实用心电与临床诊疗2025，Vol.34Issue(2)：216-221,6.DOI:10.13308/j.issn.2097-5716.2025.02.012
远程心电诊断在社区医院的应用
Application of remote electrocardiogram diagnosis in community hospitals
摘要
Abstract
Objective To investigate the application value of remote electrocardiogram(ECG)diagnosis system in primary community hospitals.Methods A retrospective analysis was conducted on ECGs transmitted from five community hospitals to the Remote ECG Diagnosis Center of Hunan Provincial People's Hospital(Mawangdui Campus).Results Based on the diagnosis of the remote terminal,the enrolled 1 890 patients included 554 cases of sinus arrhythmia,71 cases of atrial arrhythmia,43 cases of ventricular arrhythmia,120 cases of cardiac conduction block,20 cases of acute myocardial infarction,and 776 cases of other types of ECG abnormalities such as T-wave changes.Using the abnormal ECG results of the remote terminal as the criterion for judgement,the detection rates of various ECG abnormalities at the community terminals were as follows:99.3%for sinus arrhythmia,97.2%for atrial arrhythmia,100.0%for ventricular arrhythmia,110.0%for cardiac conduction block,160.0%for acute myocardial infarction,and 97.2%for other types of ECG abnormalities such as T-wave changes.Among the abnormal ECG results at the community terminals,the highest misdiagnosis rate was for acute myocardial infarction(75.0%),while the highest missed diagnosis rate was for atrial premature beats(18.3%).During the first half of the year,the detection accuracy rates of abnormal ECGs including sinus arrhythmia,atrial arrhythmia,ventricular arrhythmia,and other types of ECG abnormalities such as T-wave changes at the community terminals were all significantly lower than those at the remote terminal(all P<0.05).There were no statistically significant differences either in the detection accuracy rates of cardiac conduction block and acute myocardial infarction in the first half of the year,or in the detection accuracy rates of various abnormal ECGs in the second half of the year between the community and remote terminals(all P>0.05).The average diagnostic time for a single ECG at community terminals in the first half of the year was significantly longer than that at the remote terminal(P<0.05);there was no significantly significant difference in the average diagnostic time for a single ECG between the community and remote terminals in the second half of the year(P>0.05).Conclusion The remote ECG diagnosis system could significantly improve the detection accuracy rate of abnormal ECGs in primary community hospitals,and reduce diagnostic time.关键词
远程心电诊断/社区医院/异常心电图/正确率/诊断时间Key words
remote electrocardiogram diagnosis/community hospital/abnormal electrocardiogram/accuracy rate/diagnostic time分类
临床医学引用本文复制引用
戴玉婷,张璇,吕娜,屈沪军,肖春霞,范咏梅..远程心电诊断在社区医院的应用[J].实用心电与临床诊疗,2025,34(2):216-221,6.基金项目
湖南省科技厅临床医疗技术创新引导项目(2021SK50919) （2021SK50919）
湖南省卫生健康委科研计划项目(C202303018917) （C202303018917）
湖南省卫生健康委科研计划项目(202203103241) （202203103241）
