期刊
CRITICAL CARE MEDICINE
卷 29, 期 8, 页码 N159-N165出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/00003246-200108001-00004
关键词
telemedicine; echocardiography; digital compression; real-time videoconferencing; store and forward; bandwidth; congenital heart disease; cardiology; neonatology; myocardial infarction
Echocardiography is often used to diagnose and exclude important cardiac diagnoses in adults and children. Evolving telemedicine technology has the potential to improve access to echocardiography diagnoses in the intensive care unit, emergency room, and newborn nursery. The two primary modes of telemedicine practice are store and forward and real-time videoconferencing. A digital echocardiogram (often several one cardiac cycle loops) can be stored at one site and forwarded across a telemedicine network to a receiving station for review at a later time. Pediatric cardiologists often favor real-time telemedicine because of the ability to guide sonographers with limited experience in congenital heart disease. A complete telemedicine system requires a modified computer, a low- or high-speed connection, and telemedicine inputs. Several adult and pediatric clinical studies have shown telemedicine to be accurate and cost-effective, improve patient care, enhance echocardiogram quality and sonographer proficiency, and promote practice expansion. Obstacles to widespread implementation of telemedicine include lack of standardization of telemedicine components, confusing legal issues and licensure requirements, and poor reimbursement.
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