Ubiquitous Cardiology

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The Internet and other technological developments are now playing increasing roles in consumer health and the delivery of health services. Ubiquitous Cardiology: Emerging Wireless Telemedical Applications provides developmental solutions and explanations for cardiovascular diagnostics. Useful to field researchers, academicians, and healthcare practitioners, this Premier Reference Source presents a collection of studies on medical data redundancy, priority, and validity.

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Editorial Reviews

Doody's Review Service
Reviewer: Rohit R Amin, MD (Ochsner Clinic Foundation)
Description: This book introduces readers to a novel and interesting perspective on emerging wireless cardiovascular monitoring.
Purpose: The purpose is to provide insights into telemedicine, including a specific cardiovascular monitoring device, and hopefully inspire others to continue medical research and development in the field of diagnostic medical products.
Audience: The book provides a common language among cardiologists, biomedical engineers, and researchers to help develop future products in the area of telemedicine intended for everyday cardiology use.
Features: A broad array of topics is explored, from basic principles of cardiac arrhythmias and the importance of ECG monitoring to the development and philosophy of proposed, cost-effective monitoring devices. The information is succinct and accompanied by well-organized algorithms and illustrations. It is an easy read even for the naive prospective reader.
Assessment: This book provides a unique perspective of and insight into the development of cardiology-related telemedicine. The authors should be congratulated on their efforts to develop a one-of-kind wireless cardiovascular monitor which, if accepted, will no doubt change the practice of cardiology and the definition of modern medicine.
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Product Details

  • ISBN-13: 9781605660806
  • Publisher: IGI Global
  • Publication date: 5/11/2011
  • Pages: 432
  • Product dimensions: 7.20 (w) x 10.30 (h) x 1.30 (d)

Table of Contents

Ch. I How Can We Manage the Flood of Tele-Cardiological Data? 6

How About Money? 8

Ch. II Background 1: ECG Interpretation: Fundamentals of Automatic Analysis Procedures .11

Origins and Fundamentals of the Electrical Cardiac Activity 12

Basic Automated Interpretation Procedures: Heartbeat Detection, Rhythm Classification, and Wave Measurements 24

Selected Specialized Procedures: Research for Arrhythmias, Heart Rate Variability, and Ischemiae Symptoms 36

Performance Requirements and Testing of Automated Interpretation Procedures 54

References 64

Ch. III Background 2: Telemedical Solutions in Cardiac Diagnostics: Current Issues 72

Cardiovascular Diseases as a Civilization Issue 73

Long-Term and Pervasive Cardiac Monitoring to Improve Quality of Life 82

The Use of Modern Telecommunication Solutions for Cardiac Monitoring 96

References 106

Online References 108

Ch. IV Background 3: Databases in Cardiology: Current Issues 110

Standard Report of a Cardiac Diagnosis 111

Medical Databases and the Integration of Medical Data 117

Cardiology-Oriented Databases and Communication Formats 130

Interoperability Issues 136

References 141

Online References 144

Ch. V General Idea of the Proposed System 145

General Overview of the Ubiquitous Cardiology System Scope and Structure 147

Remarks about System Realization 150

Scientific Research Areas Necessary for the Realization of the Proposed System 152

Ch. VI Investigations about the Distributions of Important Information in ECG Signals 155

Investigation of the Local Spectrum 156

Correlations of Signal Distortions and Deviations of Diagnostic Parameters 167

Investigation ofFocus Attention Distribution During Visual ECG Inspection 180

References 194

Ch. VII Optimization of ECG Procedures Chain for Reliability and Data Reduction 202

Estimation of the Reliability of Particular ECG Procedures and Error Propagation in the Interpretation Chain 203

Estimation of Expected Dataflow in the Context of Disease Probability 213

Redesign of the Architecture of the ECG Interpretation Chain Considering Optimal Reliability and Data Reduction 222

References 226

Ch. VIII Interpretation of the ECG as a Web-Based Subscriber Service 228

The Concept of Knowledge Space 229

The Idea of Interpretation as a Web-Available Subscriber Service 234

Data Security and Authorization Issues in Distributed Interpretation Networks 237

The Experimental Design of Interpretation Services 239

The QT Dispersion Computation Algorithm 240

References 244

Ch. IX Dynamic Task Distribution in Mobile Client-Server Cooperation 248

Technical Limitations of Remote Wearable Electrocardiographs 249

Adjustment and Personalization of the Interpretation Software 254

Real-Time Software Rearrangements and the Dynamic Linking of Procedures and Libraries 257

Adaptive Reporting 261

Automatic Validation of Dynamic Task Distribution 268

Control Rules for Automatic Software Management 273

References 282

Ch. X Optimization and Prioritization of Cardiac Messages 285

Variability Analysis of Most Common Diagnostic Parameters in ECGs 286

Irregular Reporting Driven by Patient Status 288

References 294

Ch. XI Future Perspective: Data Validity-Driven Report Optimization 296

Uniform Reporting Based on Source Data Availability 297

Non-Uniform Reporting Based on Recipient Requests and Data Validity 299

Setting the Individual Content for Each Data Packet 306

References 311

Ch. XII Social Impact of Network-Based Ubiquitous Cardiac Surveillance 313

Ubiquitous Cardiology from the Doctor s Point of View 315

Ubiquitous Cardiology from the Patient s Point of View 316

The Ubiquitous Cardiology System and Its Operators 319

The Relationship Between the Ubiquitous Cardiology System and Traditional Hospitals 320

System Cost and the Likelihood of Its Realization 321

Compilation of References 323

Further Readings 349

Glossary of Terms 361

About the Authors 382

Index 385

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