document: Real-time transmission of pediatric echocardiograms using a single ISDN line We tested the adequacy of a videoconferencing system using a single integrated systems digital network -LRB- ISDN -RRB- line -LRB- 128 kilobits per second -RRB- for the remote diagnosis of children with suspected congenital heart disease -LRB- CHD -RRB- . Real-time echocardiogram interpretation was compared to subsequent videotape review in 401 studies with concordance in 383 -LRB- 95.5 % -RRB- studies . A new diagnosis of CHD was made in 98 studies . Immediate patient transfer was arranged based upon a real-time diagnosis in five studies . In 300 studies , a normal diagnosis obviated further evaluation . A single ISDN line is adequate for transmission of pediatric echocardiograms and it allows for remote management of patients with CHD
doc_bio_tags: O O O O O O O B I I O O O O O O B I O O O O O O O O O O O O O O O O O O O B I O B O B I I I O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O
extractive_keyphrases: single isdn line videoconferencing system remote diagnosis children suspected congenital heart disease videotape review immediate patient transfer
abstractive_keyphrases: real-time pediatric echocardiogram transmission real-time echocardiogram interpretation remote patient management