Chen Shou-Qiang, Xing Shan-Shan, Gao Hai-Qing
Shou-Qiang CHEN, MD, PhD, Department of Cardiology, the Second Affiliated Hospital, Shandong University of Traditional Chinese Medicine, Jinan 250001, China.
Shan-Shan XING, MD, PhD, Hai-Qing GAO, MD, Shandong University of Traditional Chinese Medicine, Jinan 250355, China.
Pak J Med Sci. 2014 Nov-Dec;30(6):1281-5. doi: 10.12669/pjms.306.5484.
In addition to ambulatory Holter electrocardiographic recording and transtelephonic electrocardiographic monitoring (TTM), a cardiac remote monitoring system can provide an automatic warning function through the general packet radio service (GPRS) network, enabling earlier diagnosis, treatment and improved outcome of cardiac diseases. The purpose of this study was to estimate its clinical significance in preventing acute cardiac episodes.
Using 2 leads (V1 and V5 leads) and the automatic warning mode, 7160 patients were tested with a cardiac remote monitoring system from October 2004 to September 2007. If malignant arrhythmias or obvious ST-T changes appeared in the electrocardiogram records was automatically transferred to the monitoring center, the patient and his family members were informed, and the corresponding precautionary or therapeutic measures were implemented immediately.
In our study, 274 cases of malignant arrhythmia, including sinus standstill and ventricular tachycardia, and 43 cases of obvious ST-segment elevation were detected and treated. Because of early detection, there was no death or deformity.
A cardiac remote monitoring system providing an automatic warning function can play an important role in preventing acute cardiac episodes.
除动态心电图记录和电话传输心电图监测（TTM）外，心脏远程监测系统可通过通用分组无线服务（GPRS）网络提供自动预警功能，从而实现心脏病的早期诊断、治疗并改善预后。本研究旨在评估其在预防急性心脏事件中的临床意义。
2004年10月至2007年9月期间，使用2个导联（V1和V5导联）及自动预警模式，对7160例患者采用心脏远程监测系统进行检测。若心电图记录中出现恶性心律失常或明显的ST-T改变，会自动传输至监测中心，通知患者及其家属，并立即采取相应的预防或治疗措施。
在本研究中，共检测并治疗了274例恶性心律失常，包括窦性停搏和室性心动过速，以及43例明显的ST段抬高。由于早期发现，无一例死亡或出现残疾。
具备自动预警功能的心脏远程监测系统在预防急性心脏事件中可发挥重要作用。
