Telecardiology and its settings of application: An update

Molinari, Giulia; Molinari, Martina; Brunetti, Natale Daniele

doi:10.1177/1357633x16689432

Cited by 43 publications

(43 citation statements)

References 99 publications

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“…Telemedicine support is currently widely implemented in clinical practice for the management of cardiovascular disease, both in acute and chronic conditions [3,4]. Hospital networks for the treatment of ST-elevation acute myocardial infarction (STEMI) are currently based on telemedicine support and remote telemedicine triage with pre-hospital electrocardiogram [5,6].…”

Section: Introductionmentioning

confidence: 99%

Impact of 2020 SARS-CoV-2 outbreak on telemedicine management of cardiovascular disease in Italy

et al. 2020

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The Covid-19 pandemic affected large part of Italy since February 2020; we, therefore, aimed to assess the impact of 2020 SARS-CoV-2 outbreak on telemedicine management of cardiovascular disease (CVD) in Italy. We analyzed data from three telemedicine dispatch centers, one located in Genoa, serving private clients (pharmacies, general practitioners), one in Brescia, serving pharmacies, and one in Bari, serving regional public STEMI network and emergency medical service in Apulia (4 million inhabitants). Demographic data and principal electrocardiogram diagnosis were collected and analyzed. Records from the time interval March 1, 2020 and April 1, 2020 were compared with the corresponding period in 2019. The comparative analysis of data shows a 54% reduction of telemedicine electrocardiogram transmission in Genoa telemedicine center (from 364 to 166), 68% in Brescia (from 5.745 to 1.905), 24% in Bari (from 15.825 to 11.716); relative reduction according to electrocardiogram diagnosis was 38% for acute coronary syndrome, 40% for other acute CVD in Genoa center, 24% for acute coronary syndrome, and 38% for other acute CVD in Bari. Male/female ratio remained substantially unchanged. A dramatic reduction of telemedicine access for CVD was observed during Covid-19 outbreak in March 2020 in Italy. The reduction was substantially consistent for all electrocardiogram findings, ACS, other acute CVD and normal.

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Section: Introductionmentioning

confidence: 99%

Impact of 2020 SARS-CoV-2 outbreak on telemedicine management of cardiovascular disease in Italy

et al. 2020

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“…Telecardiology has proven to be useful in the clinical management of remote patients with real or suspected heart disease in different clinical settings. Over 20 years, several attempts have been made to try to introduce and expand telecardiology in the hospital setting, especially for the diagnosis and treatment of patients in remote locations [33]. Positive impacts of telecardiology have been demonstrated in the literature on patients with heart failure.…”

Section: Electrocardiogram (Ecg)mentioning

confidence: 99%

Telemedicine for Pre-Employment Medical Examinations and Follow-Up Visits on Board Ships: A Narrative Review on the Feasibility

et al. 2021

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Background: Telemedicine has already been applied to various medical specialties for diagnosis, treatment, and follow-up visits for the general population. Telemedicine has also proven effective by providing advice, diagnosis, and treatment to seafarers during emergency medical events onboard ships. However, it has not yet been applied for pre-employment medical examinations and follow-up visits on board ships. Objective: This review aimed to assess the possibility of using telemedicine during periodic visits between one pre-employment medical examination and others on board ships, and to recommend necessary medical examination tests with screening intervals for seafarers. Methods: Various databases including PubMed, EMBASE, Scopus, CINAHL, and Cochrane Library were explored using different keywords, titles, and abstracts. Studies published between 1999 and 2019, in English, in peer-reviewed journal articles, and that are conference proceedings were considered. Finally, the studies included in this review were chosen on the basis of the eligibility criteria. Results: Out of a total of 168 studies, 85 studies were kept for further analysis after removing the duplicates. A further independent screening based on the inclusion and exclusion criteria resulted in the withdrawal of 51 studies that were not further considered for our analysis. Finally, 32 studies were left, which were critically reviewed. Out of 32 accepted studies, 10 studies demonstrated the effectiveness of the electrocardiogram (ECG) in monitoring and managing remote patients with heart failure, early diagnosis, and postoperative screening. In 15 studies, telespirometry was found to be effective in diagnosing and ruling out diseases, detecting lung abnormalities, and managing patients with chronic obstructive pulmonary disease (COPD) and asthma. Seven studies reported that telenephrology was effective, precise, accurate, and usable by non-medical personnel and that it reduced sample analysis times and procedures in laboratories. Conclusion: using new technologies such as high-speed internet, video conferencing, and digital examination, personnel are able to make the necessary tests and perform virtual medical examination on board ships with necessary training.

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“…T here is a growing body of research into the value of telemedicine in cardiology. Telemonitoring projects for patients with heart failure, atrial fibrillation, or implantable cardiac pacemakers and defibrillators have provided promising levels of evidence for the future of telemedicine, [1][2][3][4][5][6][7] and it is possible that the clinical interest of telemedicine could be demonstrated more clearly in sub-Saharan African countries than in Western countries because of the particular context of health problems. 1,[8][9][10] Clinical telemedicine in Ivory Coast has been a reality for a few years, with tele-expertise being used for electrocardiogram (EKG) reading and remote monitoring of EKG abnormalities in a cohort of Black Africans in the workplace.…”

Section: Introductionmentioning

confidence: 99%

A Medico-Socio-Economic Analysis of TeleEKG in Ivory Coast

Diby

Adoubi

Esse-Diby

et al. 2021

Telemedicine and e-Health

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Background: TeleEKG is gradually being integrated into the care offered to the most isolated Ivorian populations, however, no medicosocio-economic analysis of its impact has yet been conducted. Introduction: The aim of this study was to assess the medicosocio-economic impact of a teleEKG network in the provision of cardiology care in Ivory Coast. Methods: A retrospective study of the data transmitted by the 10 centers involved in the pilot phase of the teleEKG project from January 2015 to December 2017. Results:The average ratio between the cost to the patient of performing an electrocardiogram (EKG) according to the traditional practice and using a teleEKG was 3.8 -1.64. The distance avoided by the 6,045 patients was 1,074,090 km (average 177.7 km/patient). The 6,045 teleEKGs carried out over the period of the study produced a total revenue of 36,270,000 XOF (55,290 EUR) or an average revenue per site of 3,627,000 XOF (5,529 EUR). Dyspnea on exertion (22%), and hypertension (21%) were the main indications for performing the EKG, and left ventricular hypertrophy was the most common electrical anomaly detected (19.8%). Acute coronary syndrome with persistent ST segment elevation was diagnosed in 0.7% of cases (40 cases) and atrial fibrillation in 1.12% of cases (68 cases). Discussion: These results confirm the key role telemedicine can play in the treatment of heart conditions in rural populations and the economic sustainability of such telemedicine networks. Conclusions: teleEKG offers economic accessibility to cardiology care for isolated populations in Ivory Coast.

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Telecardiology and its settings of application: An update

Cited by 43 publications

References 99 publications

Impact of 2020 SARS-CoV-2 outbreak on telemedicine management of cardiovascular disease in Italy

Impact of 2020 SARS-CoV-2 outbreak on telemedicine management of cardiovascular disease in Italy

Telemedicine for Pre-Employment Medical Examinations and Follow-Up Visits on Board Ships: A Narrative Review on the Feasibility

A Medico-Socio-Economic Analysis of TeleEKG in Ivory Coast

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