Wireless Holter transmission in suspected dysrhythmias

Schickendańtz, Sabine; Pillekamp, Frank; Emmel, Mathias; Sreeram, Narayanswami; Brockmeier, Konrad

doi:10.1016/j.jelectrocard.2006.05.022

Cited by 10 publications

(9 citation statements)

References 5 publications

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“…70,71 The applications can include transfer of the ECG or viewing of the rhythm on cardiac monitoring at the originating site connected to the pediatric patient. [72][73][74][75] Often, treatment can be started with telecardiology supervision and monitoring that allows the arrhythmia to be converted. Other electrophysiology abnormalities, including prolonged QT syndromes, can be evaluated and managed in this fashion.…”

Section: Electrophysiology and Telemedicine External Rhythm Monitoringmentioning

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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Section: Electrophysiology and Telemedicine External Rhythm Monitoringmentioning

confidence: 99%

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

Satou¹,

Rheuban²,

Alverson³

et al. 2017

Circulation

View full text Add to dashboard Cite

show abstract

“…It is behind the scope of this article to describe the tremendous progress made in the field of telemedicine in both the diagnosis and treatment of atrial and ventricular arrhythmic events [8,9,19], early diagnosis of acute myocardial infarction [6], treatment and follow-up of patients suffering from heart failure [20,21] and post-myocardial [22] follow-up. These applications also substantially decreased emergency department visits and hospitalizations, prolonged survival, and led to impressive cost savings [23,24].…”

Section: Discussionmentioning

confidence: 99%

Telemedicine for diagnosing and managing paroxysmal atrial fibrillation in outpatients. The phone in the pocket

Shacham

Birati

Malov³

et al. 2012

International Journal of Cardiology

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“…This is most often done through the use of 24-h ambulatory monitors (Holter monitors), external event or telemetry monitors, or implantable loop recorders. Holter monitor and rhythm monitors can be placed in the office or mailed to patient homes [ 23 , 25 ]. Patients who have implantable pacemakers and cardioverter-defibrillators have the capacity to record and transmit data remotely through a landline or cellular phone allowing for identification of problems and treatment without the need for clinic visits [ 22 , 24 , 26 , 65 – 67 ].…”

Section: Assessing Suitability Of Telehealthmentioning

confidence: 99%

“…Furthermore, a review of current technologies vital to the day-to-day operation of a robust telecardiology service exists including the use of tele-echocardiography, tele-auscultation, and remote rhythm monitoring [14][15][16][17][18][19][20][21][22][23][24][25][26]. Reports offering guidance in creating a high-quality pediatric telemedicine program have been the subject of numerous works with particular attention to details of initial planning, options regarding various clinical care models, and proposed metrics for ongoing quality assessment [3,[27][28][29][30].…”

Section: Introductionmentioning

confidence: 99%

Telehealth for Pediatric Cardiology Practitioners in the Time of COVID-19

et al. 2020

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Due to the COVID-19 pandemic, there has been an increased interest in telehealth as a means of providing care for children by a pediatric cardiologist. In this article, we provide an overview of telehealth utilization as an extension of current pediatric cardiology practices and provide some insight into the rapid shift made to quickly implement these telehealth services into our everyday practices due to COVID-19 personal distancing requirements. Our panel will review helpful tips into the selection of appropriate patient populations and specific cardiac diagnoses for telehealth that put patient and family safety concerns first. Numerous practical considerations in conducting a telehealth visit must be taken into account to ensure optimal use of this technology. The use of adapted staffing and billing models and expanded means of remote monitoring will aid in the incorporation of telehealth into more widespread pediatric cardiology practice. Future directions to sustain this platform include the refinement of telehealth care strategies, defining best practices, including telehealth in the fellowship curriculum and continuing advocacy for technology.

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Wireless Holter transmission in suspected dysrhythmias

Cited by 10 publications

References 5 publications

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

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

Telemedicine for diagnosing and managing paroxysmal atrial fibrillation in outpatients. The phone in the pocket

Telehealth for Pediatric Cardiology Practitioners in the Time of COVID-19

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