A novel approach to tele-echocardiography across the Pacific.

Telecardiology provides remote delayed interpretation of echocardiographic images through a store and forward program between the interpreting center, Tripler Army Medical Center, Honolulu Hawaii, and the image acquisition center, Guam Naval Hospital, Guam USA. This routine store and forward system has inherent delay, limiting application for management of acute medical conditions. In this case report we describe a novel methodology for real-time echocardiograpic interpretation methodology integrated methodology with the eICU system (VISICU Inc., Baltimore MD). This case report demonstrates the feasibility of a clinically relevant remote real-time echocardiographic interpretation strategy, utilizing commonly available equipment.