Cardiology telemedicine service
Available services :
Available services
Consultation
- A review of the patient’s record
- Thoracic radiograph interpretation
- ECG analysis (if available)
- Clinical recommendations including cardiac treatment plan
Available services
Basic radiograph interpretation
If you are uncertain if your patient would benefit from an in-depth cardiac evaluation, Dr. Boileau can simply give you his clinical impression after reviewing the patient’s thoracic radiographs.
However, because this consultation does not include a complete review of the patient’s record, clinical recommendations cannot be given. In any case, the interpretation will help guide your diagnostic plan (is there significant heart disease or not).
Available services
Electrocardiography (ECG)
An ECG is recommended in the following circumstances :
- An arrhythmia is detected upon cardiac auscultation
- Syncope/collapse of unknown origin
- Cardiac monitoring during anesthesia
An ECG is usually recorded on paper. The more leads you can record (I, II, III, aVR, aVF, aVL), the more accurate the interpretation. However, in some cases it is not possible. Interpretation of a single lead can sometimes provide a lot of information. You can also take a picture of the ECG and send it be email or text message.
*** We will mail our equipment to you so you can do the test yourself.
Which patients benefit from a cardiology consultation ?
Asymptomatic canine patient: what diagnostic tests are recommended if echocardiography is not an option ?
Congenital heart murmur : Thoracic radiographs
Acquired heart murmur large breed : Thoracic radiographs
Acquired heart murmur small breed : Thoracic radiographs
Arrhythmia : ECG, +/- Thoracic radiographs
Preanesthetic evaluation : Thoracic radiographs
Elevated NT-proBNP levels : Thoracic radiographs
Screening for dilated cardiomyopathy (DCM – Doberman) : 24-hour Holter monitor
Screening for arrhythmogenic right ventricle cardiomyopathy (ARVC – Boxer) : 24-hour Holter monitor
Symptomatic canine patient: what diagnostic tests are recommended if echocardiography is not an option ?
Exercise intolerance : Thoracic radiographs, NT-proBNP
Cough : Thoracic radiographs, NT-proBNP
Tachypnea / Dyspnea : Thoracic radiographs, NT-proBNP
Syncope / Collapse : Blood work, Blood pressure, ECG, Thoracic radiographs, +/- NT-proBNP, +/- Ambulatory ECG monitor
Asymptomatic feline patient: what diagnostic tests are recommended if echocardiography is not an option ?
Congenital heart murmur : Thoracic radiographs
Acquired heart murmur : Thoracic radiographs, Hct, T4, Blood pressure
Gallop rhythm : Thoracic radiographs, Hct, T4, Blood pressure
Arrhythmia : ECG, +/- Thoracic radiographs
Preanesthetic evaluation : Thoracic radiographs
Elevated NT-pro-BNP levels : Thoracic radiographs
Screening for hypertrophic cardiomyopathy (HCM) : Echocardiography
Symptomatic feline patient: what diagnostic tests are recommended if echocardiography is not an option ?
Thromboembolism : Thoracic radiographs, NT-proBNP, Blood work, Blood pressure
Pleural effusion : Thoracic radiographs, NT-proBNP
Tachypnea / Dyspnea : Thoracic radiographs, NT-proBNP
Syncope / Collapse : Blood work, Blood pressure, ECG, Thoracic radiographs, +/- NT-proBNP, +/- Ambulatory ECG monitor
Consultation Request
For a consultation, please contact Sherry Pouw at 514-973-3895 or by email at evetmobile1@gmail.com.
Please fill out the requisition formand send it by fax to 450-202-3456 or by email at evetmobile1@gmail.com.
Our offices are open Monday through Thursday from 8am to 6pm, on Friday from 8am to 5pm and on Saturday from 9am to 12am.
For emergencies, call 514-441-3895.
Medical records can be sent by one of the following methods :
- Fax : 450-202-3456
- Email : evetmobile1@gmail.com
Thoracic radiographs can be sent by one of the following methods :
- Saved on CD in DICOM format and sent to our offices
- Send the films by mail to our offices at 667 Stuart Avenue, Outremont, QC, H2V 3H2, Canada
- Sent in JPEG format by email to the following address : evetmobile1@gmail.com
The ECG can be sent by the following methods :
- Fax : 450-202-3456
- Email : evetmobile1@gmail.com
- Text message : 514-973-3895