Document Detail


Novel technical solutions for wireless ECG transmission & analysis in the age of the internet cloud.
MedLine Citation:
PMID:  23992916     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Current guidelines recommend early reperfusion therapy for ST-elevation myocardial infarction (STEMI) within 90min of first medical encounter. Telecardiology entails the use of advanced communication technologies to transmit the prehospital 12-lead electrocardiogram (ECG) to offsite cardiologists for early triage to the cath lab; which has been shown to dramatically reduce door-to-balloon time and total mortality. However, hospitals often find adopting ECG transmission technologies very challenging. The current review identifies seven major technical challenges of prehospital ECG transmission, including: paramedics inconvenience and transport delay; signal noise and interpretation errors; equipment malfunction and transmission failure; reliability of mobile phone networks; lack of compliance with the standards of digital ECG formats; poor integration with electronic medical records; and costly hardware and software pre-requisite installation. Current and potential solutions to address each of these technical challenges are discussed in details and include: automated ECG transmission protocols; annotatable waveform-based ECGs; optimal routing solutions; and the use of cloud computing systems rather than vendor-specific processing stations. Nevertheless, strategies to monitor transmission effectiveness and patient outcomes are essential to sustain initial gains of implementing ECG transmission technologies.
Authors:
Salah S Al-Zaiti; Vladimir Shusterman; Mary G Carey
Related Documents :
18234846 - Decreased coronary flow reserve in haemodialysis patients.
19122246 - Impact of left ventricular function on early outcomes after arterial switch for d-trans...
15682046 - The role of left and right ventricular early diastolic doppler tissue echocardiographic...
7752826 - Recovery of load-induced left ventricular diastolic dysfunction by coenzyme q10: echoca...
23343556 - Effect of percutaneous ventricular assist devices on renal function.
21178296 - Epicardial adipose tissue radiodensity is independently related to coronary atheroscler...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-8-29
Journal Detail:
Title:  Journal of electrocardiology     Volume:  -     ISSN:  1532-8430     ISO Abbreviation:  J Electrocardiol     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-9-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2013.
Affiliation:
School of Nursing at University of Pittsburgh, Pittsburgh, PA. Electronic address: ssa33@pitt.edu.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Enhanced recognition of ischemia by three variable analysis of the exercise stress test.
Next Document:  Histopathological evidence that hippocampal atrophy following status epilepticus is a result of neur...