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Telecardiology - Functioning and Benefits

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The modern medical specialty of telecardiology uses telecommunications technology to diagnose and treat heart problems remotely.

Medically reviewed by

Dr. Dheeraj Kela

Published At March 20, 2024
Reviewed AtMarch 20, 2024

What Is Telecardiology?

Modern cardiology has been transformed by telemedicine, making it possible for doctors who are separated by great distances to consult with one another. Telemedicine has made it possible to provide the best care more quickly in the acute stage of cardiac disease, and it has reduced the need for outpatient visits in chronic diseases by facilitating doctor-patient consultations.

Telecardiology covers arrhythmias, congestive heart failure, abrupt cardiac arrest, and acute and chronic coronary heart disease. Doctors and other healthcare providers supply electrocardiographic data in real-time and remotely for specialist analysis. This makes it possible for those who live in rural areas to receive specialized care. The simplicity and efficacy of setting up wireless or satellite connections for this purpose are improving due to technological advancements, making the process less costly. The benefits of easy access, quick diagnosis, effective care, and resource freeing are shared by patients and doctors. Electrocardiography (ECG) is a diagnostic technology often available in primary care settings.

It is important in the detection and management of cardiac arrhythmia (a heartbeat that is not normal) and ischemic heart disease. Regularly making ECG available to primary care providers can help with early secondary care referrals while cutting down on needless referrals when necessary. With numerous uses, telecardiology has been used in one form or another for just over a century. New developments in telecardiology offer a precise, practical, and affordable option for ECG testing in primary care settings.

How Does Telecardiology Work?

The capacity to use a specialized instrument that collects and captures a 12-lead electrocardiogram (ECG) in a primary care setting and transfers the ECG image as a sound signal over a phone line is necessary for telecardiology. The information is transformed into an image on the screen via the telecardiology facility. Once experts have interpreted this data, a written summary is emailed or faxed to the patient hub, and an oral report is promptly sent.

The Telecardiology Center stores all ECGs in an electronic database to be compared later for the same patient. Single-lead ECG equipment can be purchased in the shape of a watch for patients who still choose to be monitored at home. This makes it possible to understand and diagnose the illness more accurately. When the patient arrives at their doctor's office, this device can store the captured photographs and send them to the specialist. This method has the advantage that the patient can record the ECG as soon as symptoms appear, negating the need to wait to get to the doctor's office.

What Are the Benefits of Telecardiology?

By raising the clinician's primary level of knowledge, telecardiology also enhances the average practitioner's clinical training. This therapeutic strategy, therefore, enables PCPs to provide better care. This covers emergencies such as myocardial infarctions, persistent cardiac failure, and pediatric heart disease diagnosis and treatment.

Additionally, telecardiology can provide patients with high-quality care when needed most, cutting down on consultation times to just 25 %. The main benefit of telecardiology is that it helps primary care physicians (PCPs) make accurate diagnoses, which gives them more confidence to treat cardiac patients. Both the patient and the health care system benefit from this. Another major contributor to lowering the percentage of cardiac events that are missed is telecardiology.

For example, single-lead ECG equipment can be worn continuously and is easier to turn on when the patient believes that there is a problem with their heartbeat than a Holter machine. As a result, it is more effective at identifying or monitoring arrhythmias. In the course of treatment, this aids in the detection and observation of arrhythmias. Due to their portability and compact size, telecardiology devices can quickly and accurately diagnose at the patient's bedside. It has been demonstrated that telecardiology can save lives, boost cost-effectiveness, and enhance the quality of medical care.

For the long-term monitoring of certain coronary heart disease risk factors, such as hypertension or hypercholesterolemia (high cholesterol), telecardiology is highly helpful. The outcomes have been discovered to be similar to those of in-person observation.

It has also been demonstrated that having access to telecardiology significantly reduces door-to-balloon time. The time between a patient's hospital admission and, if necessary, angioplasty. By enabling the right diagnosis and the necessary staff to be ready for the patient even before admission, telecardiology reduces the time needed for surgery and stops additional muscle damage.

How to Use Telecardiology for ECG Tests?

Telecommunications can quickly transmit a wide range of medical tests and data in today's modern medical practice. ECG testing is one kind. It is typical practice to have a cardiologist from another area review the test results and provide a diagnosis. There are several explanations for this.

A clinic that does not employ a cardiologist can transfer the test image to another that does. This is typical of areas with small populations. They forward their test results for interpretation to larger urban hospitals. When a professional is required to review a test, telecardiology can also be useful. There are further justifications for its use:

  • Obtaining second opinions for comfort or challenging diagnoses.

  • Covering shifts at night when there is not a cardiologist on duty.

  • Staff sharing arrangements.

  • Educating and preparing cardiologists to cover their vacations.

Conclusion:

Telecardiology can be a lifesaver when a cardiologist is unavailable at small-town hospitals. Additionally, in a cardiac emergency, it can save lives. By using telephone transmission, telecardiology enables the analysis of ECG recordings by a remote professional. It can alter the way primary care settings provide cardiac care.

Time, money, and lives could all be saved by telecardiology. Telecardiology will transform cardiac care in the community, resulting in cost reductions and closing the gap between primary and secondary care. Telecardiology facilitates quicker and easier detection of acute coronary events, improves access to specialized care, guarantees better patient triage and management, and lessens the workload for secondary referral institutions.

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Dr. Dheeraj Kela
Dr. Dheeraj Kela

General Medicine

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