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The Vitaphone Tele-ECG-System:
Event Recording in Patients With Cardiac Arrhythmias




Dr. Erik Fransen
Vitaphone
       ...
Vitaphone Telemedicine Concept
           information and service platform                                                ...
Telemedical Solutions for Cardiac Arrhythmia
    Vitaphone Tele-ECG-Card                                          Telemedi...
Tele-ECG-Card
                                            Telemedicine



           Easy to use, reliable and safe




4
...
Transmission of recorded ECG signals
                                                    Telemedicine




     acoustic vi...
Tele-ECG-Card
                                            Telemedicine




             High quality, digital format




6...
Tele-ECG-Card
                                                           Telemedicine




                    efficient di...
Telemedical Solutions for Cardiac Arrhythmia
    Vitaphone Cardiac Event Recorder                                   Teleme...
Transmission of recorded ECG signals
                                                     Telemedicine




    digital via...
Vitaphone 1-channel Cardiac Event Recorder
                                                  Telemedicine




            ...
Vitaphone 3-channel Cardiac Event Recorder
                                                  Telemedicine




            ...
Analysis of the ECGs
                                                                                                     ...
Analysis of the ECGs
                                                                  Telemedicine




           measure...
Vitaphone ECG viewer software
                                                         Telemedicine




                  ...
Vitaphone Cardiac Event Recorders
                                                                 Telemedicine




      ...
Daily clinical practice proof
                                                                                            ...
Daily clinical practice proof
                                                                    Telemedicine




      H...
Better quality of healthcare, better
     quality of life, better cost management                    Telemedicine




    ...
Better quality of healthcare, better
     quality of life, better cost management                             Telemedicine...
Telemedicine: Medical & financial relevance
                                                                     Telemedic...
In conclusion                                                     Telemedicine



     Vitaphone Cardiac Event Recorders
 ...
The way forward …




 Network thinking – joint action



                             Telemedicine
For UK:

 Vitaphone Nederland
Ellen Pankhurststraat 15a
     5032 MD Tilburg
       Netherlands
    T +31 13 462 5630
    ...
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Vitaphone Tele Ecg System

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Vitaphone Tele Ecg System

  1. 1. The Vitaphone Tele-ECG-System: Event Recording in Patients With Cardiac Arrhythmias Dr. Erik Fransen Vitaphone Telemedicine
  2. 2. Vitaphone Telemedicine Concept information and service platform Telemedicine Transparent reporting for patient and physician with illness-specific & event-specific data formats VitaView ECG Patient Patient management - Direct communication input of medical data Blood pressure into the EPF @ Telemedical Service Centre Professional network Weight chronic diseases Hospital Rehabilitation centre Cardiologist / GPs Blood sugar Vitaphone Telemedical Service Center Wireless short-range biodata transmission Data forwarding after primary analysis Data transfer to EPF Initiation of emergency procedures, forwarding of patient data to rescue team Electronic Patient File Tele Care Monitor 2 Telemedicine as Information & Service Platform in an Integrated Care Concept Copyright Vitaphone
  3. 3. Telemedical Solutions for Cardiac Arrhythmia Vitaphone Tele-ECG-Card Telemedicine any desired ECG recording, e.g. symptomatic arrhythmia, dizziness, palpitations, rapid heart rhythm lightweight, creditcard size pacemaker/ICD spike recognition easy to operate wireless transmission of ECGs audio recording of symptoms by patient (exclusive) ECGs anywhere, anytime 3 Copyright Vitaphone
  4. 4. Tele-ECG-Card Telemedicine Easy to use, reliable and safe 4 Copyright Vitaphone
  5. 5. Transmission of recorded ECG signals Telemedicine acoustic via telephone Fixed net digital and acoustic via mobile phone GSM / ISDN Infrared ECGs available within 60 secs. 5 Copyright Vitaphone
  6. 6. Tele-ECG-Card Telemedicine High quality, digital format 6 Copyright Vitaphone
  7. 7. Tele-ECG-Card Telemedicine efficient diagnostic tool cost effective therapy with a significant reduction of costs reduction of unnecessary hospital admissions easy to operate; simple handling increased quality of life for the affected patient 7 Copyright Vitaphone
  8. 8. Telemedical Solutions for Cardiac Arrhythmia Vitaphone Cardiac Event Recorder Telemedicine for (a)symptomatic rhythm disturbances, i.e. tachycardia, bradycardia, atrial fibrillation, pauses and unexplained syncope patient activated AND automatic event recording for brady, tachy, AF, pauses, and VT storage up to 15 events 6 different pre- and post event time settings available as 1 or 3-channel device just 78 gramm; easy to operate manual or automatic transmission of ECG via Bluetooth recognition of malposition of electrodes 8 Copyright Vitaphone
  9. 9. Transmission of recorded ECG signals Telemedicine digital via mobile phone (manual or automatic) acoustic via telephone ECGs available within secs. 9 Copyright Vitaphone
  10. 10. Vitaphone 1-channel Cardiac Event Recorder Telemedicine High quality, digital format 10 Copyright Vitaphone
  11. 11. Vitaphone 3-channel Cardiac Event Recorder Telemedicine High quality, digital format 11 Copyright Vitaphone
  12. 12. Analysis of the ECGs Telemedicine ECG recording Data transfer via telephone landline Data analysis and or mobile phone therapeutic management Data to server; data Data via e-mail, fascimile, storage or VPN (XML) to MD 12 Copyright Vitaphone
  13. 13. Analysis of the ECGs Telemedicine measurements of ECG segments automatic R-recognition export and local storage in PDF format also available in XML format (easy to import in EPF) comfort functions, i.e. zoom 13 Copyright Vitaphone
  14. 14. Vitaphone ECG viewer software Telemedicine Speed Gain PQ, QRS, QT and QTc Heart Rate Calculation 14 Copyright Vitaphone
  15. 15. Vitaphone Cardiac Event Recorders Telemedicine Vitaphone Event vs. Holter Monitor Recorders Only 48 hours recording Virtual unlimited memory capacity Non-specific, continuous Specific, non-continuous monitoring monitoring Review only events detected Full review always necessary Applicable by healthcare Applicable by patient professionals only after instruction Diagnosis may take Diagnosis in shortest long time possible time 15 Copyright Vitaphone
  16. 16. Daily clinical practice proof Telemedicine 3% 15% 36% Design: prospective, controlled Collective: 104 pts with undiagnosed tachycardial rhythm disturbances (male: n = 24; female: n = 80; 29% age: 50 +/- 16 Years) Observation Period: 3 months/patient 17% Extrasystoles Atrial Tachycardia Sinusrhythm AV node reentrant tachycardia AF Classification of emergency calls emergency hospital consultation advice admission reason for contact to the Telemedical Service total Center (TSC) TSC Contr. TSC Contr. TSC Contr. TSC Rhythm disturbances 242 1 36 10 26 10 87 221 minus 16 hospital minus 77 visits to family minus 35 admissions physicians or cardiologists emergency dispatches 16 Copyright Vitaphone
  17. 17. Daily clinical practice proof Telemedicine Herzschrittmacherther Elektrophysiol. 2006 Dec;17(4):225-8. 17 Copyright Vitaphone
  18. 18. Better quality of healthcare, better quality of life, better cost management Telemedicine Patients – Benefits of Telemonitoring % % % % % % % % 18 Copyright Vitaphone
  19. 19. Better quality of healthcare, better quality of life, better cost management Telemedicine Doctors – Benefits of Telemonitoring for the treatment % % % % % % % 19 Copyright Vitaphone
  20. 20. Telemedicine: Medical & financial relevance Telemedicine Reduction Increase physician contacts quality of life emergency dispatches risk reduction coping with fears hospitalisation rate therapeutic management length of hospital stay cost / clinic; ICU management in emergency long-term damage self-responsibility mortality – CHF, CHD, stroke life expectancy 20 Copyright Vitaphone
  21. 21. In conclusion Telemedicine Vitaphone Cardiac Event Recorders offer: 1. timely, high quality care (support) 2. conclusive diagnosis within days 3. effective treatment 4. patient reassurance (emotional support) 5. significant reduction of A&E time and bed days 6. an improved care pathway! 7. and yet, cost reduction In addition, the Vitaphone Telemedical Service Center offers: help to evaluate and interpret even intricate ECGs anywhere, anytime, 24/7 21 Copyright Vitaphone
  22. 22. The way forward … Network thinking – joint action Telemedicine
  23. 23. For UK: Vitaphone Nederland Ellen Pankhurststraat 15a 5032 MD Tilburg Netherlands T +31 13 462 5630 F +31 13 467 0493 M +31 6 211 05667 info@vitaphone.nl www.vitaphone.nl Telemedicine

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