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A handheld device that could mean the difference between life and death for some heart attack victims is under development with input from doctors at the Medical College of Georgia.

With a $50,000 grant from the Verizon Foundation, the MCG Center for Telehealth is working to determine if a wireless device, similar to a smart phone, can be used by cardiologists in rural areas to read electrocardiograms transmitted by first responders.

The Verizon Foundation is very interested in using technology to improve healthcare delivery for all people whether they live in an urban area or are in a rural location, says Dr. Max Stachura, a lead investigator on the grant, director of the MCG Center for Telehealth and Georgia Research Alliance Eminent Scholar in Telemedicine. In cardiac events, you typically have 60 to 90 minutes to act. In rural areas, treatment decisions often have a lot more to do with distance than time.

The basic idea, Dr. Stachura says, is that if cardiologists can see a patients EKG immediately, they can make important treatment decisions such as whether to have first-responders deliver clot-busting drugs at the scene or drive further to a hospital better equipped to treat the patient. Electrocardiograms are standard tests that show the heart's electrical activity.

At larger hospitals, like MCG Medical Center, there is a cardiologist there 24 hours a day, seven days a week, he says. Rural areas, on the other hand, may lack resources to the extent that a longer drive to a better-equipped hospital is a wise trade-off.

Drs. Guy Reed, chief of the MCG Section of Cardiology and Georgia Research Alliance Kupperman Eminent Scholar in Cardiovascular Medicine, and Elena V. Khasanshina, associate director of the Center for Telehealth and assistant professor of medicine, are co-investigators on the grant.

This first step is only a part of the bigger picture, Dr. Stachura says. The critical question is wheth
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