• Catheter Cardiovasc Interv · Nov 2009

    Case Reports

    Novel mobile telemedicine system for real-time transmission of out-of-hospital ECG data for ST-elevation myocardial infarction.

    • Yoritaka Otsuka, Hiroyuki Yokoyama, and Hiroshi Nonogi.
    • Division of Cardiology, Department of Internal Medicine, National Cardiovascular Center, Suita, Osaka, Japan. yotsuka@hsp.ncvc.go.jp
    • Catheter Cardiovasc Interv. 2009 Nov 15;74(6):867-72.

    AbstractThe guidelines recommend routine use of 12-lead electrocardiogram (ECG) and advance notification to the emergency department for patients with ST-elevation myocardial infarction (STEMI). However, transmission of out-of-hospital 12-lead ECG to emergency department is still not widely practiced and ECG interpretation before arrival at the emergency department is not established. We have developed a novel mobile telemedicine system to transmit real-time 12-lead ECG data between moving ambulances and in-hospital physicians in cardiovascular emergency cases. When used, this system immediately identifies patients with STEMI and it is coupled to a centralized system to alert the cardiac catheterization teams to prepare for prompt intervention. This report presents the first case with STEMI who was successfully treated using this novel mobile telemedicine system.Copyright 2009 Wiley-Liss, Inc.

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