Your Cardiologist on Demand

We have pioneered the use of remote tele-cardiology services. Our mission is improving the health and quality of life for people who suffer from chronic cardiac conditions, or those living in remote areas where specialty care is limited. Our trans-telephonic ECG cardiac event monitoring service ensures access to, and immediate response from a Miami-based, board certified cardiologist.

We use state-of-the-art, remote ECG monitoring technology that is easily operated by the patient, providing hospital-quality data from the convenience of the home, office or hotel. Our 24/7 international monitoring center is located in Miami, FL and is a hurricane-proof facility. Our clinical monitoring center and patient services are managed by Dr. Kevin Coy, MD, FACP, FACC.

Finally, a patient friendly solution bringing telemedicine to discriminating clientele in remote regions where healthcare is not readily available. We deliver peace-of-mind and freedom to conduct a dynamic life under medical supervision through trusted service, exceptional professionalism and the most advanced computerized monitoring center, 24/7, year-round. We are a licensed and exclusive operator and distributor of Aerotel Medical Systems in the Caribbean Region.

Our system is designed for diagnostic, emergency and monitoring service applications. Our system instantly provides a 12-lead ECG which is trans-telephonically delivered to our central monitoring station, where they are evaluated and analyzed. Within moments, patients are contacted with clinical instructions based on their transmission. The recorded ECG signals are transmitted through a land-based telephone or mobile phone to our medical monitoring center, where a computer based ECG receiving station receives the transmitted ECG signals and records them.

Patient use: What is remote ECG monitoring?

State-of-the-art technology that connects patients to a cardiologist in the United States 24 hours a day, seven days a week.

The compact electronic device provides for rapid and reliable analysis of cardiac electrical pulses. It is a safe and innovative technology allowing a person with a heart condition such as coronary artery disease or cardiac arrhythmia to be monitored by his or her cardiologist from a distance. Also, post-cardiac surgical patients and people wanting peace-of-mind when living in a remote areas benefit from the service.

The device consists of two parts: a belt which is easily placed on the chest in a mater of seconds, and a transmitter that connects to the belt and sends the information through the telephone to a computerized monitoring station. Like any other medical procedure, it is important to learn how to use the device properly. For best results, read the instructions carefully.

How does remote monitoring work?

The monitoring unit enables a cardiologist to determine the meaning of a patient’s chest pain. The goal is to use the device to record the chest pain and transmit the information directly to the cardiologist.

If the information indicates a normal cardiac condition, the patient will be advised and no medical action will be taken. If the information indicates an abnormal cardiac situation, the patient is immediately given clinical instructions. In addition, our tele-cardiology technician on duty stands ready at any time to answer any questions.

Use of the belt:

To ensure connectivity, the patient must be sure to wet the metal buttons of the belt BEFORE placing them on the chest. A drop of water will be just fine.

Cleaning and storing:

After use, the electrode belt can be cleaned with regular dish soap and water or disinfected with alcohol or chlorhexidine. Be very careful not to wet the connection port at the end of the cable.

CAUTION: Do not use disinfectants containing petrol.

Positioning and use:

  • Moisten the buttons of the belt with a drop of water.
  • Place the belt on the center of chest with the wire facing down.
  • Attach the sticker to the long wire and connect to the lower part of the stomach (at waist level).
  • Connect the HeartView monitor to the belt.
  • Position the blue belt’s U-shaped handles on the mid upper arm.
  • The arms’ weight holds the belt in place.
  • For female users, the belt is positioned beneath the breast. There is no need to remove the bra.
  • Arms are to be placed on the side, ensuring that a patient is either sitting or laying down. For best results, a patient should lay down and not talk during the monitoring process (90 seconds).

To send the information to the monitoring station:

  • Connect the blue belt to the HeartView device.
  • Press the button on the top of the HeartView monitor to start recording the heart pulse.
  • Wait until the tone is silenced. (This means the recording has been concluded.)
  • Disconnect the HeartView monitor from the blue electrode belt.
  • Dial (866) 504-7712 and follow the prompts.

The clinical need:

According to the Pan-American Health Organization (PAHO), cardiac disease is the leading cause of death for both men and women in the Caribbean region. The limited number of cardiologists in the region results in a lack of access to specialty care, and therefore, declining health, reduced quality of life and exceedingly high expenses for medical care abroad. Comprehensive cardiac diagnostics, interventional procedures and surgical care are rarely available in most Caribbean countries. Most insurance companies will not provide coverage for pre-existing conditions, leaving the cardiac patient without the financial security of a health insurance policy.

Device Description:

The ECG Belt universal model is a system of ECG electrodes cast in a hyper-flexible silicone that is similar to the existing V1-V6 pre-cordial electrodes.

The Belt, including the conductors, is flexible and can be stretched to fit all body shapes and sizes, men and women alike; when fitted to the chest, it stretches to the required proportions, and the distance between the electrodes is automatically set.

The Belt can be connected to every standard ECG patient cable.

General Instructions:

  • Make sure the ECG instrument is serviceable and meets international safety standards.
  • Try to conduct the examination in quiet surroundings.

CAUTION: Stay away from devices that create strong electromagnetic fields.

  • The patient should lie comfortably on a flat surface during the examination. It is not recommended to conduct the examination in a sitting position.
  • The use of electrode contact spray or gel is recommended, although water is usually sufficient. The skin, which comes in contact with the electrodes (i.e., the chest under the six pre-cordial electrodes), should be moistened during the examination. If there is fatty cream on the skin, remove it with alcohol.

Conducting the examination:

  • Connect the patient cable to the ECG instrument. Plug the other side of the cable to the fitting V1 – V6 sockets in the Belt accordingly and secure the screws.
  • Apply electrode gel, spray or water on the skin.
  • Arms should be positioned at the side of the body.
  • Arrange the Belt on the chest so that it is centered and stretched, with all the electrodes in contact with the skin. Remember - electrodes V1 and V2 should be positioned on both sides of the sternum at the 4th intercostal space. V6 must reach the mid-axillary line. The other electrodes will then be set in their places.
  • V1 and V2 electrodes may be bent towards the body if the patient has a sunken sternum.
  • Fit the right handle of the Belt on the right arm and the left handle on the left arm (the arms should be naked). The handles should be placed over the mid-shaft of the humerus, between the elbow and the shoulder. The arms' weight holds the handles in place.
  • Attach the limb electrodes to the wrists and legs in the usual manner.
  • Activate the ECG instrument and conduct the examination.
  • When the examination has been completed, remove the Belt and the limb electrodes.

It is important that the patient is relaxed and does not strain his/her muscles during the examination. The patient should try not to move or talk during the examination.

Technical data:

  • Material Silicone rubber
  • Length 50 cm, expandable to 80 cm
  • Conductors Copper, resistance under 1 ohm/meter
  • Electrodes Ag/AgCl coating
  • Standards FDA 510(k) No.K982470, ISO 9001, ISO 13485
  • CE marking under the MDD 93/42EEC