Author + information
- Received February 5, 2014
- Revision received May 5, 2014
- Accepted May 5, 2014
- Published online August 1, 2014.
- Kurt Boman, MD, PhD∗∗ (, )
- Mona Olofsson, BSc∗,
- Peter Berggren, MD†,
- Partho P. Sengupta, MD‡ and
- Jagat Narula, MD, PhD‡
- ∗Research Unit, Department of Medicine, Skellefteå, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
- †Primary Health Care Center, Storuman, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
- ‡Icahn School of Medicine at Mount Sinai, New York, New York
- ↵∗Reprint requests and correspondence:
Dr. Kurt Boman, Research Unit, Department of Medicine, Skellefteå, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
The strategy using cardiological consultation in addition to the robot-assisted remote echocardiography at a distance was tested in a prospective, randomized open-label trial to evaluate its feasibility and to define its clinical value in a rural area. The present study involved 1 primary healthcare center in the north of Sweden, 135 miles from the hospital where the echocardiograms and the cardiology teleconsultation were performed long distance in real time. Nineteen patients were randomized to remote consultation and imaging, and 19 to the standard of care consultation. The total process time was significantly reduced in the former arm (median 114 days vs. 26.5 days; p < 0.001). The time from randomization until attaining a specialist consultation was also significantly reduced (p < 0.001). The patients' satisfaction was reassuring; they considered that the remote consultation strategy offered an increased rapidity of diagnosis and the likelihood of receiving faster management compared with the standard of care at the primary healthcare center.
Dr. Boman and Mrs. Olofsson have a consultancy agreement with the robot manufacturer (Mobile Robotics Sweden AB, Skellefteå, Sweden). Dr. Narula has received research grants from GE Healthcarehttp://dx.doi.org/10.13039/100006775 and Philips Healthcare in the form of equipment to the institutions. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose. The CARDISTA concept was awarded on April 9, 2014, the first prize at the VITALIS Nordic Congress on e-Health. Sherif Nagueh, MD, served as the Guest Editor for this article.
- Received February 5, 2014.
- Revision received May 5, 2014.
- Accepted May 5, 2014.
- American College of Cardiology Foundation