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Indian J Community Med. 2017 Jul-Sep;42(3):170-173. doi: 10.4103/ijcm.IJCM_368_16.

Feasibility of Telecardiology Solution to Connect Rural Health Clinics to a Teaching Hospital.

Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine

Ranjan Shetty, Jyothi Samant, Krishnanand Nayak, Manjunatha Maiya, Shankar Reddy

Affiliations

  1. Department of Medicine, Division of Cardiology, Kasturba Medical College Hospital, Manipal, India.
  2. Department of Clinical Research, Philips India Limited, Bengaluru, Karnataka, India.
  3. Cardiology Solutions Group, Philips Electronics North America/HealthTech, Andover, Massachusetts, USA.

PMID: 28852283 PMCID: PMC5561697 DOI: 10.4103/ijcm.IJCM_368_16

Abstract

BACKGROUND: In spite of enormous progress in cardiac care in India, rural communities lack access to even basic cardiac care. One possible solution to this problem is to employ telecardiology.

OBJECTIVES: To demonstrate feasibility of telecardiology system to link rural clinics to a teaching hospital.

METHODS: Five rural clinics were linked to a teaching hospital, using an inexpensive system of cardiographs and tablet PCs to transmit ECGs to hospital and have them interpreted by cardiologist.

RESULTS: Three hundred eighty ECGs were acquired at clinics with 98.9% of them noise-free and transmitted to the hospital with 99.7% success on first attempt. Interpretation of ECG was provided to primary care physician at the clinic on the same day for 95.3% of ECGs. Abnormal ECG findings were seen on 22.6% of these ECGs.

CONCLUSION: This system performed well with high success rate of acquisition and transmission. Staff at rural clinics successfully acquired quality ECGs and transmitted them and the staff at the hospital were able to provide timely interpretation of ECGs and advice to patients.

Keywords: Electrocardiogram; remote cardiac diagnosis; telecardiology for rural clinics

Conflict of interest statement

This study was supported by Philips India Limited in the form of equipment loan for the duration of the study and a small grant to cover incidental expenses.

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