Zhou Haiying, Hou Kun Mean, Ponsonnaille Jean, Gineste Laurent, Coudon Julien, de Sousa Gil, de Vaulx Christophe, Li Jian-Jin, Chainais Pierre, Aufrère Romuald, Amamra Abdelaziz, Chanet Jean-Pierre
Laboratoire LIMOS UMR 6158 CNRS, ISIMA, UBP Clermont-Ferrand II, France.
Stud Health Technol Inform. 2004;105:112-20.
The current techniques used to diagnose cardiac arrhythmias such as Holter, Rtest and telemetry systems are partially efficient because they are limited either in time or in space. In this paper, a platform dedicated to the real-time remote continuous cardiac arrhythmias detection and monitoring is proposed. Such a platform allows to improve the accuracy and the efficiency of the diagnostic of ventricular tachycardia among the high-risk patients and enables the implantation of ICD to prevent sudden death. The new method allows the patient to lead a normal life while being remotely monitored in real-time by an ambulatory wireless ECG sensor. When a cardiac arrhythmia is detected a message including a sequence of ECG signals and the patient's images (indoors only) is sent to a remote surveillance server. According to the gravity of the symptom, the cardiologist can intervene in real time or later. The system has been evaluated on some ten patients with regard to heartbeat and cardiac rhythm disturbance. The real-time results are similar to those offered by HP telemetry systems.
当前用于诊断心律失常的技术，如动态心电图监测仪、R 波检测和遥测系统，效率并不高，因为它们在时间或空间上存在限制。本文提出了一个用于实时远程连续心律失常检测和监测的平台。这样的平台能够提高高危患者室性心动过速诊断的准确性和效率，并能植入植入式心律转复除颤器（ICD）以预防猝死。这种新方法允许患者在通过便携式无线心电图传感器进行实时远程监测的同时过上正常生活。当检测到心律失常时，一条包含一系列心电图信号和患者图像（仅在室内）的消息会被发送到远程监控服务器。根据症状的严重程度，心脏病专家可以实时或稍后进行干预。该系统已针对约十名患者的心跳和心律紊乱情况进行了评估。实时结果与惠普遥测系统提供的结果相似。
