Boljević, Darko

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  • Boljević, Darko (2)
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Author's Bibliography

Telemedicine in the Era of a Pandemic: Usefulness of a Novel Three-Lead ECG

Babić, Miloš D.; Veljković, Stefan; Lakčević, Jovana; Babić, Rade; Ostojić, Miodrag; Petrović, Maša; Boljević, Darko; Tomić, Stanko; Bojić, Milovan; Nikolić, Aleksandra

(2023)

TY  - JOUR
AU  - Babić, Miloš D.
AU  - Veljković, Stefan
AU  - Lakčević, Jovana
AU  - Babić, Rade
AU  - Ostojić, Miodrag
AU  - Petrović, Maša
AU  - Boljević, Darko
AU  - Tomić, Stanko
AU  - Bojić, Milovan
AU  - Nikolić, Aleksandra
PY  - 2023
UR  - https://vinar.vin.bg.ac.rs/handle/123456789/11404
AB  - The 12-lead electrocardiogram (ECG) is a first-line diagnostic tool for patients with cardiac symptoms. As observed during the COVID-19 pandemic, the ECG is essential to the initial patient evaluation. The novel KardioPal three-lead-based ECG reconstructive technology provides a potential alternative to a standard ECG, reducing the response time and cost of treatment and improving patient comfort. Our study aimed to evaluate the diagnostic accuracy of a reconstructed 12-lead ECG obtained by the KardioPal technology, comparing it with the standard 12-lead ECG, and to assess the feasibility and time required to obtain a reconstructed ECG in a real-life scenario. A prospective, nonrandomized, single-center, adjudicator-blinded trial was conducted on 102 patients during the COVID-19 pandemic at the Dedinje Cardiovascular Institute in Belgrade. The KardioPal system demonstrated a high feasibility rate (99%), with high specificity (96.3%), sensitivity (95.8%), and diagnostic accuracy (96.1%) for obtaining clinically relevant matching of reconstructed 12-lead compared to the standard 12-lead ECG recording. This novel technology provided a significant reduction in ECG acquisition time and the need for personnel and space for obtaining ECG recordings, thereby reducing the risk of viral transmission and the burden on an already overwhelmed healthcare system such as the one experienced during the COVID-19 pandemic.
T2  - Diagnostics
T1  - Telemedicine in the Era of a Pandemic: Usefulness of a Novel Three-Lead ECG
VL  - 13
IS  - 15
SP  - 2525
DO  - 10.3390/diagnostics13152525
ER  - 
@article{
author = "Babić, Miloš D. and Veljković, Stefan and Lakčević, Jovana and Babić, Rade and Ostojić, Miodrag and Petrović, Maša and Boljević, Darko and Tomić, Stanko and Bojić, Milovan and Nikolić, Aleksandra",
year = "2023",
abstract = "The 12-lead electrocardiogram (ECG) is a first-line diagnostic tool for patients with cardiac symptoms. As observed during the COVID-19 pandemic, the ECG is essential to the initial patient evaluation. The novel KardioPal three-lead-based ECG reconstructive technology provides a potential alternative to a standard ECG, reducing the response time and cost of treatment and improving patient comfort. Our study aimed to evaluate the diagnostic accuracy of a reconstructed 12-lead ECG obtained by the KardioPal technology, comparing it with the standard 12-lead ECG, and to assess the feasibility and time required to obtain a reconstructed ECG in a real-life scenario. A prospective, nonrandomized, single-center, adjudicator-blinded trial was conducted on 102 patients during the COVID-19 pandemic at the Dedinje Cardiovascular Institute in Belgrade. The KardioPal system demonstrated a high feasibility rate (99%), with high specificity (96.3%), sensitivity (95.8%), and diagnostic accuracy (96.1%) for obtaining clinically relevant matching of reconstructed 12-lead compared to the standard 12-lead ECG recording. This novel technology provided a significant reduction in ECG acquisition time and the need for personnel and space for obtaining ECG recordings, thereby reducing the risk of viral transmission and the burden on an already overwhelmed healthcare system such as the one experienced during the COVID-19 pandemic.",
journal = "Diagnostics",
title = "Telemedicine in the Era of a Pandemic: Usefulness of a Novel Three-Lead ECG",
volume = "13",
number = "15",
pages = "2525",
doi = "10.3390/diagnostics13152525"
}
Babić, M. D., Veljković, S., Lakčević, J., Babić, R., Ostojić, M., Petrović, M., Boljević, D., Tomić, S., Bojić, M.,& Nikolić, A.. (2023). Telemedicine in the Era of a Pandemic: Usefulness of a Novel Three-Lead ECG. in Diagnostics, 13(15), 2525.
https://doi.org/10.3390/diagnostics13152525
Babić MD, Veljković S, Lakčević J, Babić R, Ostojić M, Petrović M, Boljević D, Tomić S, Bojić M, Nikolić A. Telemedicine in the Era of a Pandemic: Usefulness of a Novel Three-Lead ECG. in Diagnostics. 2023;13(15):2525.
doi:10.3390/diagnostics13152525 .
Babić, Miloš D., Veljković, Stefan, Lakčević, Jovana, Babić, Rade, Ostojić, Miodrag, Petrović, Maša, Boljević, Darko, Tomić, Stanko, Bojić, Milovan, Nikolić, Aleksandra, "Telemedicine in the Era of a Pandemic: Usefulness of a Novel Three-Lead ECG" in Diagnostics, 13, no. 15 (2023):2525,
https://doi.org/10.3390/diagnostics13152525 . .

Signal Quality in Reconstructed 12-Lead Ambulatory ECGs Recorded Using 3-Lead Device

Ivanović, Marija D.; Miletić, Marjan; Subotić, Ida; Boljević, Darko

(IEEE, 2019)

TY  - CONF
AU  - Ivanović, Marija D.
AU  - Miletić, Marjan
AU  - Subotić, Ida
AU  - Boljević, Darko
PY  - 2019
UR  - https://vinar.vin.bg.ac.rs/handle/123456789/8804
AB  - Acute myocardial infraction (AMI) is a leading cause of death in the developed countries. Survival of patients having acute coronary syndrome (ACS) dramatically depends on treatment delay. Hence, a technology that would enable ECG recording immediately after ACS symptom occurrence may significantly decrease AMI mortality. In this study we investigate the signal quality of reconstructed 12-lead ECGs by using 3-lead handheld device with dry electrode in realistic ambulatory conditions. For each subject enrolled in the study an individual transformation matrix was calculated during the calibration procedure, and used for 12-lead reconstruction whenever that subject sends a recording from a handheld device. To evaluate fidelity of 12-lead reconstructions, 3 performance metrics were defined. The results show that the reconstruction error is largest on QRS complex and smallest on ST segment for all 3 metrics. This indicates that the reconstruction of the ST segment, which carries the most important information for ischemia detection, is reconstructed with the highest quality. © 2019 IEEE.
PB  - IEEE
C3  - Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) (41; 2019; Berlin)
T1  - Signal Quality in Reconstructed 12-Lead Ambulatory ECGs Recorded Using 3-Lead Device
SP  - 5481
EP  - 5487
DO  - 10.1109/EMBC.2019.8857251
ER  - 
@conference{
author = "Ivanović, Marija D. and Miletić, Marjan and Subotić, Ida and Boljević, Darko",
year = "2019",
abstract = "Acute myocardial infraction (AMI) is a leading cause of death in the developed countries. Survival of patients having acute coronary syndrome (ACS) dramatically depends on treatment delay. Hence, a technology that would enable ECG recording immediately after ACS symptom occurrence may significantly decrease AMI mortality. In this study we investigate the signal quality of reconstructed 12-lead ECGs by using 3-lead handheld device with dry electrode in realistic ambulatory conditions. For each subject enrolled in the study an individual transformation matrix was calculated during the calibration procedure, and used for 12-lead reconstruction whenever that subject sends a recording from a handheld device. To evaluate fidelity of 12-lead reconstructions, 3 performance metrics were defined. The results show that the reconstruction error is largest on QRS complex and smallest on ST segment for all 3 metrics. This indicates that the reconstruction of the ST segment, which carries the most important information for ischemia detection, is reconstructed with the highest quality. © 2019 IEEE.",
publisher = "IEEE",
journal = "Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) (41; 2019; Berlin)",
title = "Signal Quality in Reconstructed 12-Lead Ambulatory ECGs Recorded Using 3-Lead Device",
pages = "5481-5487",
doi = "10.1109/EMBC.2019.8857251"
}
Ivanović, M. D., Miletić, M., Subotić, I.,& Boljević, D.. (2019). Signal Quality in Reconstructed 12-Lead Ambulatory ECGs Recorded Using 3-Lead Device. in Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) (41; 2019; Berlin)
IEEE., 5481-5487.
https://doi.org/10.1109/EMBC.2019.8857251
Ivanović MD, Miletić M, Subotić I, Boljević D. Signal Quality in Reconstructed 12-Lead Ambulatory ECGs Recorded Using 3-Lead Device. in Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) (41; 2019; Berlin). 2019;:5481-5487.
doi:10.1109/EMBC.2019.8857251 .
Ivanović, Marija D., Miletić, Marjan, Subotić, Ida, Boljević, Darko, "Signal Quality in Reconstructed 12-Lead Ambulatory ECGs Recorded Using 3-Lead Device" in Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) (41; 2019; Berlin) (2019):5481-5487,
https://doi.org/10.1109/EMBC.2019.8857251 . .
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