[Tele-echocardiography. Education in echocardiography via video conferences].
This paper evaluates instruction via video conferences in the training of a physician previously inexperienced in echocardiography, and the diagnostic precision of this method. An inexperienced doctor performed the investigations in 38 patients at a local hospital and the ultrasound signals were transferred to a referral hospital 900 km away where a cardiologist served as instructor. The instructor was blinded to all patient identifications and later examined the patients directly. M-mode, two dimensional echo and Doppler data were assessed. There was a difference of possible clinical importance in only two patients in the two-dimensional assessment, and in one patient in the quantification of mitral regurgitation. For the M-mode measurements, the differences observed were comparable to the results of other investigators, for the Doppler measurements they were slightly larger. Except for a left ventricular aneurysm in one patient, no diagnoses of clinical importance were missed. Our experience is that teleechocardiography is a method that is suitable for basic training in echocardiography, and that the diagnostic precision is sufficient for the method to be applied clinically.
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Medisinsk avdeling Kirkenes sykehus, Kirkenes.
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D000328:Adult; D000368:Aged; D003479:Curriculum; D004452:Echocardiography / Q000379:methods*; D004502:Education, Medical, Continuing; D005069:Evaluation Studies as Topic; D005260:Female; D006331:Heart Diseases / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017216:Telemedicine; D014741:Video Recording
Teleekkokardiografi. Fjernundervisning i ekkokardiografi ved hjelp av videokonferanser.