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Application mode of single lead wearable remote ECG monitoring device in patients with symptomatic arrhythmia |
YU Xinyan, WANG Zhixin, LANG Liguo, CUI Yuanyuan, LI Fangjie |
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Abstract Objective To explore the application effect of different monitoring modes of single lead wearable remote ECG monitoring equipment in patients with symptomatic arrhythmia. Methods A total of 40 patients diagnosed with arrhythmia in Yinchuan primary medical institutions were selected as research subjects. In clinical seizure of symptoms such as dizziness, chest tightness, palpitation and shortness of breath within two weeks, those patients undergoing 24hour ECG test by selfwearing single lead wearable ECG monitoring equipment once were classified into the control group, and those taking 1hour ECGs for five times were considered as the observation group. The data were uploaded to the cloud in real time and diagnosis was made by the Remote ECG Diagnosis Center of Yinchuan First Peoples Hospital. The detection rate of arrhythmia in the observation and control group was statistically analyzed. Results The detection rate of arrhythmia in the observation group is higher than that in the control group(77.5% vs.72.5%), without statistically significant difference(P>0.05) and with medium consistency (Kappa=0.601). The number of wearing times in the observation group is positively correlated with the detection rate of arrhythmia(r=0.94, P<0.05).Conclusion For patients with symptomatic arrhythmia, the detection rate of arrhythmia does not significantly varied between multiple collections of 1hour ECG and single collection of 24hour ECG by single lead wearable remote ECG monitoring equipment. The more times they wear, the higher the detection rate of arrhythmia.
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