“掌上心电”E-U08心电记录仪远程监测心律失常和心肌缺血的临床应用研究  

Clinical application of E-U08 Snap ECG recorder in remote monitoring of arrhythmia and myocardial ischemia

作　　者：范平[1] 陈晨 彭伊[1] 胡嘉禄[3] 侯月梅[4] 

机构地区：[1]新疆医科大学第一附属医院心脏中心,新疆乌鲁木齐830054 [2]四川中德泰康科技有限公司,四川成都610000 [3]复旦大学附属中山医院内科基地,上海200032 [4]上海交通大学附属第六人民医院南院老年医学科,上海201400

出　　处：《实用心电学杂志》2017年第1期10-15,共6页Journal of Practical Electrocardiology

基　　金：上海市卫生局科研项目(20134009)

摘　　要：目的探讨"掌上心电"E-U08心电记录仪远程实时监测心律失常和心肌缺血的临床应用价值。方法选取2015年6至9月在新疆乌鲁木齐市和江苏省南京市多家三甲医院心血管门诊就诊的患者50例,对所有入选者进行常规12导联心电图监测,并利用"掌上心电"E-U08心电记录仪进行远程心电监测。当患者在院外出现心脏不适症状时,通过心电记录仪自行采集心电图传输至医院进行分析和诊断,比较两种心电监测方法在心律失常及心肌缺血检出率上的差异。结果在远程心电监测过程中,"掌上心电"E-U08心电记录仪的异常心电图检出率为76%,而常规12导联心电图机的检出率仅为20%,差异有统计学意义(P<0.001)。其中,心电记录仪监测到的心律失常和心肌缺血的检出率显著高于常规12导联心电图机(48%vs.12%,P<0.001;28%vs.8%,P<0.05)。结论 "掌上心电"E-U08心电记录仪有助于提高院外患者心律失常和心肌缺血的检出率,具有一定的临床应用价值。Objective To investigate the clinical application value of E-U08 Snap ECG recorder in remote real-time 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 re-corder 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% vs.12%,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.

关 键 词：“掌上心电”E-U08心电记录仪 远程心电监测 心肌缺血 心律失常 

分 类 号：R541.75[医药卫生—心血管疾病]