Study of the pre-hospital diagnostic reliability of real-time tele-transmission of 12-lead electrocardiogram of patients with acute ST-segment elevated myocardial infarction
10.3760/cma.j.issn.1671-0282.2013.06.032
- VernacularTitle:远程实时传输12导联心电图对急性ST段抬高性心肌梗死患者的院前诊断价值
- Author:
Wangsheng LUO
;
Dingcheng XIANG
;
Jinxia ZHANG
;
Weiyi QIN
;
Xiong PENG
;
Shaodong YI
- Publication Type:Journal Article
- Keywords:
Acute myocardial infarction;
Electrocardiogram/remote-electrocardiogram;
Real-time;
Tele-medicine;
Remote ECG monitoring;
Wireless/3G;
Bluetooth;
Pre-hospital diagnosis;
Reliability;
Accuracy
- From:
Chinese Journal of Emergency Medicine
2013;22(6):669-673
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the pre-hospital diagnostic reliability of real-time tele-transmission of 12-lead electrocardiogram of patients with ST-segment elevated acute myocardial infarction (STEMI).Methods The 12-lead electrocardiogram was simultaneously recorded with real-time tele-transmission system and a conventional electrocardiograph in 40 STEMI cases.The width and amplitude of each wave,the deviated amplitude of ST-segment in the same leads were compared by t-test and rank-sum test.Results There were no statistical differences in the width and amplitude of P wave,QRS wave and t wave as well as the deviated altitude of ST-segment between the two separate electrocardiographs (P ＞0.05).There was a significant positive correlation between the two ECG devices in respect of ST-segment elevated altitude (r =0.912,P =0.000).The differential ability of ST-segment elevation between two separate ECG devices kept highly consistent (Kappa value:0.976).Conclusions Real-time tele-transmission of 12-lead electrocardiogram is reliable for the pre-hospital diagnosis of STEMI.
