Smartphone ECG for evaluation of STEMI: Results of the ST LEUIS Pilot Study

Muhlestein, Joseph B; Le, Viet T; Albert, David E.; Moreno, Fidela; Anderson, Jeffrey L.; Yanowitz, Frank G.; Vranian, Robert B.; Barsness, Gregory W.; Bethea, Charles F.; Severance, Harry W.; Ramo, Barry W.; Pierce, John B.; Barbagelata, Alejandro; Muhlestein, Joseph B.

doi:10.1016/j.jelectrocard.2014.11.005

Cited by 84 publications

(44 citation statements)

References 7 publications

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“…Smartphone-based electrocardiography is a promising, developing technology intended to increase availability and speed of electrocardiographic evaluation [2] .This case confirms the potential of a smartphone ECG for evaluation of the P waves and arrhythmias in comparison with a standard record. This device has an excellent correlation with the gold standard 12-lead ECG.…”

Section: Discussionsupporting

confidence: 66%

Atrioventricular block registration with smart phone associated ECG device.

Balsam¹,

Gawałko²,

Lodziński³

et al. 2017

Heart Beat

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IntroductionThe prevalence of cardiac rhythm disturbances increases with age and requires active screening for early detection. However, time, resources and costs are the main limiting factors for wider adoption of cardiac screening in the community setting. The ubiquitous access to the Internet and the dynamic adoption of smartphones provide opportunities for new technologies that transmit biomedical data, such asECG. An example of such technology is Kardia Heart Monitor (AliveCor, Inc) that connects wirelessly to the smartphone and allows 30-second rhythm strips to be recorded. Pocket-size, mobile health devices provide an unprecedented opportunity for physicians to detect abnormalities in a quick and hassle-free fashion [1] . Case ReportA 70-year-old woman with a history of hypertension (for one year) and exercise intolerance for 4 months was visiting a cardiologist, who performed a 1-lead ECG with smartphone application called Kardia (AliveCor, Inc.). Because of advanced second degree AV block with 2:1 and 3:1 the patient was referred to the hospital. At admission to the hospital the smartphone ECG and its interpretation were confirmed by standard 12-lead ECG. As is shown in Figure 1, no significant difference was noted between the two records. Both ECG tracings show sinus rhythm with atrioventricular block (3:1 and 2:1) with heart rate 48 bpm. Because of the advanced AV block, the decision to implant a permanent pacemaker was taken immediately.

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Section: Discussionsupporting

confidence: 66%

Atrioventricular block registration with smart phone associated ECG device.

Balsam¹,

Gawałko²,

Lodziński³

et al. 2017

Heart Beat

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“…The device has also been shown to be used to successfully monitor college athletes experiencing heart palpitations for potentially adverse arrhythmias in real-time [15]. Future implications have been made for the evaluation of acute ischemia with the device in people [16]. There appear to be many future applications for this device in water buffaloes.…”

Section: Discussionmentioning

confidence: 99%

Use of AliveCor Heart Monitor for Heart Rate and Rhythm Evaluation in Dairy Water Buffalo Calves (Bubalis Bubalis)

Smith¹

2016

JDVAR

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Smartphone-based ECG recording devices are a promising new diagnostic in veterinary medicine. However, these devices have not yet been demonstrated to work in water buffalo. A commercial, non-invasive, smartphone-based ECG (AliveCor Vet TM) monitoring device was field tested on water buffalo calves. Six neonatal water buffalo calves had an ECG simultaneously recorded with a standard medical ECG recorder and the AliveCor Vet device. A correlation of 0.75053 was observed between average heart rates obtained between AliveCor recordings when compared to those from the 6 lead ECG. 100% Rhythm agreement was met for all 12 recordings. The recordings of 4/6 calves most closely resembled lead aVR, recordings of 2/6 calves more closely resembled lead II. No significant difference was observed between standard and AliveCor quality scores (P=0.3632). We conclude that the AliveCor device allows for accurate rate diagnosis, and accurate diagnosis of a normal sinus rhythm in neonatal diary water buffalo calves in a field setting.

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“…There was agreement in all 6 patients (4 with ST-segment-elevation myocardial infarction and 2 with non-ST-segment-elevation myocardial infarction). 90 One study from St. Louis, Missouri reported that this technology can generate tracings of diagnostic quality in children with positive user satisfaction and could be used to manage children with supraventricular tachycardia and atrial fibrillation. 72 …”

Section: Personal Tele-electrophysiologymentioning

confidence: 99%

“…128 Most of these applications rely solely on video and audio connections with additional software for scheduling, billing, sharing of still-frame images, and documentation. However, some peripherals such as a smartphone-compatible heart rhythm detection devices 90 and otoscopes 129 may be available for purchase for a low price. One could imagine that this technology could be used to manage children and adults in follow-up of syncope, chest pain, obesity, hypercholesterolemia, and chronic heart failure.…”

Section: Direct-to-consumer Telemedicinementioning

confidence: 99%

Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

Satou¹,

Rheuban²,

Alverson³

et al. 2017

Circulation

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A dvancements in technology and broadband have revolutionized the current practice of medicine. The field of pediatric cardiology is no exception given the need for prompt diagnosis and reliance on cardiac imaging to identify infants and children with potentially life-threatening cardiovascular disease. As the relationship between telemedicine and pediatric cardiology has advanced, it has created a need to develop a broad, comprehensive document reviewing all the various aspects of telemedicine in pediatric cardiology. For more than a decade, a significant body of literature has been published describing individual experiences and practices, yet there remains no comprehensive statement or document summarizing this rapidly advancing field. In an effort to describe the collective experience and to provide structure and guidance for pediatric cardiology practitioners and healthcare providers, we have developed a scientific statement on the use of telemedicine in pediatric cardiology.Specific areas explored in this document include both neonatal and fetal teleechocardiography, implications for training community sonographers, pulse oximetry programs, qualitative improvement and appropriate use criteria initiatives, and remote electrophysiological monitoring. This document also includes teleconsultation and teleausculation, direct-to-consumer and home monitoring programs, and a look into the use of telemedicine and pediatric cardiology in the intensive care setting. Furthermore, a detailed review of the legislative, public policy, and legal aspects of telemedicine is provided, along with financial and reimbursement information.Several terms are used in the literature interchangeably; a brief explanation is provided to help readers of this document. The term telehealth is defined as the use of technology to bridge distances in any aspect of medicine; telemedicine is the specific application of technology to conduct clinical medicine at a distance. The term telecardiology is defined as the broad application of telemedicine in the field of cardiology specifically, and tele-echocardiography is the most common application used within this field. ECHOCARDIOGRAPHY AND TELEMEDICINEEchocardiography is the most commonly used noninvasive cardiovascular imaging modality and is considered to be both safe and cost-effective. Tele-echocardiography can be described as a process in which a provider or a technician obtains cardiovascular ultrasound images from a given patient and these images are subsequently transmitted to an offsite location where a cardiologist can provide further analysis and interpretation. Thus, tele-echocardiography enables expert interpretation and consultation in a rapid and potentially geographically disparate fashion, enabling prompt and accurate decision making involving triage, transport, and therapeutic priorities. Tele-echocardiography is now routinely used across the age and subspecialty spectrum in pediatric cardiology.

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Smartphone ECG for evaluation of STEMI: Results of the ST LEUIS Pilot Study

Cited by 84 publications

References 7 publications

Atrioventricular block registration with smart phone associated ECG device.

Atrioventricular block registration with smart phone associated ECG device.

Use of AliveCor Heart Monitor for Heart Rate and Rhythm Evaluation in Dairy Water Buffalo Calves (Bubalis Bubalis)

Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

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