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AAP Grand Rounds 3:37-38 (2000)
© 2000 American Academy of Pediatrics

CARDIOLOGY

Send Images, Not Baby

Source: Randolph GR, Hagler DJ, Khandheria BK, et al. Remote telemedical interpretation of neonatal echocardiograms: impact on clinical management in a primary care setting. J Am Coll Cardiol. 1999;34:241–245.

The first 20% of the full text of this article appears below.

The purpose of this study was to evaluate the feasibility, accuracy, and benefits of long distance interactive telemedical echocardiography in the cardiovascular evaluation of neonates in a primary care site. Echocardiograms performed at a primary care site in Grand Forks, North Dakota, were evaluated 400 miles away at the Mayo Clinic in Rochester, Minnesota, over a 3-year period by cardiologists qualified in interpreting pediatric echocardiograms. Primary care physicians selected patients with suspected congenital heart disease or cardiac dysfunction for echocardiograms. Images were obtained at the primary care site by an adult sonographer and recorded on videotape. The images were then transmitted to pediatric cardiologists at a tertiary care site via dedicated T1 lines. Results of these echocardiographic studies were retrospectively reviewed for indications, accuracy, and effect on patient management.

One hundred sixty-one echocardiograms were obtained in 133 neonates (age less than 30 days). . . . [Full Text of this Article]

W. Robert Morrow, MD, FAAP
Pediatric Cardiology, Arkansas Children’s Hospital, Little Rock, AR