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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 |
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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.
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