Journal article
Novel technical solutions for wireless ECG transmission & analysis in the age of the internet cloud
Journal of electrocardiology, Vol.46(6), pp.540-545
11/2013
DOI: 10.1016/j.jelectrocard.2013.07.002
PMID: 23992916
Abstract
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.
Details
- Title: Subtitle
- Novel technical solutions for wireless ECG transmission & analysis in the age of the internet cloud
- Creators
- Salah S Al-Zaiti - School of Nursing at University of Pittsburgh, Pittsburgh, PA, USAVladimir Shusterman - School of Medicine at University of Pittsburgh, Pittsburgh, PA, USAMary G Carey - University of Rochester Medical Center, Rochester, NY, USA
- Resource Type
- Journal article
- Publication Details
- Journal of electrocardiology, Vol.46(6), pp.540-545
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.jelectrocard.2013.07.002
- PMID
- 23992916
- ISSN
- 0022-0736
- eISSN
- 1532-8430
- Language
- English
- Date published
- 11/2013
- Academic Unit
- Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984094371102771
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