreted them. Frequency modulation was used for ECG transmission over regular telephone lines. Of 231 readings in 74 patients--70 male and 4 female (age 21-56)--in the first group, 33 patients were abnormal. In the second group, 15 out of 165 readings in 8 patients--5 male and 3 female (age 31-70)--were abnormal. ECG screening can be significantly simplified and made widely acceptable at home and distant sites using wireless monitoring tools and telephone line transfer of the signal. This project has been implemented under the auspices of the International Telecommunication Union and the Russian Telemedicine Foundation.

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ECG handling on a telemedicine platform

Cited by 9 publications

References 0 publications

The AIDMAN project – a telemedicine approach to cardiology investigation, referral and outpatient care

The AIDMAN project – a telemedicine approach to cardiology investigation, referral and outpatient care

Telemedicine services for two islands in the Bay of Naples

Wireless ECG Monitoring by Telephone

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