Hernández A I, Mora F, Villegas G, Passariello G, Carrault G
Grupo de Bioingeniería y Biofísica Aplicada, Universidad Simón Bolívar, Caracas, Venezuela.
IEEE Trans Inf Technol Biomed. 2001 Sep;5(3):253-7. doi: 10.1109/4233.945297.
Telemedicine is producing a great impact in the monitoring of patients located in remote nonclinical environments such as homes, elder communities, gymnasiums, schools, remote military bases, ships, and the like. A number of applications, ranging from data collection, to chronic patient surveillance, and even to the control of therapeutic procedures, are being implemented in many parts of the world. As part of this growing trend, this paper discusses the problems in electrocardiogram (ECG) real-time data acquisition, transmission, and visualization over the Internet. ECG signals are transmitted in real time from a patient in a remote nonclinical environment to the specialist in a hospital or clinic using the current capabilities and availability of the Internet. A prototype system is composed of a portable data acquisition and preprocessing module connected to the computer in the remote site via its RS-232 port, a Java-based client-server platform, and software modules to handle communication protocols between data acquisition module and the patient's personal computer, and to handle client-server communication. The purpose of the system is the provision of extended monitoring for patients under drug therapy after infarction, data collection in some particular cases, remote consultation, and low-cost ECG monitoring for the elderly.
远程医疗正在对处于偏远非临床环境（如家庭、老年社区、体育馆、学校、偏远军事基地、船舶等）的患者监测产生巨大影响。从数据收集到慢性病患者监测，甚至到治疗程序控制等一系列应用正在世界许多地方得到实施。作为这一不断发展趋势的一部分，本文讨论了通过互联网进行心电图（ECG）实时数据采集、传输和可视化方面的问题。利用互联网现有的能力和可用性，ECG信号从偏远非临床环境中的患者实时传输到医院或诊所的专家手中。一个原型系统由一个便携式数据采集和预处理模块组成，该模块通过其RS - 232端口连接到远程站点的计算机，一个基于Java的客户端 - 服务器平台，以及用于处理数据采集模块与患者个人计算机之间通信协议和处理客户端 - 服务器通信的软件模块。该系统的目的是为心肌梗死后接受药物治疗的患者提供延长监测、在某些特定情况下进行数据收集、远程会诊以及为老年人提供低成本的ECG监测。
