Application of Telemedicine for the Control of Patients with Acute and Chronic Heart Diseases

Escobar-Curbelo, Luis; Franco-Moreno, Anabel I

doi:10.1089/tmj.2018.0199

Cited by 15 publications

(11 citation statements)

References 42 publications

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“…The vital role of the EKG in the provision of care has already been well established for emergency departments, mobile emergency units, and intensive care or general medicine departments, and the management of myocardial infarction is defined by the imperative use of the EKG as early as possible. [19][20][21][22][23][24][25][26][27][28] These indications explain its availability in all departments in most hospitals in developed countries. 19,20,29 However, this is not the case in Africa, where EKGs are most often only performed in specialized cardiology departments.…”

Section: Discussionmentioning

confidence: 99%

“…[19][20][21][22][23][24][25][26][27][28] These indications explain its availability in all departments in most hospitals in developed countries. 19,20,29 However, this is not the case in Africa, where EKGs are most often only performed in specialized cardiology departments. The average age of patients with an abnormal EKG results was higher compared with patients with normal EKG results.…”

Section: Discussionmentioning

confidence: 99%

“…TeleEKG has been shown to be useful in contributing to the diagnosis of cardiovascular pathologies such as atrial fibrillation, third-degree or complete heart block, or ACSs with ST elevation (for which Brunetti et al emphasized the role of teleEKG in their diagnosis and urgent management 20,29 ) (Fig. 4).…”

Section: Discussionmentioning

confidence: 99%

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A Medico-Socio-Economic Analysis of TeleEKG in Ivory Coast

Diby

Adoubi

Esse-Diby

et al. 2021

Telemedicine and e-Health

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Background: TeleEKG is gradually being integrated into the care offered to the most isolated Ivorian populations, however, no medicosocio-economic analysis of its impact has yet been conducted. Introduction: The aim of this study was to assess the medicosocio-economic impact of a teleEKG network in the provision of cardiology care in Ivory Coast. Methods: A retrospective study of the data transmitted by the 10 centers involved in the pilot phase of the teleEKG project from January 2015 to December 2017. Results:The average ratio between the cost to the patient of performing an electrocardiogram (EKG) according to the traditional practice and using a teleEKG was 3.8 -1.64. The distance avoided by the 6,045 patients was 1,074,090 km (average 177.7 km/patient). The 6,045 teleEKGs carried out over the period of the study produced a total revenue of 36,270,000 XOF (55,290 EUR) or an average revenue per site of 3,627,000 XOF (5,529 EUR). Dyspnea on exertion (22%), and hypertension (21%) were the main indications for performing the EKG, and left ventricular hypertrophy was the most common electrical anomaly detected (19.8%). Acute coronary syndrome with persistent ST segment elevation was diagnosed in 0.7% of cases (40 cases) and atrial fibrillation in 1.12% of cases (68 cases). Discussion: These results confirm the key role telemedicine can play in the treatment of heart conditions in rural populations and the economic sustainability of such telemedicine networks. Conclusions: teleEKG offers economic accessibility to cardiology care for isolated populations in Ivory Coast.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A Medico-Socio-Economic Analysis of TeleEKG in Ivory Coast

Diby

Adoubi

Esse-Diby

et al. 2021

Telemedicine and e-Health

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“…Combining the benefits of phone calls, video calls, records from wearable devices, cardiac implantable electronic device checks, and other digital tools, electrophysiologists can convert most clinical visits to remote monitoring [ 90 ]. Telemedicine has found several applications in cardiology, including the early prehospital diagnosis of acute myocardial infarction based on transmitted EKG data, monitoring patients with chronic heart failure, monitoring arrhythmias, and transmitting echo images to a level III center for a second opinion [ 91 ].…”

Section: Remote Health Assessmentmentioning

confidence: 99%

A Review of Digital Health and Biotelemetry: Modern Approaches towards Personalized Medicine and Remote Health Assessment

Busnatu

Niculescu

Bolocan

et al. 2022

JPM

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With the prevalence of digitalization in all aspects of modern society, health assessment is becoming digital too. Taking advantage of the most recent technological advances and approaching medicine from an interdisciplinary perspective has allowed for important progress in healthcare services. Digital health technologies and biotelemetry devices have been more extensively employed for preventing, detecting, diagnosing, monitoring, and predicting the evolution of various diseases, without requiring wires, invasive procedures, or face-to-face interaction with medical personnel. This paper aims to review the concepts correlated to digital health, classify and describe biotelemetry devices, and present the potential of digitalization for remote health assessment, the transition to personalized medicine, and the streamlining of clinical trials.

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“…Nevertheless, the risk of diseases continuously emerges worldwide; for instance, cardiovascular disease is currently considered to be the leading cause of death worldwide [65][66][67]. Patients with such diseases are triaged to identify their emergency levels through mHealth after the evaluation of their vital signs transmitted from sensors at Tier 1 [63,68].…”

Section: Introductionmentioning

confidence: 99%

Development of IoT-based mhealth framework for various cases of heart disease patients

et al. 2021

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A newly distributed fault-tolerant mHealth framework-based Internet of things (IoT) is proposed in this study to resolve the essential problems of healthcare service provision during the occurrence of frequent failures in a telemedicine architecture. Two models are presented to support the telehealth development of chronic heart disease (CHD) in a distant environment. In model-1, a new local multisensor fusion triage algorithm known as three-level localisation triage (3LLT) is proposed. In 3LLT, a group of heterogeneous sources is applied to triage patients as a clinical process, and the emergency levels inside/ outside the home of a patient with CHD are determined. Failures related to sensor fusion can also be detected. In model-2, a centralised IoT connection towards distributed smart hospitals is employed by mHealth based on two attributes: (1) healthcare service packages and (2) time of arrival of a patient at a hospital. Three decision matrices have been used to overcome several issues on hospital selection based on multi-criteria decision-making by using an analytic hierarchy process. Two datasets are utilised: (1) a clinical CHD dataset, which includes 572 patients for testing model-1, and (2) a nonclinical dataset, which includes hospital healthcare service packages for testing model-2. Consequently, patients with CHD can be triaged into different emergency levels (risk, urgent and sick) with mHealth, and a final decision is made by selecting an appropriate hospital. Results are obtained through the clinical triage of patients, and different scenarios are provided for hospital selection. The verification of statistical results indicates that the proposed mHealth framework is systematically valid. The contribution of the mHealth framework is presented to provide an improved triage process, afford timely services and treatment for CVD patients and minimise the chances of error. These health sectors and policymakers can also recognise the evaluation benefits of smart hospitals by using the presented framework and move forward to fully automated mHealth applications.

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Application of Telemedicine for the Control of Patients with Acute and Chronic Heart Diseases

Cited by 15 publications

References 42 publications

A Medico-Socio-Economic Analysis of TeleEKG in Ivory Coast

A Medico-Socio-Economic Analysis of TeleEKG in Ivory Coast

A Review of Digital Health and Biotelemetry: Modern Approaches towards Personalized Medicine and Remote Health Assessment

Development of IoT-based mhealth framework for various cases of heart disease patients

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