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基于云计算的心脏急救移动12导联心电图的研发与临床研究

Development and clinical study of mobile 12-lead electrocardiography based on cloud computing for cardiac emergency.

作者信息

Fujita Hideo, Uchimura Yuji, Waki Kayo, Omae Koji, Takeuchi Ichiro, Ohe Kazuhiko

机构信息

Department of Ubiquitous Health Informatics, the University of Tokyo, Tokyo, Japan.

出版信息

Stud Health Technol Inform. 2013;192:1077.

PMID:23920851
Abstract

To improve emergency services for accurate diagnosis of cardiac emergency, we developed a low-cost new mobile electrocardiography system "Cloud Cardiology®" based upon cloud computing for prehospital diagnosis. This comprises a compact 12-lead ECG unit equipped with Bluetooth and Android Smartphone with an application for transmission. Cloud server enables us to share ECG simultaneously inside and outside the hospital. We evaluated the clinical effectiveness by conducting a clinical trial with historical comparison to evaluate this system in a rapid response car in the real emergency service settings. We found that this system has an ability to shorten the onset to balloon time of patients with acute myocardial infarction, resulting in better clinical outcome. Here we propose that cloud-computing based simultaneous data sharing could be powerful solution for emergency service for cardiology, along with its significant clinical outcome.

摘要

为改善心脏急症的急诊服务以实现准确诊断,我们基于云计算开发了一种低成本的新型移动心电图系统“云心脏病学®”,用于院前诊断。该系统包括一个配备蓝牙的紧凑型12导联心电图单元以及一部装有传输应用程序的安卓智能手机。云服务器使我们能够在医院内外同时共享心电图。我们通过进行一项历史对照临床试验,在实际急诊服务环境中的快速反应车上对该系统进行评估,以评估其临床效果。我们发现该系统有能力缩短急性心肌梗死患者的发病至球囊扩张时间,从而带来更好的临床结果。在此我们提出,基于云计算的同步数据共享对于心脏病学急诊服务而言可能是一个强有力的解决方案,同时其临床效果显著。

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Impact of Mobile Cloud Electrocardiography System on Door-to-Balloon Time in Patients With Acute Coronary Syndrome in Oita Prefecture.移动云心电图系统对大分县急性冠状动脉综合征患者门球时间的影响
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