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Assess the use of telecardiology platform


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Assess the Use of Telecardiology Platform

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Assess the use of telecardiology platform

  1. 1. Assess The Usage of Tele-Cardiology Platform P. K. Naidu, S. Maheshwari, D. Krishnamurthy, S. Kumar
  2. 2. Burden of Cardiovascular Disease • Cardiovascular Disease (CVD) is the Number One cause of death worldwide • 80% of CVD deaths take place in Low-and Middle-income Countries (LMICs) • People in LMICs who suffer from CVDs have less access to effective and equitable healthcare,which results in late detection during the course of disease and usually die young.
  3. 3. Shortage in Cardia United States European Union 50-70 50 Recommendation for General Cardiologist /million population. India – Total Number of qualified cardiologists - <4000 (judged by Cardiological society of India). A huge shortage in Cardiologists.
  4. 4. Aims and Objectives Evaluate the Effectiveness of a Telecardiology Platform for • Tele-ECG • Tele-Echocardiography • Tele-Consultation
  5. 5. • Web based Telecardiology platform CARDIOSpa was tested within a clinic in Bangalore and remotely with clinics in Assam, Uttar Pradesh and Karnataka states in India. • CARDIOSpa uses secure connection in transmitting Echocardiography and other cardiac diagnostic images and is Health Insurance Portability and Accountability (HIPAA) complaint. Materials and Methods
  6. 6. Tele-ECG Reporting • In Assam and Uttar Pradesh – Patient walks in for a cardiac evaluation. • Trained health professional/technician conducts the ECG on the patient. • ECG images are attached to CARDIOSpa using the easy to use workflow. • The Cardiologist gets a notification and can view the ECG with a secured login and report it quickly . • Pre-installed macros helps in easy reporting and quick sign offs. • Telemedicine centre gets access to print the report.
  7. 7. Tele-Echocardiography Reporting's Using CARDIOSpa. • Sonographer performs echo at the clinic according to CARDIOSpa’s imaging protocol. • On completion, the study automatically gets transferred to CARDIOSpa platform. • Sonographer completes his provisional report and assigns it to the cardiologist in the panel • Cardiologist downloads the images in CARDIOSpa Dicom and reviews it with adequate resolution. The provisional sonographers report is correlated and a final diagnosis and report is generated. • The clinic prints the echo report to hand it over to the patient
  8. 8. Tele-Consultation A Nurse in the telemedicine centre places the Digital stethoscope on the patients chest. The Cardiologists can hear the patients heart beat and murmurs if any from his end remotely
  9. 9. Limitations • The Quality of sounds from the Digital stethoscope varied due to low bandwidth at the remote centre .Another reason being loud background noise at these centres. • In patients with poor echo windows diagnosis was limited. • Reporting time was delayed in some cases due unavailability of personal
  10. 10. Results From Jan –July – 2015 • Tele-Echoes : 1278 cases reported for Bangalore clinic with adequate resolution. • Tele-ECGs : 316 cases reported for Assam and Uttarpradesh Telemedicine centre. • Tele- Consultation : 7 successful Consults
  11. 11. Suspected MI 10% Bundle Branch Block 4.7% Others (AF,FVR,SVT etc.) 1.8% TOTAL POSITIVE TELE-ECG`S IN 316
  12. 12. 76 % Adult TTE 24% Pediatric TTE Total Tele-Echoes reported by Pediatric and Adult Cardiologist
  13. 13. Conclusion Trained Cardiac Sonographers and ECG technicians can play a significant role using Tele-cardiology in diagnosis of heart disease at earlier stage/follow up in remote clinics where accessibility and availability of cardiologists /cardiac centres are difficult.