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[Initial experience with modification of dosage of anti-arrhythmic agents using telephone transmission of the electrocardiogram].

Despite the doubtless advances in the knowledge of cardiac electrophysiology, the mechanism of action of antiarrhythmia and the considerable clinical experience with these drugs, treatment of arrhythmia remains on a trial error basis. The authors tried to use the system serving the transmission of one lead electrocardiograms by telephone as a means of checking and correcting antiarrhythmia treatment. It is a method which despite its unpretentious character and reliability is used on a very limited scale. As compared with other contemporary means of the control of the effect of antiarrhythmia treatment, i.e. above all Holter's method or investigation of plasma levels of antiarrhythmia drugs, it is less time consuming and cheaper. The preliminary results of the authors, based on initial experience, are encouraging.

Adult↗

[Ambulatory monitoring and telephone transmission of uterine activity. Preliminary study on the evaluation of the TOKOS system].

The authors compare 100 tracings of uterine contractions, recorded using a mobile monitoring apparatus with telephone output TOKOS System), with 100 tracings recorded using static equipment. The TOKOS system is useful in diagnosis of uterine contraction, being equivalent to the reference system. The TOKOS system is superior to the reference system in that it allows the intensity of the contractions to be evaluated. The TOKOS system is an original approach to maternal perception of uterine activity. Overall, 28% of contractions are identified by the patient. The authors conclude that the tracings produced by the TOKOS system are more reliable than maternal perception of uterine contractions.

Adult↗

Transtelephonic electrocardiographic monitoring for the detection and treatment of cardiac arrhythmias.

TTEM as a means for ambulatory arrhythmia detection and management of cardiac patients has demonstrated the potential for considerable clinical utility. Because it is easy to use, relatively inexpensive, and highly effective in aiding in the diagnosis of various cardiac arrhythmias, it may be a preferred mode of surveillance for a number of cardiac patients of all ages. TTEM is presently used most widely for pacemaker followup. TTEM can be used alone and in conjunction with Holter monitoring in the management of cardiac arrhythmias, and has lately become a recognized tool in the followup of patients with ischemic heart disease, especially post-myocardial infarction patients. It is important to emphasize that TTEM is only one part of an overall approach to ambulatory monitoring that also includes Holter monitoring and exercise testing. It must be noted, however, that the studies comparing the efficacy of TTEM with that of other surveillance methods are few and consist of only a relatively small number of patients. Therefore, it would be premature to draw conclusions regarding the ultimate role of TTEM and its comparative value in the routine management of most cardiac arrhythmia problems. However, available data do support an increasing role for these systems in the future.

Anti-Arrhythmia Agents↗

Early experience with Telehealth during sport activities.

In order to verify the usefulness of a system designed to provide participants of sport competitions with a cardiological emergency service, the authors utilized a cardiotelephone apparatus during a "24-hour Marathon race" in which 1008 subjects took part. In 18 cases, an ECG was transmitted owing to various symptoms after exertion. One case of pseudoischaemia and one of complete A-V block were registered. The authors emphasize the importance of a telephone ECG transmission system as a special aid able to cut down the intervention time without moving the patients.

Adolescent↗