Abstract:Objective To discuss the clinical application value of telemonitoring ECG(TTECG) information system. Methods The Holter data of 63 patients were selected which were transmitted from branch hospital to ECG consultation center of central hospital from June 2015 to May 2016. The enrolled patients were divided into network transmission group(31 cases) and artificial transmission group(32 cases). Holter recorder was utilized in collecting Holter data in primary hospital; the data were then transmitted to ECG consultation center artificially or by local area network, respectively; ECG specialist physicians made diagnosis. The starting time of diagnosis was classified into within 1 h, 1-5 h and 5-10 h. During different time periods, the diagnosed cases were made comparison and analysis between the two groups. Results The starting time of diagnosis in network transmission group was significantly earlier than that in artificial transmission group[(1.2±0.5) h vs. (8.7±2.0) h,P<0.05]. If the starting time of diagnosis was within one hour, network transmission group diagnosed 26 cases(83.9%) in all while none of the patients was diagnosed by artificial transmission group. If the starting time of diagnosis was 1-5 h, the diagnosed cases were separately 5 cases(16.1%) and 12 cases(37.5%) in the two groups. If the starting time of diagnosis was 5-10 h, none of the patients was diagnosed by network transmission group while artificial transmission group diagnosed 20 cases(62.5%). The difference was statistically significant(P<0.01). Conclusion TTECG information system applied in primary hospitals can shorten consultation hours for patients, and realize remote data sharing and consultation. It also has advantage in detecting cardiovascular events in time. It may improve the level of diagnosis and treatment in primary hospitals, and has great clinical practical value.
盛静宇, 石红建, 孙卫红, 杨玲伶. 远程动态心电图信息系统的临床应用价值[J]. 实用心电学杂志, 2016, 25(4): 265-267.
SHENG Jing-Yu, SHI Hong-Jian, SUN Wei-Hong, YANG Ling-Ling. Clinical application value of telemonitoring ECG information system. JOURNAL OF PRACTICAL ELECTROCARDIOLOGY, 2016, 25(4): 265-267.