Abstract：Objective To detect electrocardiograms(ECGs) with critical value by remote ECG monitoring and to analyze its association with a part of clinical factors. Methods A total of 180 inpatients in our hospital were selected; they all wore heart realtime monitoring and warning machine for 24 hours on the second day after admission. The research subjects were divided into criticalvalue group (73 cases) and non-critical-value group (107 cases) according to the absence or presence of critical value warning. We analyzed whether each clinical factor would affect critical value warning. Results Monofactor analysis significantly shows no correlation between age, atrial fibrillation, hypertension, cerebral apoplexy, dyslipidemia, elevation of brain natriuretic peptide and the emergence of critical value (P>0.05). Multivariate analysis implies the incidence of critical value in males is 43.5% (OR=0.435, 95%CI0.228-0.829, P=0.011) if females is referred to as 100% (OR=1.000). It suggests female sex is closely associated with the presence of critical value. If the incidence of critical value in diabetics is referred to as 100% (OR=1.000), the incidence of non-diabetes cases is 36.9% (OR=0.369, 95%CI0.163-0.803, P=0.012). It suggests suffering from diabetes is closely associated with the emergence of critical value. ConclusionFemale sex and complication by diabetes are independent influencing factors of the presence of critical value.
