Telemed J E Health - Interpretation of electrocardiogram images sent through the mobile phone multimedia messaging service.

Tópicos

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Resumo

JECTIVE: In this study, the diagnostic accuracy of interpretations of electrocardiogram (ECG) images taken by a mobile phone and sent as multimedia message was investigated.MATERIALS AND METHODS: The ECGs of 305 patients who were admitted to the emergency department with cardiac complaints were photographed with the camera of a Nokia (Espoo, Finland) N93 mobile phone. The images were sent via a multimedia messaging system to an identical mobile phone carried by a cardiologist and were interpreted on the screen of that mobile phone. Another cardiologist and an emergency physician interpreted ECG paper printouts separately. The findings of the core laboratory were used as the gold standard. The interpretation errors were scaled from 1 to 4 with respect to the significance of findings.RESULTS: The total ratio of Grade 4 errors, which consisted of significant errors, did not show any significant difference (p=0.76) between the interpretations by the emergency medicine specialist and the cardiologist who interpreted the ECGs on the mobile phone; the cardiologist who interpreted the ECG paper printouts made significantly fewer mistakes than the other two specialists (p=0.025 and p=0.023, respectively). The separate assessment of the findings showed that in the diagnostic process of ST-segment elevation, depression, and supraventricular tachycardia, the consistency of the interpretations (=0.81, =0.81, and =1.0, respectively) made on the mobile phone screen was slightly better than that of the emergency medicine specialist (=0.73, =0.77, and =0.80, respectively) and was similar to that of the cardiologist (=0.91, =0.91, and =1.0, respectively) who interpreted ECG paper printouts.CONCLUSIONS: Our findings suggest that sending the ECG images via a multimedia message service may be a practical and inexpensive telecardiology procedure.

Resumo Limpo

jectiv studi diagnost accuraci interpret electrocardiogram ecg imag taken mobil phone sent multimedia messag investigatedmateri method ecg patient admit emerg depart cardiac complaint photograph camera nokia espoo finland n mobil phone imag sent via multimedia messag system ident mobil phone carri cardiologist interpret screen mobil phone anoth cardiologist emerg physician interpret ecg paper printout separ find core laboratori use gold standard interpret error scale respect signific findingsresult total ratio grade error consist signific error show signific differ p interpret emerg medicin specialist cardiologist interpret ecg mobil phone cardiologist interpret ecg paper printout made signific fewer mistak two specialist p p respect separ assess find show diagnost process stsegment elev depress supraventricular tachycardia consist interpret respect made mobil phone screen slight better emerg medicin specialist respect similar cardiologist respect interpret ecg paper printoutsconclus find suggest send ecg imag via multimedia messag servic may practic inexpens telecardiolog procedur

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