PMID- 17148522
OWN - NLM
STAT- MEDLINE
DCOM- 20070524
LR  - 20071115
IS  - 0269-2155 (Print)
IS  - 0269-2155 (Linking)
VI  - 20
IP  - 12
DP  - 2006 Dec
TI  - Transtelephonic electrocardiographic monitoring of an outpatient cardiac 
      rehabilitation programme.
PG  - 1100-4
AB  - OBJECTIVE: To address whether transtelephonic electrocardiographic monitoring 
      (TEM) of patients with chronic cardiac diseases, being exercised in public gyms, 
      is safe and efficacious. DESIGN: Data were obtained from 91 patients (72 men and 
      19 women; with a mean (SD) age of 56 (6) years and over a total of 11 820 
      exercise hours) with coronary heart disease and/or chronic heart failure (< or = 
      stage III NYHA (New York Heart Association)), who were referred for cardiac 
      exercise rehabilitation (phase III). METHOD: Twelve-lead electrocardiograms of 
      indicated patients were transmitted from the qualified trainers in real time by 
      standard telephone lines and were evaluated by the medical staff at the base. The 
      TEM kits contain a telemedicine 12-lead electrocardiographic unit, a telephone 
      modem, a computer receiver with special operating software and a laser printer. 
      As soon as the ECG was monitored and diagnosed, the cardiologist contacted the 
      exercise trainer and provided all the necessary instructions for intervention. 
      RESULTS: In total, 280 cases were monitored. Successful TEM was reported in 99.3% 
      of the cases. The mean (SD) time from ECG recordings to final interventions was 
      estimated at 294 (13) s. The patients were referred for TEM during or soon after 
      exercise sessions, because of chest pain (36% of the TEM cases), palpitations 
      (33%), dizziness (12%), unexpected fatigue (9%), hypertensive crises (7%) and 
      other disorders (3%). Ischaemic ECG changes were recorded in 14 cases with 
      thoracic pain and arrhythmias in nine patients with palpitations. In only one 
      case was a medical emergency reported and an ambulance response required. 
      CONCLUSION: These data demonstrate that TEM provides a workable facility in 
      cardiac rehabilitation for monitoring patients who are exercising in gyms.
FAU - Kouidi, Evangelia
AU  - Kouidi E
AD  - Laboratory of Sports Medicine, Aristotle University, Thessaloniki, Greece.
FAU - Farmakiotis, Athanasios
AU  - Farmakiotis A
FAU - Kouidis, Nikolaos
AU  - Kouidis N
FAU - Deligiannis, Asterios
AU  - Deligiannis A
LA  - eng
PT  - Journal Article
PL  - England
TA  - Clin Rehabil
JT  - Clinical rehabilitation
JID - 8802181
SB  - IM
MH  - Chronic Disease
MH  - Coronary Disease/*diagnosis/*rehabilitation
MH  - *Electrocardiography, Ambulatory
MH  - *Exercise Therapy
MH  - Female
MH  - Heart Failure/*diagnosis/*rehabilitation
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Telemedicine/*methods
MH  - *Telephone
EDAT- 2006/12/07 09:00
MHDA- 2007/05/26 09:00
CRDT- 2006/12/07 09:00
PHST- 2006/12/07 09:00 [pubmed]
PHST- 2007/05/26 09:00 [medline]
PHST- 2006/12/07 09:00 [entrez]
AID - 20/12/1100 [pii]
AID - 10.1177/0269215506071256 [doi]
PST - ppublish
SO  - Clin Rehabil. 2006 Dec;20(12):1100-4. doi: 10.1177/0269215506071256.