A system and method for monitoring and controlling the therapy of a cardiac rhythm abnormality victim at a remote site by proving immediate access to a medical professional at a central station. The method comprises the steps of: (1) providing a plurality of electrodes for receiving cardiac signals generated by the victim and for the application of electrical pulses to the victim at a remote site； (2) transmitting the signals from the remote site to a central station； (3) receiving the signals at the central station and displaying them for the medical professional； (4) selecting whether to delivery defibrillation or pacing therapy to the victim based on the medical professional's analysis of the signals (5) transmitting the selection results to the remote site； and (6) receiving the selection results at the remote site and applying the selected therapy to the victim.
