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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...
August 11, 2016: 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...
March 4, 2016: 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
Isabel de la Torre-Díez, Miguel López-Coronado, Cesar Vaca, Jesús Saez Aguado, Carlos de Castro
OBJECTIVE: A systematic review of cost-utility and cost-effectiveness research works of telemedicine, electronic health (e-health), and mobile health (m-health) systems in the literature is presented. MATERIALS AND METHODS: Academic databases and systems such as PubMed, Scopus, ISI Web of Science, and IEEE Xplore were searched, using different combinations of terms such as "cost-utility" OR "cost utility" AND "telemedicine," "cost-effectiveness" OR "cost effectiveness" AND "mobile health," etc...
February 2015: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Yousef Saleh Khader, Mohamad Ismail Jarrah, Abde-Ellah M Al-Shudifat, Amjad Shdaifat, Husham Aljanabi, Shadwan Ismeil Al-Fakeh, Elias Emil Turk, Khaled Ali Zayed, Hanadi A Al Quran, Ziad Mohd Ellauzi, Mohammad Al Tahan
Objectives. To assess the impact of live interactive telecardiology on diagnosis and disease management, patients' quality of life, and time- and cost-savings. Methods. All consecutive patients who attended or were referred to the teleclinics for suspected cardiac problems in two hospitals in remote areas of Jordan during the study period were included in the study. Patients were interviewed for relevant information and their quality of life was assessed during the first visit and 8 weeks after the last visit...
2014: International Journal of Telemedicine and Applications
Anpeng Huang, Wenyao Xu, Zhinan Li, Linzhen Xie, Majid Sarrafzadeh, Xiaoming Li, Jason Cong
Cardiovascular disease (CVD) is a major issue to public health. It contributes 41% to the Chinese death rate each year. This huge loss encouraged us to develop a Wearable Efficient teleCARdiology systEm (WE-CARE) for early warning and prevention of CVD risks in real time. WE-CARE is expected to work 24/7 online for mobile health (mHealth) applications. Unfortunately, this purpose is often disrupted in system experiments and clinical trials, even if related enabling technologies work properly. This phenomenon is rooted in the overload issue of complex Electrocardiogram (ECG) data in terms of system integration...
September 2014: IEEE Journal of Biomedical and Health Informatics
R Gupta, M Mitra
Remote monitoring of biomedical signals provides an opportunity to extend health care service to a distant patient. In this paper, a short range wireless telecardiology system is described with the objective to transmit electrocardiogram signal for remote end acquisition. The acquired signal was compressed using a combination of modified delta encoding and run length encoding technique and transmitted using a wireless transceiver operating in 2.4 GHz industrial, scientific and medical band to a distance of 400 ft...
October 2014: Journal of Medical Systems
Juyoung Park, Kyungtae Kang
Telecardiology provides mobility for patients who require constant electrocardiogram (ECG) monitoring. However, its safety is dependent on the predictability and robustness of data delivery, which must overcome errors in the wireless channel through which the ECG data are transmitted. We report here a framework that can be used to gauge the applicability of IEEE 802.11 wireless local area network (WLAN) technology to ECG monitoring systems in terms of delay constraints and transmission reliability. For this purpose, a medical-grade WLAN architecture achieved predictable delay through the combination of a medium access control mechanism based on the point coordination function provided by IEEE 802...
September 2014: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Thaisa Cardoso Lacerda, Christiane Gresse von Wangenheim, Aldo von Wangenheim, Isabela Giuliano
One of the main reasons that leads to a low adoption rate of telemedicine systems is poor usability. An aspect that influences usability during the reporting of findings is the input mode, e.g., if a free-text (FT) or a structured report (SR) interface is employed. The objective of our study is to compare the usability of FT and ST telemedicine systems, specifically in terms of user satisfaction, efficiency and general usability. We comparatively evaluate the usability of these two input modes in a telecardiology system for issuing electrocardiography reports in the context of a statewide telemedicine system in Brazil with more than 350...
December 2014: Journal of Biomedical Informatics
Luisa F Polanía, Rafael E Carrillo, Manuel Blanco-Velasco, Kenneth E Barner
Recent results in telecardiology show that compressed sensing (CS) is a promising tool to lower energy consumption in wireless body area networks for electrocardiogram (ECG) monitoring. However, the performance of current CS-based algorithms, in terms of compression rate and reconstruction quality of the ECG, still falls short of the performance attained by state-of-the-art wavelet-based algorithms. In this paper, we propose to exploit the structure of the wavelet representation of the ECG signal to boost the performance of CS-based methods for compression and reconstruction of ECG signals...
March 2015: IEEE Journal of Biomedical and Health Informatics
Anita Krishnan, Mary Fuska, Ron Dixon, Craig A Sable
BACKGROUND: Telemedicine transmission of echocardiograms, either in real-time or using store-and-forward technology, is used to evaluate infants with suspected heart disease. The impact of Internet protocol (IP) technology on telecardiology utilization is unknown. This study evaluated the impact of IP expansion on telecardiology utilization and mode of scanning. MATERIALS AND METHODS: The telemedicine database from 1998 to 2012 at our institution was reviewed. Tele-echocardiography transmissions between 1998 to 2012 were identified...
August 2014: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
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