实用心电与临床诊疗2025，Vol.34Issue(5)：637-640,4.DOI:10.13308/j.issn.2097-5716.2025.05.003
可穿戴12导联动态心电记录仪在心血管疾病远程诊疗中的应用
Application of wearable 12-lead ambulatory electrocardiography recorders in remote diagnosis and treatment of cardiovascular diseases
摘要
Abstract
Objective To explore the application value of wearable electrocardiographic(ECG)monitoring devices in the remote diagnosis and treatment of cardiovascular and cerebrovascular diseases.Methods A total of 16 117 ECG reports collected via wearable ECG devices from community health centers in Kuche City of Xinjiang Uygur Autonomous Region were randomly selected.The analysis focused on the detection rate of abnormal ECGs,the identification of critical values and warning-level ECG findings,as well as the clinical outcomes of cases with critical values.Results The study included 16 117 valid ECG recordings.The average age of the participants was 54.5 years,with 7 256(45.02％)males and 8 861(54.98％)females.Among these ECGs,4 985 cases were abnormal,including 45(0.28％)with critical values and 548 cases(3.40％)of warning ECGs.Of the 45 cases with critical values,2(4.44％)were lost to follow-up,15(33.33％)refused medical advice,5(11.11％)died despite rescue efforts at local hospitals,and 22(48.89％)followed the recommendation to seek medical care.Among these 22 cases,the time from receiving the ECG diagnosis to presenting at the hospital ranged from 41 to 436 minutes,with an average duration of 108.95 minutes.After seeking medical attention,6 cases were discharged after observation and improvement,9 received pharmacological treatment,and 7 underwent surgical procedures.Among the 7 surgical cases,the time from admission to surgery ranged from 16 to 372 minutes,averaging 101.86 minutes.Of these cases,5(71.43％)underwent coronary stent implantation,1(14.29％)was transferred to a higher-level hospital for coronary artery bypass grafting,and 1(14.29％)received pacemaker implantation.One case died despite rescue efforts.Conclusion Wearable ECG monitoring devices enable remote ECG monitoring and early risk warning,facilitating timely medical intervention,reducing the risk of cardiovascular events,and demonstrating significant application value.关键词
心血管疾病/可穿戴心电设备/远程心电传输/人工智能Key words
cardiovascular disease/wearable ECG device/remote ECG transmission/artificial intelligence分类
临床医学引用本文复制引用
帕孜来提·艾海买提,姜兴,木巴拉克·艾尼瓦,刘万萍,范平..可穿戴12导联动态心电记录仪在心血管疾病远程诊疗中的应用[J].实用心电与临床诊疗,2025,34(5):637-640,4.基金项目
新疆维吾尔自治区科技支疆项目计划(指令性)项目(2022E02111) （指令性）
