Department of Cardiac Rehabilitation and Noninvasive Electrocardiology, Institute of Cardiology, Warsaw, Poland.
J Telemed Telecare. 2012 Jun;18(4):193-7. doi: 10.1258/jtt.2012.111005. Epub 2012 May 17.
We assessed ECGs recorded during home-based telemonitored cardiac rehabilitation (HTCR) in stable patients with heart-failure. The study included 75 patients with heart failure (NYHA II, III), with a mean age of 56 years. They participated in an eight-week programme of home cardiac rehabilitation which was telemonitored with a device which recorded 16-s fragments of their ECG. These fragments were transmitted via mobile phone to a monitoring centre. The times of the automatic ECG recordings were pre-set and coordinated with the cardiac rehabilitation. Patients were able to make additional recordings when they felt unwell using a tele-event-Holter ECG facility. During the study, 5757 HTCR sessions were recorded and 11,534 transmitted ECG fragments were evaluated. Most ECGs originated from the automatic recordings. Singular supraventricular and ventricular premature beats and ventricular couplets were detected in 16%, 69% and 16% of patients, respectively. Twenty ECGs were recorded when patients felt unwell: non sustained ventricular tachycardia occurred in three patients and paroxysmal atrial fibrillation episode in two patients. Heart failure patients undergoing HTCR did not develop any arrhythmia which required a change of the procedure, confirming it was safe. Cardiac rehabilitation at home was improved by utilizing the tele-event-Holter ECG facility.
我们评估了稳定心力衰竭患者在家中接受远程心脏康复监测（HTCR）时记录的心电图。该研究纳入了 75 例心力衰竭（NYHA II、III 级）患者，平均年龄 56 岁。他们参加了为期 8 周的家庭心脏康复计划，该计划由记录 16 秒心电图片段的设备进行远程监测。这些片段通过移动电话传输到监测中心。自动心电图记录的时间是预先设定的，并与心脏康复计划相协调。当患者感到不适时，他们可以使用远程事件-Holter ECG 设施进行额外的记录。在研究期间，共记录了 5757 次 HTCR 治疗，评估了 11534 次传输的心电图片段。大多数心电图来自自动记录。分别有 16%、69%和 16%的患者检测到单一的室上性和室性期前收缩以及室性成对搏动。当患者感到不适时，记录了 20 次心电图：3 例患者出现非持续室性心动过速，2 例患者出现阵发性心房颤动。接受 HTCR 的心力衰竭患者没有出现任何需要改变程序的心律失常，证实其安全性。利用远程事件-Holter ECG 设施改善了家庭心脏康复。
