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Abstract Objective To investigate the clinical application value of EU08 Snap ECG recorder in remote realtime monitoring of arrhythmia and myocardial ischemia. Methods Fifty outpatients were enrolled in our study who had consulted from cardiovascular department of comprehensive grade 3A hospitals in Urumqi and Nanjing from June to September in 2015. All the research objects underwent routine 12 lead ECG monitoring and remote ECG monitoring by E-U08 Snap ECG recorder. If signs of cardiac irritations occurred, patients would collect ECG with Snap ECG recorder by themselves and transmit the recordings to hospitals for further analysis and diagnosis. The differences of detection rates of arrhythmia and myocardial ischemia in the two methods were separately compared. Results In the process of remote ECG monitoring, the detection rate of abnormal ECG by E-U08 Snap ECG recorder was 76% while the rate was only 20% by routine 12 lead ECG machine, and the difference was statistically significant(P<0.001). Among ECG abnormalities, the detection rates of arrhythmia and myocardial ischemia monitored by ECG recorder were significantly higher than those by routine 12 lead ECG machine(48% vs12%, P<0.001; 28% vs. 8%, P<0.05). Conclusion E-U08 Snap ECG recorder helps in improving detection rates of arrhythmia and myocardial ischemia for patients outside the hospital and thus has some clinical application value.
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[1] 吴慧慧, 龚丛芬, 周建华. 远程实时传输12导联心电图对老年急性心肌梗死患者的院前诊断价值[J]. 实用临床医学, 2015, 16(9):8-11, 56.[2] 万学红, 卢雪峰. 诊断学[M]. 8版. 北京:人民卫生出版社, 2013:483-527.[3] 程姝娟, 罗平. 院前心电图远程实时快速网络传输模式建立[J]. 中国循证心血管医学杂志, 2009, 1(3):148-150.[4] 屠艳梅, 王秋池, 李蕙, 等. 远程心电监测在院外患者中的应用及护理干预[J]. 护理实践与研究, 2015, 12(1):141-142.[5] 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.[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] 张凤云, 费民毅. 远程心电监测高危心律失常在社区心脏病猝死预警中的应用[J]. 临床医学工程, 2012, 19(11):1874-1875.[8] 崔丽峰. 远程心电监测仪的临床应用价值[J]. 山东医学高等专科学校学报, 2011, 33(3):207-208. [9] 孙筱璐, 关键, 王国干. 远程心电监护对心律失常判断价值的探讨[J]. 中国急救复苏与灾害医学杂志, 2007, 2(12):711-714, 731.[10] 孙筱璐, 关键, 王莉, 等. 远程实时心电监测仪与常规心电图在心血管疾病中的监测和对比分析[J]. 中华心律失常学杂志, 2010, 14(4):274-278.[11] 顾菊康. 手机心电远程监测进展[J]. 临床心电学杂志, 2008, 17(4):259-262. |
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