{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:31:34Z","timestamp":1777876294889,"version":"3.51.4"},"reference-count":5,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2012,9,1]],"date-time":"2012-09-01T00:00:00Z","timestamp":1346457600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:p>\n                    As the very first trial of mobile telemedicine in the Republic of Georgia, in June\u2013December 2010 we investigated 35 outpatients with different types of arrhythmia (male\/female ratio=16\/19; 12\u201380 years old), among them 5 patients with concomitant epilepsy. The control group comprised 7 clinically healthy sportsmen (soccer players, all men; 15\u201317 years old), during a 30-min velo ergometer stress test. A three-lead electrocardiogram (ECG) loop recorder (Vitaphone BT 3300; Vitasystems GmbH, Mannheim, Germany) was used in automatic mode, using special LRMA software (MDT, L\u00e1zn\u011b Bohdane\u010d, Czech Republic) and a Nokia (Espoo, Finland) model 6730 Symbian phone. Automatically recorded arrhythmia events were transmitted from the loop recorder by Bluetooth\n                    <jats:sup>\u00ae<\/jats:sup>\n                    (Bluetooth SIG, Inc., Kirkland, WA) to a phone and then by 3G (through our partner mobile operator, MagtiCom Ltd. [Tbilsi, Georgia]) to the Vitasystems server in Germany and were available to Georgian physicians via e-mail\/Internet. Arrhythmias were recorded\/monitored during 7\u201368\u2009h of observation. The number of automatically recorded ECG events varied between 3 and 170 per observation, or 0.4\u201310.7 hourly. Cases of sinus brady- and tachyarrhythmia, sinus node weakness syndrome, atrial fibrillation, supraventricular tachycardia, supraventricular premature complexes, and ventricular premature complexes were correctly recognized by automatic recognition software and recorded. In 3 patients and 1 sportsman previously unspecified (despite multiple investigations), arrhythmias were recorded: paroxysmal tachycardia (n=1), sinus node weakness syndrome (n=1), and ventricular premature complexes (n=2). In 3 cases (all women) light insomnia and nervousness were reported. In 2 patients with neurosis (both elderly men, 1 with epilepsy) we had to stop investigation prematurely because of anxiety\/agitation. Mobile telecardiology represents feasible methodology to monitor arrhythmias in outpatients in Georgia, promoting earlier discharge of non\u2013life-threatening cases, improving patients' comfort of life, and increasing their mobility with enhanced safety. Mobile telehealth might also represent significant cost-saving for insurance companies (this is an ongoing study). Finally, in remote areas mobile telemonitoring of patients will improve quality of care by timely provision of a second opinion in cases when local expertise is not sufficient.\n                  <\/jats:p>","DOI":"10.1089\/tmj.2011.0170","type":"journal-article","created":{"date-parts":[[2012,7,24]],"date-time":"2012-07-24T11:12:01Z","timestamp":1343128321000},"page":"570-571","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Mobile Telemonitoring for Arrhythmias in Outpatients in the Republic of Georgia: A Brief Report of a Pilot Study"],"prefix":"10.1177","volume":"18","author":[{"given":"Zviad","family":"Kirtava","sequence":"first","affiliation":[{"name":"Partners for Health NGO","place":["Georgia"]},{"name":"Tbilisi State Medical University","place":["Georgia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thea","family":"Gegenava","sequence":"additional","affiliation":[{"name":"Partners for Health NGO","place":["Georgia"]},{"name":"Tbilisi State Medical University","place":["Georgia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maka","family":"Gegenava","sequence":"additional","affiliation":[{"name":"Partners for Health NGO","place":["Georgia"]},{"name":"Tbilisi State Medical University","place":["Georgia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zviad","family":"Matoshvili","sequence":"additional","affiliation":[{"name":"Partners for Health NGO","place":["Georgia"]},{"name":"Tbilisi University Central Clinic","place":["Georgia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofia","family":"Kasradze","sequence":"additional","affiliation":[{"name":"Institute of Neurology and Neuropsychology","place":["Georgia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pavle","family":"Kasradze","sequence":"additional","affiliation":[{"name":"Tbilisi State Medical University","place":["Georgia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,9,1]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Healthcare unwired: New business models delivering care anywhere. PricewaterHouseCoopers (PwC) report. http:\/\/pwchealth.com\/cgi-local\/hregister.cgi?link=reg\/healthcare-unwired.pdf. 2011 May 20."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2007.0005"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2007.070602"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2008.0066"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2010.0018"}],"container-title":["Telemedicine and e-Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/tmj.2011.0170","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2011.0170","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2011.0170","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:19:33Z","timestamp":1777587573000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/tmj.2011.0170"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,9]]},"references-count":5,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2012,9]]}},"alternative-id":["10.1089\/tmj.2011.0170"],"URL":"https:\/\/doi.org\/10.1089\/tmj.2011.0170","relation":{},"ISSN":["1530-5627","1556-3669"],"issn-type":[{"value":"1530-5627","type":"print"},{"value":"1556-3669","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,9]]}}}