Analysis of application effect of cardiac remote real -time monitoring system
10.3969/j.issn.1008-0074.2017.06.19
- VernacularTitle:心脏远程实时监护系统临床应用效果分析
- Author:
quan Rong PAN
1
;
ji Huan ZHANG
;
Hui LIN
;
sheng You GUO
;
ling Xiao LI
;
hui Dong ZHANG
Author Information
1. 广东医科大学研究生学院
- Keywords:
Electrocardiography,ambulatory;
Telemedicine;
Arrhythmias;
Cardiac;
Cardiovascular diseases
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2017;26(6):656-660
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore clinical application effect of cardiac remote real -time monitoring system.Methods:Cardiac remote real -time monitoring warning instrument(iHolter)was applied in 210 patients.The iHolter gave a-lerts automatically in case of ECG abnormalities for corresponding treatment in time,and it offered corresponding reports on monitoring results.According to age,patients were divided into youth group(<45 years,n=59),mid-dle-aged group(45160 years,n=56)and aged group(≥60 years,n=95).Characteristics of arrhythmias among different age and sex were analyzed.Results:ECG abnormalities were found in 191 cases(90.95%)out of 210 pa-tients,including eight cases with malignant arrhythmias,in which five cases were treated and survived after timely intervention via alerts.Compared with youth group and middle -aged group,there were significant rise in percenta-ges of paroxysmal atrial tachycardia(16.9%,26.8% vs.54.7%)and atrial fibrillation(0%,0% vs.8.4%)in aged group,P< 0.05 or <0.01;abnormal percentages of heart rate variability of middle -aged group and aged group were significantly higher than that of youth group(25.0%,36.8% vs.5.1%,P<0.01 both).Male percent-age of paroxysmal ventricular tachycardia was significantly higher than that of female(81.3% vs.18.8%,P=0.013).Conclusion:Cardiac remote real-time monitoring system can offer timely alerts for cardiovascular events such as arrhythmia and myocardial ischemia etc.,fight for more time for rescuing patients,maximally protect cardi-ac function and improve accuracy of clinical diagnosis.
