Journal of Electrocardiology
Volume 42, Issue 6 , Pages 473-480 , November 2009

The role of continuous monitoring in a 24/7 telecardiology consultation service—a feasibility study

  • Kjell Nikus, MD

      Affiliations

    • Department of Cardiology, Heart Center, Tampere University Hospital, Tampere, Finland
    • Corresponding Author InformationCorresponding author. Department of Cardiology, Heart Center, Tampere University Hospital, Biokatu 6, 33520 Tampere, Finland.
    • ,
  • Jaakko Lähteenmäki

      Affiliations

    • VTT, Technical Research Centre of Finland, Espoo, Finland
    • ,
  • Pasi Lehto, MD

      Affiliations

    • Department of Cardiology, Heart Center, Tampere University Hospital, Tampere, Finland
    • ,
  • Markku Eskola, MD

      Affiliations

    • Department of Cardiology, Heart Center, Tampere University Hospital, Tampere, Finland

Received 18 April 2009

References 

  1. Julian DG. Treatment of cardiac arrest in acute myocardial ischaemia and infarction. Lancet. 1961;2:840
  2. Killip T, Kimball JT. Treatment of myocardial infarction in a coronary care unit. A two year experience with 250 patients. Am J Cardiol. 1967;20:457
  3. Katz JN, Turer AT, Becker RC. Cardiology and the critical care crisis: a perspective. J Am Coll Cardiol. 2007;49:1279
  4. Chang SY, Multz AS, Hall JB. Critical care organization. Crit Care Clin. 2005;21:43
  5. Saxena SC, Kumar V, Giri VK. Telecardiology for effective healthcare services. J Med Eng Technol. 2003;27:149
  6. Edwards J, Handler TJ, Shaffer V, Lovelock J. Hype cycle for telemedicine. In: Stamford (CT): Gartner Industry Research; 2008;
  7. Hämäläinen P, Reponen J, Winblad I. eHealth of Finland. Check Point. 2008;1
  8. Hailey D, Ohinmaa A, Roine R. Published evidence on the success of telecardiology: a mixed record. J Telemed Telecare. 2004;10(Suppl 1):36
  9. Jung W, Rillig A, Birkemeyer R, Miljak T, Meyerfeldt U. Advances in remote monitoring of implantable pacemakers, cardioverter defibrillators and cardiac resynchronization therapy systems. J Interv Card Electrophysiol. 2008;23:73
  10. Louis AA, Turner T, Gretton M, Baksh A, Cleland JG. A systematic review of telemonitoring for the management of heart failure. Eur J Heart Fail. 2003;5:583
  11. Cleland JG, Louis AA, Rigby AS, Janssens U, Balk AH, TEN-HMS Investigators . Noninvasive home telemonitoring for patients with heart failure at high risk of recurrent admission and death: the Trans-European Network-Home-Care Management System (TEN-HMS) study. J Am Coll Cardiol. 2005;45:1654
  12. Goldberg LR, Piette JD, Walsh MN, et al. Randomized trial of a daily electronic home monitoring system in patients with advanced heart failure: the Weight Monitoring in Heart Failure (WHARF) trial. Am Heart J. 2003;146:705
  13. Scalvini S, Glisenti F. Centenary of tele-electrocardiography and telephonocardiography—where are we today?. J Telemed Telecare. 2005;11:325
  14. Terkelsen CJ, Lassen JF, Norgaard BL, et al. Reduction of treatment delay in patients with ST-elevation myocardial infarction: impact of pre-hospital diagnosis and direct referral to primary percutanous coronary intervention. Eur Heart J. 2005;26:770
  15. Zaliunas R, Benetis R, Vanagas G, Slapikas R, Vainoras A. Implementation of international transtelephonic ECG platform for patients with ischemic heart disease. Medicina (Kaunas). 2009;45:104
  16. Sekar P, Vilvanathan V. Telecardiology: effective means of delivering cardiac care to rural children. Asian Cardiovasc Thorac Ann. 2007;15:320
  17. Scalvini S, Capomolla S, Zanelli E, et al. Effect of home-based telecardiology on chronic heart failure: costs and outcomes. J Telemed Telecare. 2005;11(Suppl 1):16
  18. Goh KW, Kim E, Lavanya J, Kim Y, Soh CB. Issues in implementing a knowledge-based ECG analyzer for personal mobile health monitoring. Conf Proc IEEE Eng Med Biol Soc. 2006;1:6265
  19. Roth A, Korb H, Gadot R, Kalter E. Telecardiology for patients with acute or chronic cardiac complaints: the ‘SHL’ experience in Israel and Germany. Int J Med Inform. 2006;75:643
  20. Dower GE, Yakush A, Nazzal SB, Jutzy RV, Ruiz CE. Deriving the 12-lead electrocardiogram from four (EASI) electrodes. J Electrocardiol. 1988;21(Suppl):S182
  21. Drew BJ, Pelter MM, Wung SF, et al. Accuracy of the EASI 12-lead electrocardiogram compared to the standard 12-lead electrocardiogram for diagnosing multiple cardiac abnormalities. J Electrocardiol. 1999;32(Suppl):38
  22. Nelwan SP, Kors JA, Crater SW, et al. Simultaneous comparison of 3 derived 12-lead electrocardiograms with standard electrocardiogram at rest and during percutaneous coronary occlusion. J Electrocardiol. 2008;41:230
  23. Wehr G, Peters RJ, Khalife K, et al. A vector-based, 5-electrode, 12-lead monitoring ECG (EASI) is equivalent to conventional 12-lead ECG for diagnosis of acute coronary syndromes. J Electrocardiol. 2006;39:22
  24. Welinder AE, Wagner GS, Horacek BM, Martin TN, Maynard C, Pahlm O. EASI-derived vs standard 12-lead electrocardiogram for Selvester QRS score estimations of chronic myocardial infarct size, using cardiac magnetic resonance imaging as gold standard. J Electrocardiol. 2009;42:145
  25. Lähteenmäki J, Leppänen J, Kaijanranta H, et al. Document-based service platform for telemedicine applications. eHealth Int J. 2009;5:10
  26. Eskola MJ, Kosonen P, Sclarovsky S, Vikman S, Nikus KC. The ECG pattern of isolated right ventricular infarction during percutaneous coronary intervention. Ann Noninvasive Electrocardiol. 2007;12:83
  27. Zhang P, Kumabe A, Kogure Y, Akutagawa M, Kinouchi Y, Zhang Q. New functions developed for ICU/CCU remote monitoring system using a 3G mobile phone and evaluations of the system. Conf Proc IEEE Eng Med Biol Soc. 2008;2008:5342
  28. Groves RH, Holcomb BW, Smith ML. Intensive care telemedicine: evaluating a model for proactive remote monitoring and intervention in the critical care setting. Stud Health Technol Inform. 2008;131:131
  29. Rosenfeld BA, Dorman T, Breslow MJ, et al. Intensive care unit telemedicine: alternate paradigm for providing continuous intensivist care. Crit Care Med. 2000;28:3925
  30. Breslow MJ, Rosenfeld BA, Doerfler M, et al. Effect of a multiple-site intensive care unit telemedicine program on clinical and economic outcomes: an alternative paradigm for intensivist staffing. Crit Care Med. 2004;32:31
  31. Chiantera A, Scalvini S, Pulignano G, et al. Role of telecardiology in the assessment of angina in patients with recent acute coronary syndrome. J Telemed Telecare. 2005;11(Suppl 1):93
  32. Molinari G, Reboa G, Frascio M, et al. The role of telecardiology in supporting the decision-making process of general practitioners during the management of patients with suspected cardiac events. J Telemed Telecare. 2002;8:97
  33. Molinari G, Valbusa A, Terrizzano M, et al. Nine years' experience of telecardiology in primary care. J Telemed Telecare. 2004;10:249
  34. Roth A, Rogowski O, Yanay Y, Kehati M, Malov N, Golovner M. Teleconsultation for cardiac patients: a comparison between nurses and physicians: the SHL experience in Israel. Telemed J E Health. 2006;12:528
  35. Scalvini S, Zanelli E, Conti C, et al. Assessment of prehospital chest pain using telecardiology. J Telemed Telecare. 2002;8:231
  36. Schwaab B, Katalinic A, Riedel J, Sheikhzadeh A. Pre-hospital diagnosis of myocardial ischaemia by telecardiology: safety and efficacy of a 12-lead electrocardiogram, recorded and transmitted by the patient. J Telemed Telecare. 2005;11:41

PII: S0022-0736(09)00277-5

doi: 10.1016/j.jelectrocard.2009.07.005

Journal of Electrocardiology
Volume 42, Issue 6 , Pages 473-480 , November 2009

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