实用心电学杂志2017，Vol.26Issue(1)：16-19,4.DOI:10.13308/j.issn.2095-9354.2017.01.004
远程实时心电监测在社区医联体中的应用价值
Application value of remote real-time ECG monitoring in community medical association
摘要
Abstract
Objective To discuss the application value of remote real-time ECG monitoring in community medical association.Methods A total of 2 858 patients undergoing remote real-time ECG monitoring were selected from the community medical association of First Affiliated Hospital of Jinan University from May 25,201 5 to June 22,201 6.We statistically counted the detection rate of various types of arrhythmias,early warning rate of malignant arrhythmia,incidence of adverse e-vents,detection rate of patients in accordance with cardiac electrophysiologic surgical indications, and the age and time distribution of detected arrhythmias.Results Among the enrolled patients, we identified sinus bradycardia in 88 cases,atrial tachycardia in 1 050,atrial premature beats in 2 01 4,atrial flutter in 28,atrial fibrillation in 1 95,ventricular tachycardia in 1 31 ,premature ven-tricular contraction in 1 530,pre-excitation syndrome in 7,left and right bundle branch block sepa-rately in 25 and 1 20 cases,borderline rhythm in 46,and sinus arrest in 7.As far as the early warn-ing of malignant arrhythmia was concerned,ventricular tachycardia occurred in 1 980 cases (69.28%),long RR interval(RR interval >2 s)in 1 258(44.02%),RonT in 304(1 0.64%), ST-segment elevation and depression separately in 1 1 33(39.64%)and 1 1 41 cases(39.92%), and suspected myocardial infarction in 32(1 .1 2%).Among adverse events,artifacts appeared in 9 cases(0.31 %)and lead fell in 43(1 .50%).Among the patients in accordance with cardiac elec-trophysiologic surgical indications,41 (1 .43%)were fit for radiofrequency ablation including 27 with frequent ventricular premature beats,1 0 with atrial fibrillation and 4 with pre-excitation syn-drome while 1 6(0.56%)were in accordance with indications of cardiac pacemaker implantation. The incidences of arrhythmias such as ventricular tachycardia and sinus arrest,and suspected myo-cardial infarction significantly increased in patients over 60 years old.The quantity of patients in ac-cordance with surgical indications of pacemaker implantation took on a trend of rectilinear rise with age,and its difference was statistically significant among patients at different ages(P =0.022). Conclusion The detection rate of arrhythmia is relatively high in remote real-time ECG monitoring which could be promoted in diagnosing and screening cardiovascular diseases in the community healthcare as an important method.关键词
远程心电监测/心律失常/社区医疗Key words
remote ECG monitoring/arrhythmia/community medical care分类
医药卫生引用本文复制引用
黄镫,郭军,夏纪田,张爱东..远程实时心电监测在社区医联体中的应用价值[J].实用心电学杂志,2017,26(1):16-19,4.基金项目
国家自然科学基金资助项目 （）
