Home Health Technology What is Telecardiology?

What is Telecardiology?


DenpaNews : What is Telecardiology?

DenpaNews Telecardiology is the diagnosis and treatment of heart diseases by specialist cardiologists with communication devices with distant patients or with the healthcare personnel next to the patient. It is the provision of diagnosis and treatment remotely from the patient’s home to a caregiver or with the health professionals in the health institution.

Telecardiology between doctors and between doctor and patient

It is based on telemedicine transmission of echocardiographic findings data between doctors using information and communication technology. This type of telemedicine use is often combined with a video conference. Such diagnoses can also be performed by home care physicians or nurses with low cost, small and portable systems such as a tablet and ultrasound converter.

It is a link between cardiologists and patients in their homes, using measuring devices and other communication and informatics infrastructure as another telecardiology method. This form of treatment can be applied in addition to existing outpatient services provided by a general practitioner and cardiologist.

How is telecardiology applied?

With implantable invasive devices and non-invasive remote monitoring devices, the onset of heart failure, its decompensation and the course of the disease can be monitored at different times, and hospitalization of the patient can be prevented.

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Non-invasive devices such as gauges and blood pressure monitors have “late” accuracy compared to implanted remote monitoring devices. To compensate for this systematic deficit of non-invasive devices, a review of transferred vital parameters should be done on the same day, requiring a 24/7 telemedical service. However, non-invasive devices also have advantages such as low cost and no safety concerns with implantable devices.

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For the practice of telecardiology,

  • Invasive measuring devices, eg implants for measuring atrial pressure or detecting events such as syncope.
  • Non-invasive measuring devices, eg, measuring and blood pressure monitors capable of wireless data transmission.
  • Data protection-compliant, encrypted communication between patients and telemedical personnel.
  • in the service provider to access patient information Hospital Information Management System .

However, all kinds of remote monitoring systems must have a previously known treatment algorithm, as in face-to-face treatment  .

Telecardiology application examples

cardiac rehabilitation

Robert Berry, clinical coordinator of cardiac rehabilitation at the Henry Ford Health System, says cardiac rehabilitation is “the only intervention that changes outcomes.” Henry Ford patients can use the telecardiology application for cardiac rehabilitation by using the video feature of their phone or tablet from anywhere. The Henry Ford program was launched in 2016. About 15 to 20 percent of cardiac rehabilitation patients in the Detroit-based healthcare system use telecardiology.

Plays an important role in cancer care

Spectrum Health provides services through cardiologist telemedicine in 14 hospitals and 155 mobile systems. Patients going to hospitals or clinics are viewed by a remote doctor via cameras and high-definition screens, where various scanning and diagnostic images are acquired by nurses and medical assistants using telemedicine units. A cardio-oncologist at Spectrum Health, Dr. “Without physically touching patients, we can do whatever it takes to evaluate these patients,” Wissam Abdallah said. This can be particularly beneficial for patients who develop cardiac complications as a side effect of cancer treatment.

Telemedicine for pediatric cardiology

Children’s National Hospital and an associate professor of medicine at George Washington University, Dr. Hospital started using telemedicine in 2014, didn’t see any increase until 2018, says Ashraf Harahsheh

The organization initiated a pilot study of 18 families of children with hyperlipidemia, hypercholesterolemia, or syncope, or whose cardiac test results needed to be evaluated. The researchers found that six months after their virtual visit, none of the participants had experienced emergency cardiology problems.

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Telecardiology has been found to be suitable for the outpatient treatment of high-risk heart patients with a required response time of less than one day to changes in clinical status. Studies have shown that mortality and morbidity rates are better in patients who receive this type of intervention compared to patients who do not receive telemedicine.

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