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Pacific Medical Technology Symposium (1998)
Honolulu, Hawaii
Aug. 17, 1998 to Aug. 20, 1998
ISBN: 0-8186-8667-7
pp: 139
Sheri Y.N. Boyd , Brooke Army Medical Center
Anna K. Chacko , Brooke Army Medical Center
Terry D. Bauch , Brooke Army Medical Center
James R. Bulgrin , Brooke Army Medical Center
Bernard J. Rubal , Brooke Army Medical Center
Thomas P. Dove , Brooke Army Medical Center
Donald A. Person , Brooke Army Medical Center
The Pacific Island Health Care Project cares for 250-500 patients from the US Associated Pacific Islands. Unique to the Pacific Basin is a high incidence of acute rheumatic fever, a condition that not uncommonly results in valvular heart disease. Identification of patients with severe valvular heart disease may qualify them for care in the military medical system under this project.Echocardiography has become an essential diagnostic tool for the cardiologist in identifying heart valve problems. Brooke Army Medical Center (BAMC) has established a digital echocardiography network to serve the Great Plains Region. Currently echocardiograms are digitized at remote sites, transferred to BAMC for evaluation and stored in DICOM standard format on optical disk.The digital network system provides improved care for patients, reduces patient transport cost, permits local follow-up, and reduces health care cost. New digital technologies currently under evaluation at our institution will provide smaller, less costly, portable digital imaging systems and make digital echocardiography imaging networks feasible for remote health care facilities. Combining this technology with the new era of digital imaging will allow portable echoes to be used as an extension of the stethoscope. Evaluating heart function and valvular disease in a local health facility will decrease the need for transportation of the patient to a larger facility for diagnosis or follow-up evaluation.

A. K. Chacko et al., "Remote Digital Echocardiography for the Identification of Cardiac Valvular Disease," Pacific Medical Technology Symposium(PACMEDTEK), Honolulu, Hawaii, 1998, pp. 139.
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