Objective: to use remote real-time ECG monitoring for patients with cardiovascular diseases and to observe the effect of this method in ECG critical value treatment. Methods: 146 patients with cardiovascular diseases ...Objective: to use remote real-time ECG monitoring for patients with cardiovascular diseases and to observe the effect of this method in ECG critical value treatment. Methods: 146 patients with cardiovascular diseases in our department from January 2019 to December 2020 were taken as observation objects and divided into the first group and the second group. Remote real-time ECG monitoring and routine ECG monitoring were used respectively to compare the monitoring effects of the two kinds of ECG. Results: (1) the positive and negative detection rates of critical values in the first and second groups were 36.98% and 63.01% in the first group and 15.06% and 84.93% in the second group respectively (χ2 = 23.203,P = 0.000). The results were different. (2) In the comparison of the treatment time of ECG critical value between the first group and the second group, the first group is 7.56±1.64(min) and the second group is 7.85±1.72(min), (t = 0.538,P = 0.361), the results are not different. Conclusion: the remote real-time ECG monitoring for patients with cardiovascular diseases is effective, and this method can be popularized.展开更多
Arrhythmias are very common in the healthy populations as well as patients with cardiovascular diseases.Among them,atrial fibrillation(AF)and malignant ventricular arrhythmias are usually associated with some clinical...Arrhythmias are very common in the healthy populations as well as patients with cardiovascular diseases.Among them,atrial fibrillation(AF)and malignant ventricular arrhythmias are usually associated with some clinical events.Early diagnosis of arrhythmias,particularly AF and ventricular arrhythmias,is very important for the treatment and prognosis of patients.Holter is a gold standard commonly recommended for noninvasive detection of paroxysmal arrhythmia.However,it has some shortcomings such as fixed detection timings,delayed report and inability of remote real-time detection.To deal with such problems,we designed and applied a new wearable 72-hour triple-lead H3-electrocardiogram(ECG)device with a remote cloud-based ECG platform and an expertsupporting system.In this study,31 patients were recruited and 24-hour synchronous ECG data by H3-ECG and Holter were recorded.In the H3-ECG group,ECG signals were transmitted using remote real-time modes,and confirmed reports were made by doctors in the remote expert-supporting system,while the traditional modes and detection systems were used in the Holter group.The results showed no significant differences between the two groups in 24-hour total heart rate(HR),averaged HR,maximum HR,minimum HR,premature atrial complexes(PACs)and premature ventricular complexes(PVCs)(P>0.05).The sensitivity and specificity of capture and remote automatic cardiac events detection of PACs,PVCs,and AF by H3-ECG were 93%and 99%,98%and 99%,94%and 98%,respectively.Therefore,the long-term limb triple-lead H3-ECG device can be utilized for domiciliary ECG self-monitoring and remote management of patients with common arrhythmia under medical supervision.展开更多
文摘Objective: to use remote real-time ECG monitoring for patients with cardiovascular diseases and to observe the effect of this method in ECG critical value treatment. Methods: 146 patients with cardiovascular diseases in our department from January 2019 to December 2020 were taken as observation objects and divided into the first group and the second group. Remote real-time ECG monitoring and routine ECG monitoring were used respectively to compare the monitoring effects of the two kinds of ECG. Results: (1) the positive and negative detection rates of critical values in the first and second groups were 36.98% and 63.01% in the first group and 15.06% and 84.93% in the second group respectively (χ2 = 23.203,P = 0.000). The results were different. (2) In the comparison of the treatment time of ECG critical value between the first group and the second group, the first group is 7.56±1.64(min) and the second group is 7.85±1.72(min), (t = 0.538,P = 0.361), the results are not different. Conclusion: the remote real-time ECG monitoring for patients with cardiovascular diseases is effective, and this method can be popularized.
基金This research was funded by the Key Research and Development Plan of Jiangsu Province under grant BE2017735.Q.S.conceived the study and wrote the manuscript.Q.S.,C.C.,H.G.X.W.collected,analyzed,and interpreted the data.H.G.and X.W.contributed substantially to the development of ECG signal conversion Matlab software and remote automatic detection algorithm.J.L.,M.C.and C.L.revised the manuscript,evaluated and supervised the study.
文摘Arrhythmias are very common in the healthy populations as well as patients with cardiovascular diseases.Among them,atrial fibrillation(AF)and malignant ventricular arrhythmias are usually associated with some clinical events.Early diagnosis of arrhythmias,particularly AF and ventricular arrhythmias,is very important for the treatment and prognosis of patients.Holter is a gold standard commonly recommended for noninvasive detection of paroxysmal arrhythmia.However,it has some shortcomings such as fixed detection timings,delayed report and inability of remote real-time detection.To deal with such problems,we designed and applied a new wearable 72-hour triple-lead H3-electrocardiogram(ECG)device with a remote cloud-based ECG platform and an expertsupporting system.In this study,31 patients were recruited and 24-hour synchronous ECG data by H3-ECG and Holter were recorded.In the H3-ECG group,ECG signals were transmitted using remote real-time modes,and confirmed reports were made by doctors in the remote expert-supporting system,while the traditional modes and detection systems were used in the Holter group.The results showed no significant differences between the two groups in 24-hour total heart rate(HR),averaged HR,maximum HR,minimum HR,premature atrial complexes(PACs)and premature ventricular complexes(PVCs)(P>0.05).The sensitivity and specificity of capture and remote automatic cardiac events detection of PACs,PVCs,and AF by H3-ECG were 93%and 99%,98%and 99%,94%and 98%,respectively.Therefore,the long-term limb triple-lead H3-ECG device can be utilized for domiciliary ECG self-monitoring and remote management of patients with common arrhythmia under medical supervision.
