Clinical application value of telemonitoring electrocardiography monitoring system in diagnosis of arrhythmia
LI Hua1 WANG Shiguang1 LUO Xin1 WAN Shaoping2 GAO Lingyun3
1.Department of Medical Ultrasound, East Hospital of Sichuan Provincial People′s Hospital, Sichuan Province, Chengdu 610101, China;
2.Department of Science and Technology, Sichuan Cancer Hospital, Sichuan Province, Chengdu 610041, China;
3.Department of Respiratory, East Hospital of Sichuan Provincial People′s Hospital, Sichuan Province, Chengdu 610101, China
Abstract：Objective To investigate the clinical application value of telemonitoring electrocardiography monitoring system in diagnosis of arrhythmia. Methods From January 2016 to February 2017, 1030 cases who accepted telemonitoring electrocardiography monitoring system in East Hospital of Sichuan Provincial People′s Hospital were selected, the number of invalid patients was 38 cases. According to age, they were divided into group A (164 cases), group B (606 cases) and group C (222 cases). The three groups of routine demographic characteristics and laboratory data, remote dynamic electrocardiography data, and the number of arrhythmias were observed and compared. Results The levels of total cholesterol, triglyceride, high density lipoprotein cholesterol and low density lipoprotein cholesterol in group C were higher than those in group A, with statistically significant differences (all P < 0.05). The percentage of quarterly valid data in total wearing volume is 90.4% at the lowest and 98.7% at the highest. The number of patients with ectopic heart rhythm, atrial/ventricular pre-systolic, atrial/ventricular tachycardia, atrial fibrillation/flutter, conduction block and ventricular fusion wave/wave in group C were higher than those in group A, with statistically significant differences (all P < 0.05). The number of patients with ectopic heart rhythm, atrial/ventricular pre-systolic, atrial/ventricular tachycardia, atrial fibrillation/flutter, and conduction block in group C were less than that in group B, with statistically significant differences (all P < 0.05). The number of patients with ectopic heart rhythm, atrial/ventricular pre-systolic, atrial/ventricular tachycardia, atrial fibrillation/flutter and ventricular fusion wave/wave in group B were higher than those in group A, with statistically significant differences (all P < 0.05). Conclusion Telemonitoring electrocardiography monitoring system has accurate, real-time and efficient features. It is especially suitable for elderly patients with high incidence of arrhythmia. So it has broad prospects of clinical application.
李华1 王士光1 罗新1 万绍平2 高凌云3. 远程动态心电监测系统在心律失常诊断中的临床应用价值[J]. 中国医药导报, 2020, 17(10): 145-148.
LI Hua1 WANG Shiguang1 LUO Xin1 WAN Shaoping2 GAO Lingyun3. Clinical application value of telemonitoring electrocardiography monitoring system in diagnosis of arrhythmia. 中国医药导报, 2020, 17(10): 145-148.
[1] 陈伟伟，高润霖，刘力生，等.《中国心血管病报告2016》概要[J].中国循环杂志，2017，32（6）：521-530.
[2] Badheka AO，Patel N，Tuliani TA，et al. Electrocardiographic abnormalities and reclassification of cardiovascular risk：insights from NHANES-Ⅲ [J]. Am J Med，2013，126（4）：319-326.
[3] 杜新超，王雁，曹云艳.动态心电图、常规心电图以及远程心电监测对心肌缺血及心律失常的诊断价值分析[J].四川解剖学杂志，2018，26（4）：133-134.
[4] Kimura T，Aizawa Y，Kurata N，et al. Assessment of atrial fibrillation ablation outcomes with clinic ECG，monthly 24-h Holter ECG，and twice-daily telemonitoring ECG [J]. Heart Vessels，2017，32（3）：317-325.
[5] 郭继鸿，林治湖，刘仁光，等.心电图标准化和解析的建议与临床应用国际指南[M].北京：中国环境科学出版社，2009.
[6] 顾敏，顾翔，何胜虎，等.比较远程心电监测与心电图、动态心电图在心律失常及心肌缺血中的诊断价值[J].江苏实用心电学杂志，2013，22（2）：565-569.
[7] 韩智红，任学军，王云龙，等.携带式远程实时心电监测仪在心律失常诊断中的应用[J].北京生物医学工程，2013， 32（6）：613-617.
[8] XL W，Gui Q，Liu B，et al. Enabling Smart Personalized Healthcare A Hybrid Mobile-Cloud Approach for ECG Telemonitoring [J]. IEEE J Biomed Health Inform，2014， 18（3）：739-745.
[9] 高洁，肖美凤，王新康，等.2017 ISHNE/HRS 动态心电图和体外心电监测/远程监测专家共识（2）：诊断适应证及临床预测[J].实用心电学杂志，2019，28（4）：229-237.
[10] Zhang Y，Chen Y，Ma L. Depression and cardiovascular disease in elderly：Current understanding [J]. J Clin Neurosci，2018，47:1-5.
[11] 张新民，刘宁，张克宁.对形态“正常化”室性融合波的再分析[J].中国临床医生杂志，2018，46（10）：1147-1151.
[12] 王俐.老年人心律失常368例临床分析[J].重庆医学，2007，36（3）：247-248.
[13] 郭琳.远程心电监测诊断心律失常及心肌缺血的临床价值[J].中国实用医刊，2015，42（20）：35-36.
[14] 柴静.动态与常规心电图及远程心电监测对心肌缺血和心律失常的诊断价值研究[J].影像医学研究，2019，4（9）：122-124.
[15] Pigini L，Bovi G，Panzarino C，et al. Pilot Test of a New Personal Health System Integrating Environmental and Wearable Sensors for Telemonitoring and Care of Elderly People at Home （SMARTA Project） [J]. Gerontology，2017， 63（3）：281-286.
[16] 侯月梅.远程心电监测：临床作用的正确定位[J].临床心电学杂志，2016，25 （5）：326-328.
[17] Shany T，Hession M，Pryce D，et al. A small-scale randomised controlled trial of home telemonitoring in patients with severe chronic obstructive pulmonary disease [J]. J Telemed Telecare，2017，23（7）：650-656.
[18] Piotrowicz E，Jasionowska A，Banaszak-Bednarczyk M，et al. ECG telemonitoring during home-based cardiac rehabilitation in heart failure patients [J]. J Telemed Telecare，2012，18（4）：193-197.
[19] Winkler S，Axmann C，Schannor B，et al. Diagnostic accuracy of a new detection algorithm for atrial fibrillation in cardiac telemonitoring with portable electrocardiogram devices [J]. J Electrocardiol，2011，44（4）：460-464.
[20] Rajan SP，Rajamony S. Viable investigations and real-time recitation of enhanced ECG-based cardiac telemonitoring system for homecare applications：a systematic evaluation [J]. Telemed J E Health，2013，19（4）：278-286.
[21] 尹彦琳.动态心电图的规范化[J].江苏实用心电学杂志，2013，22（3）：634-642.
2020, Vol. 17 
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