Naser Nabil, Tandir Salih, Begic Edin
Polyclinic "Dr Nabil", Sarajevo, Sarajevo, Bosnia and Herzegovina.
Faculty of Medicine, University of Zenica, Zenica, Bosnia and Herzegovina.
Acta Inform Med. 2017 Dec;25(4):263-266. doi: 10.5455/aim.2017.25.263-266.
Aim of article was to present perspectives of telemedicine in the field of cardiology in Bosnia and Herzegovina.
Article has descriptive character and present review of literature.
Information technology can have the application in the education of students, starting from basic medical sciences up to clinical subjects. Information technologies are used for ECG analysis, 24h ECG Holter monitoring, which detects different rhythm disorders. By developing software packages for electrocardiogram analysis, which can be divided and interpreted by mobile phones, and complete the whole of the patient in the ambulance, specialist, experienced specialists, or even consultations in various illnesses and cities. Image segmentation algorithms have significance in the quantization and diagnostics of anatomic and pathological structures, and 3D representation has an important role in education, topography and clinical anatomy, radiology, pathology, as well as in clinical cardiology itself, especially in the sphere of coronary arteries identification in the multislice computerized angiography of coronary arteries. Interactive video consultations with subspecialists from the state and the region in adult cardiology, adult interventional cardiology, cardiovascular surgery, pediatric invasive and non-invasive cardiology enable better access to heart specialists and subspecialist, accurate diagnosis, better treatment, reduction of mortality, and a significant reduction in costs.
Telemedicine by slow steps in entering the soil of Bosnia and Herzegovina, but the potential exists. It is necessary to educate the medical staff, as well as to provide a tempting environment for software engineers. Investing in infrastructure and equipment is imperative, as well as a positive climate for the its implementation.
本文旨在介绍波斯尼亚和黑塞哥维那心脏病学领域的远程医疗前景。
本文具有描述性,并对文献进行了综述。
信息技术可应用于学生教育,从基础医学科学到临床学科。信息技术用于心电图分析、24小时动态心电图监测,可检测不同的心律失常。通过开发用于心电图分析的软件包,可由手机进行分析和解读,并在救护车上完成对患者的全面诊断,专家、经验丰富的专科医生甚至可在不同城市就各种疾病进行会诊。图像分割算法在解剖和病理结构的量化及诊断中具有重要意义,三维呈现技术在教育、局部解剖学和临床解剖学、放射学、病理学以及临床心脏病学本身中发挥着重要作用,尤其是在多层螺旋计算机冠状动脉血管造影中冠状动脉的识别方面。与来自该国及该地区的成人心脏病学、成人介入心脏病学、心血管外科、儿科有创和无创心脏病学亚专科医生进行互动视频会诊,能够更好地接触心脏专科医生和亚专科医生,实现准确诊断、更好的治疗、降低死亡率并大幅降低成本。
远程医疗正在逐步进入波斯尼亚和黑塞哥维那,但潜力巨大。有必要对医务人员进行培训,并为软件工程师提供有吸引力的环境。投资基础设施和设备以及营造有利于其实施的积极氛围势在必行。