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S Chandra Bollepalli, S Sastry Challa, Laxminarayana Anumandla, Soumya Jana
While cardiovascular diseases (CVDs) are prevalent across economic strata, the economically disadvantaged population is disproportionately affected due to the high cost of traditional CVD management, involving consultations, testing and monitoring at medical facilities. Accordingly, developing an ultra-low-cost alternative, affordable even to groups at the bottom of the economic pyramid, has emerged as a societal imperative. Against this backdrop, we propose an inexpensive yet accurate home-based electrocardiogram (ECG) monitoring service...
April 25, 2018: Artificial Intelligence in Medicine
Ryszard Piotrowicz, Paweł Krzesiński, Paweł Balsam, Maciej Kempa, Renata Główczyńska, Marcin Grabowski, Łukasz Kołtowski, Ewa Lewicka, Michał Peller, Ewa Piotrowicz, Jakub Podolec, Adam Stańczyk, Justyna Zajdel, Grzegorz Opolski
For several years, we have observed the dynamic development of technologies that allow patients to access medical care from the comfort of their homes, without direct contact with the doctor. Innovative solutions based on telemedicine improve care coordination and communication among clinicians, patients, and their families, as well as increases patients' security and gives them greater independence, thus eliminating health care inequalities. The rapidly growth of telemedicine and the adoption of new technologies in clinical practice is also observed in Poland...
2018: Kardiologia Polska
Milena Soriano Marcolino, Thales Matheus Mendonça Santos, Fernanda Cotrim Stefanelli, João Antonio de Queiroz Oliveira, Maíra Viana Rego Souza E Silva, Diomildo Ferreira Andrade, Grace Kelly Matos E Silva, Antonio Luiz Ribeiro
BACKGROUND: Electrocardiograms (ECGs) are an essential examination for identification and management of cardiovascular emergencies.The aim of this study was to report on the frequency and recognition of cardiovascular emergencies in primary care units. DESIGN AND SETTING: Observational retrospective study assessing consecutive patients whose digital ECGs were sent for analysis to the team of the Telehealth Network of Minas Gerais. METHODS: Data from patients diagnosed with cardiological emergencies in the primary care setting of 750 municipalities in Minas Gerais, Brazil, between March and September 2015, were collected via telephone contact with the healthcare practitioner who performed the ECG...
September 2017: São Paulo Medical Journal, Revista Paulista de Medicina
Asiya M Al-Busaidi, Lazhar Khriji, Farid Touati, Mohd Fadlee Rasid, Adel Ben Mnaouer
One of the major issues in time-critical medical applications using wireless technology is the size of the payload packet, which is generally designed to be very small to improve the transmission process. Using small packets to transmit continuous ECG data is still costly. Thus, data compression is commonly used to reduce the huge amount of ECG data transmitted through telecardiology devices. In this paper, a new ECG compression scheme is introduced to ensure that the compressed ECG segments fit into the available limited payload packets, while maintaining a fixed CR to preserve the diagnostic information...
September 12, 2017: Journal of Medical Systems
Ranjan Shetty, Jyothi Samant, Krishnanand Nayak, Manjunatha Maiya, Shankar Reddy
BACKGROUND: In spite of enormous progress in cardiac care in India, rural communities lack access to even basic cardiac care. One possible solution to this problem is to employ telecardiology. OBJECTIVES: To demonstrate feasibility of telecardiology system to link rural clinics to a teaching hospital. METHODS: Five rural clinics were linked to a teaching hospital, using an inexpensive system of cardiographs and tablet PCs to transmit ECGs to hospital and have them interpreted by cardiologist...
July 2017: Indian Journal of Community Medicine
Ashenafi Zebene Woldaregay, Ståle Walderhaug, Gunnar Hartvigsen
BACKGROUND: Telemedicine services have been successfully used in areas where there are adequate infrastructures such as reliable power and communication lines. However, despite the increasing number of merchants and seafarers, maritime and Arctic telemedicine have had limited success. This might be linked with various factors such as lack of good infrastructure, lack of trained onboard personnel, lack of Arctic-enhanced telemedicine equipment, extreme weather conditions, remoteness, and other geographical challenges...
June 28, 2017: JMIR Medical Informatics
Isabel de la Torre-Díez, Begoña Garcia-Zapirain, Miguel López-Coronado, Joel J P C Rodrigues
INTRODUCTION: For a cloud-based telecardiology solution to be established in any scenario, it is necessary to ensure optimum levels of security, as patient's data will not be in the same place from where access is gained. The main objective of this article is to present a secure, cloud-based solution for a telecardiology service in different scenarios: a hospital, a health center in a city, and a group of health centers in a rural area. METHODS: iCanCloud software is used to simulate the scenarios...
August 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Giovanni Bisignani, Silvana De Bonis, Antonio Bisignani, Antonella Verta
The aim of this paper is to present the project of telecardiology within the ASP of Cosenza, one of the largest provinces of Italy characterized by a particular orography, with difficult and inaccessible roads. The goal of this project is to manage the emergency more efficiently by reducing the time of intervention by bringing the patient not to the nearest hospital, but more importantly to the hospital more appropriately suited to better manage the cardiological emergency. This system also uses the most modern web-based interface technology protected by login and password...
December 2016: Giornale Italiano di Cardiologia
Giuseppe Molinari, Natale Daniele Brunetti, Luigi Biasco, Sandro Squarcia, Yvonne Cristoforetti, Riccardo Bennicelli, Cecilia Del Vecchio, Cecilia Viacava, Carla Giustetto, Fiorenzo Gaita
OBJECTIVE: The objective of this study was to derive normal electrocardiographic values and to report the abnormal findings in a large contemporary European cohort of physically active children and young adolescents. METHODS: In a 3-month period, data derived from subjects aged between 3 and 14 years and referred to the Telecardiology Centre (Genoa, Italy) for electrocardiogram (ECG) evaluation as pre-participation screening for non-competitive sports were analyzed...
March 2017: Sports Medicine
Natale Daniele Brunetti, Simonetta Scalvini, Flavio Acquistapace, Gianfranco Parati, Maurizio Volterrani, Francesco Fedele, Giuseppe Molinari
No abstract text is available yet for this article.
May 8, 2016: International Journal of Cardiology
Arnaud Rosier, Philippe Mabo, Lynda Temal, Pascal Van Hille, Olivier Dameron, Louise Deleger, Cyril Grouin, Pierre Zweigenbaum, Julie Jacques, Emmanuel Chazard, Laure Laporte, Christine Henry, Anita Burgun
The number of patients that benefit from remote monitoring of cardiac implantable electronic devices, such as pacemakers and defibrillators, is growing rapidly. Consequently, the huge number of alerts that are generated and transmitted to the physicians represents a challenge to handle. We have developed a system based on a formal ontology that integrates the alert information and the patient data extracted from the electronic health record in order to better classify the importance of alerts. A pilot study was conducted on atrial fibrillation alerts...
2016: Studies in Health Technology and Informatics
Claudio De Lazzari, Igino Genuini, Maria C Gatto, Alessandra Cinque, Massimo Mancone, Alessandra D'Ambrosi, Elisa Silvetti, Antonio Fusto, Domenico M Pisanelli, Francesco Fedele
BACKGROUND: In 2010, an Italian project was launched aimed at using a telecardiology device in order to perform early diagnosis of young students at risk of sudden cardiac death. METHODS: Our retrospective observational study was conducted on a population of 13,016 students, aged between 16 and 19 years, in different Italian regions. It consisted of analysis of data recorded during a telecardiology pilot study. The recorded data were electrocardiograms and data concerning lifestyle habits and family history of cardiovascular diseases...
January 2017: Cardiology in the Young
Bollepalli S Chandra, Challa S Sastry, Soumya Jana
Telecardiology is envisaged as a supplement to inadequate local cardiac care, especially, in infrastructure deficient communities. Yet the associated infrastructure constraints are often ignored while designing a traditional telecardiology system that simply records and transmits user electrocardiogram (ECG) signals to a professional diagnostic facility. Against this backdrop, we propose a two-tier telecardiology framework, where constraints on resources, such as power and bandwidth, are met by compressively sampling ECG signals, identifying anomalous signals, and transmitting only the anomalous signals...
November 1, 2015: Computers in Biology and Medicine
Mucio Tavares de Oliveira, Leonardo Jorge Cordeiro de Paula, Milena Soriano Marcolino, Manoel Fernandes Canesin
No abstract text is available yet for this article.
August 2015: Arquivos Brasileiros de Cardiologia
Natale Daniele Brunetti, Saverio Lanzone, Giulia Dellegrottaglie, Giuseppe Di Giuseppe, Luisa De Gennaro, Vito Novielli, Ernesto Straziota, Teresa Loiacono, Matteo Di Biase
BACKGROUND: The CArdiovascular Prevention wIth Telecardiology in ApuLia (CAPITAL) study aimed to investigate the prevalence of cardiovascular risk factors, the status of cardiovascular prevention, and the compliance to international scientific societies' guidelines on cardiovascular prevention in a Mediterranean region. METHODS: The CAPITAL study was based on the assessment of cardiovascular risk and compliance to guidelines on cardiovascular prevention, and on an electrocardiogram screening with remote telemedicine support performed in pharmacies of Apulia (Italy); the study was expected to enroll 10 000 consecutive patients accessing their usual pharmacy...
July 2016: Journal of Cardiovascular Medicine
Pietro Cinaglia, Giuseppe Tradigo, Pietro H Guzzi, Pierangelo Veltri
This paper presents the design and implementation of a system for digital telecardiology on mobile devices called Remote Cardio Consultation (RCC). Using RCC may improve first intervention procedures in case of heart attack. In fact, it allows physicians to remotely consult ECG signals from a mobile device or smartphone by using a so-called app. The remote consultation is implemented by a server application collecting physician availability to answer upon client support requests. The app can be used by first intervention clinicians and allows reducing delays and decision errors in emergency interventions...
September 2015: Interdisciplinary Sciences, Computational Life Sciences
Isabel de la Torre-Díez, Miguel Lopez-Coronado, Begonya Garcia-Zapirain Soto, Amaia Mendez-Zorrilla
BACKGROUND: The combination of eHealth applications and/or services with cloud technology provides health care staff—with sufficient mobility and accessibility for them—to be able to transparently check any data they may need without having to worry about its physical location. OBJECTIVE: The main aim of this paper is to put forward secure cloud-based solutions for a range of eHealth services such as electronic health records (EHRs), telecardiology, teleconsultation, and telediagnosis...
2015: Journal of Medical Internet Research
Ryszard Piotrowicz, Marcin Grabowski, Paweł Balsam, Łukasz Kołtowski, Adam Kozierkiewicz, Justyna Zajdel, Ewa Piotrowicz, Oskar Kowalski, Przemysław Mitkowski, Jarosław Kaźmierczak, Zbigniew Kalarus, Grzegorz Opolski
For several decades we have observed the development of data transmission technology on an unprecedented scale. With the development of such technology there has also appeared concepts on the use of these solutions in health care systems. Over the last decade telemedicine has been joined by the concept of mHealth, which is based on mobile devices mainly to monitor selected biomedical parameters. On 10 October 2014, during the conference Baltic Electrocardiology Autumn - Telemedicine and Arrhythmia (BEATA), a debate was held with the participation of physicians, politicians, businessmen, and representatives of the Government (Ministry of Health, National Health Fund, Social Insurance Institution) concerning the use of telecardiology services in daily practice...
2015: Kardiologia Polska
Jayashree Raikhelkar, Jayant K Raikhelkar
Telemedicine was recognized in the 1970s as a legitimate entity for applying the use of modern information and communications technologies to the delivery of health services. Telecardiology is one of the fastest growing fields in telemedicine. The advancement of technologies and Web-based applications has allowed better transmission of health care delivery. This article discusses current advancements, the scope of telemedicine in cardiology, and its application to the critically ill. The impact of telecardiology consultation continues to evolve and includes many promising applications with potential positive implications for admission rates, morbidity, and mortality...
April 2015: Critical Care Clinics
Natale Daniele Brunetti, Simonetta Scalvini, Flavio Acquistapace, Gianfranco Parati, Maurizio Volterrani, Francesco Fedele, Giuseppe Molinari
Telemedicine is the provision of health care services, through the use of information and communication technology, in situations where the health care professional and the patient, or 2 health care professionals, are not in the same location. It involves the secure transmission of medical data and information, through text, sound, images, or other forms needed for the prevention, diagnosis, treatment, and follow-up of a patient. First data on implementation of telemedicine for the diagnosis and treatment of acute myocardial infarction date from more than 10 years ago...
April 1, 2015: International Journal of Cardiology
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