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无需任何导电接触的心电图设备的临床实用性证明。

Clinical proof of practicability for an ECG device without any conductive contact.

作者信息

Czaplik Michael, Eilebrecht Benjamin, Ntouba Alexandre, Walter Marian, Schauerte Patrick, Leonhardt Steffen, Rossaint Rolf

机构信息

Department of Anaesthesiology, RWTH University Aachen, Aachen, Germany.

出版信息

Biomed Tech (Berl). 2010 Oct;55(5):291-300. doi: 10.1515/BMT.2010.035. Epub 2010 Sep 15.

Abstract

Heart rhythm disturbances are common symptoms of several heart disorders. One of the most effective screening methods is the traditional electrode-based ECG. However, this examination can be both time- and resource-consuming. Capacitive-coupling ECG (cECG) screening--working without any conductive electrical contact with the patient--might help to shorten the time required for diagnosis. In this study, we examine the practicability of employing a non-contact capacitive ECG in a clinical setting. A total of 30 volunteer patients aged over 50 years without pacemakers were included in our trial, after obtaining their written informed consent and their medical history. A cECG as well as a conventional, conductive ECG were recorded simultaneously. In addition to mathematical analysis, ECG data were manually evaluated by two clinicians blinded to the recording method and patient conditions. Data from 30 patients were collected during our study, seven of whom had experienced myocardial infarction. The obtained cECG signals showed a high correlation with the simultaneously recorded Einthoven lead II of the conventional ECG. The values for heart rate, PQ and QT time periods correlated particularly well. Significant differences were observed with regard to QRS duration. Data recorded in the supine position contained less motion artefacts and, in particular, there were fewer breathing artefacts compared to data collected from those in a sitting position. Owing to the easy and quick application of the cECG system, the feedback from the examined patients was consistently positive. In conclusion, recording cECG data in a sitting position provided sufficient quality for screening purposes. Further studies will be needed for the evaluation of cECG appropriateness in diagnosing heart disease.

摘要

心律失常是几种心脏疾病的常见症状。最有效的筛查方法之一是传统的基于电极的心电图检查。然而,这种检查既耗时又耗费资源。电容耦合心电图(cECG)筛查——无需与患者进行任何导电电气接触——可能有助于缩短诊断所需时间。在本研究中,我们检验了在临床环境中使用非接触式电容心电图的可行性。在获得30名年龄超过50岁且无起搏器的志愿者患者的书面知情同意书和病史后,将他们纳入我们的试验。同时记录一份cECG以及一份传统的导电心电图。除了数学分析外,心电图数据由两名对记录方法和患者情况不知情的临床医生进行人工评估。在我们的研究过程中收集了30名患者的数据,其中7人曾经历过心肌梗死。所获得的cECG信号与同时记录的传统心电图的肢体导联II显示出高度相关性。心率、PQ间期和QT间期的值相关性尤其良好。在QRS波持续时间方面观察到显著差异。与从坐姿患者收集的数据相比,仰卧位记录的数据包含的运动伪影更少,尤其是呼吸伪影更少。由于cECG系统应用简便快捷,受检患者的反馈一直是积极的。总之,在坐姿下记录cECG数据可为筛查目的提供足够的质量。评估cECG在诊断心脏病方面的适用性还需要进一步的研究。

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