Document Detail

Echocardiography by telephone--evaluation of pediatric heart disease at a distance.
MedLine Citation:
PMID:  2729136     Owner:  NLM     Status:  MEDLINE    
A 24-hour telephone transmission service was established for pediatric echocardiography between a general hospital and a children's hospital 500 km distant. Studies were transmitted in real time for interpretation and diagnosis by a pediatric cardiologist. In the first 9 months of operation, studies were transmitted for 18 children with a median age of 5 months. Image and sound quality was excellent. Complete segmental diagnosis was made in 16 patients, and further study was needed in 2 others. In 8 of the 18 patients a new diagnosis was provided, and in 10 patients diagnosis was confirmed. Congenital heart disease was found in 12 patients, other heart disease in 2 and a normal heart in 4. The population included 2 fetuses whose echocardiograms showed hypoplastic left heart and intracardiac tumor. In 4 patients transport was avoided. This is the first report of echocardiographic transmission by telephone, which was shown to be clearly feasible, cost-effective and diagnostic. It provides emergency access to specialist expertise, and may avoid hazardous and expensive transport of ill children.
J P Finley; D G Human; M A Nanton; D L Roy; R G Macdonald; D R Marr; H Chiasson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  63     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1989 Jun 
Date Detail:
Created Date:  1989-07-12     Completed Date:  1989-07-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1475-7     Citation Subset:  AIM; IM    
Department of Pediatric Cardiology, Izaak Walton Killam Children's Hospital, Halifax, Nova Scotia, Canada.
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MeSH Terms
Echocardiography / methods*
Heart Defects, Congenital / diagnosis*
New Brunswick
Nova Scotia
Patient Transfer
Prospective Studies
Telephone* / economics

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