波美拉尼亚地区健康研究（SHIP）中的远程心电图检查

Tele-electrocardiography in the epidemiological 'Study of Health in Pomerania' (SHIP).

作者信息

Alte Dietrich, Völzke Henry, Robinson Daniel M, Kleine Volker, Grabe Hans Jörgen, John Ulrich, Felix Stephan B

机构信息

Ernst-Moritz-Arndt-Universität Greifswald, Institut für Epidemiologie und Sozialmedizin (Institute of Epidemiology and Social Medicine), Germany.

出版信息

J Telemed Telecare. 2006;12(2):103-7. doi: 10.1258/135763306776084383.

DOI:10.1258/135763306776084383

PMID:16539759

Abstract

We have evaluated a portable electrocardiogram (ECG) card in the large population-based epidemiological 'Study of Health in Pomerania' (SHIP). In all, 7008 men and women (20-79 years) were randomly selected from population registries and 4310 subjects participated. Participants used an ECG card for four weeks and recorded two ECGs daily. The participants were also encouraged to record additional ECGs in the case of symptomatic arrhythmias, chest pain or dizziness. The ECGs were sent via telephone. Acrobat (.pdf) files arrived at the study centre via email. Arrhythmias were analysed by visual ECG inspection. Seventy-one per cent of the participants sent at least 80% of the requested ECGs for four weeks. There were few problems (about 70) in the total of 38,162 ECGs transmitted. Overall, 94% of all ECGs were rated as 'good'. Physicians required about 1.5 h to read approximately 100 ECGs daily. The functionality and ergonomics of ECG cards appear to be sufficiently developed for large-scale use in epidemiological studies.

摘要

我们在基于人群的大型流行病学研究“波美拉尼亚健康研究”（SHIP）中对一种便携式心电图（ECG）卡进行了评估。总共从人口登记处随机选取了7008名男性和女性（20 - 79岁），4310名受试者参与了研究。参与者使用ECG卡四周，每天记录两份心电图。还鼓励参与者在出现症状性心律失常、胸痛或头晕时记录额外的心电图。心电图通过电话发送。Acrobat（.pdf）文件通过电子邮件到达研究中心。通过目视心电图检查分析心律失常情况。71%的参与者在四周内发送了至少80%要求记录的心电图。在总共传输的38162份心电图中出现的问题较少（约70个）。总体而言，所有心电图中有94%被评为“良好”。医生每天阅读大约100份心电图需要约1.5小时。心电图卡的功能和人体工程学设计似乎已充分发展，足以在流行病学研究中大规模使用。