Yufu Kunio, Shimomura Tsuyoshi, Fujinami Mami, Nakashima Tatsunori, Saito Shotaro, Ayabe Reika, Kawano Kyoko, Ishii Yumi, Okada Norihiro, Akioka Hidefumi, Teshima Yasushi, Sakamoto Teruo, Nakagawa Mikiko, Takahashi Naohiko
Department of Cardiology and Clinical Examination, Faculty of Medicine, Oita University Yufu Japan.
Hospital Informatics Center, Oita University Hospital Yufu Japan.
Circ Rep. 2019 May 31;1(6):241-247. doi: 10.1253/circrep.CR-19-0020.
The mobile cloud electrocardiography (C-ECG) system is useful for reducing door-to-balloon (DTB) time in patients with acute coronary syndrome (ACS), but few studies have reported the usefulness of the C-ECG system across a wide provincial prefecture, such as Oita, in Japan. On 17 April 2017, the C-ECG system was integrated into the Oita remote image transmission system, in 10 ambulances of 10 respective fire departments in Oita Prefecture. During 6 months, 162 ECG indicating suspected ACS were transmitted to 18 hospitals using the C-ECG system. Of 162 patients, 17 who received emergency percutaneous coronary intervention (PCI) were assigned to the cloud group (mean age, 71±11 years). The control group consisted of 29 consecutive ACS patients who were transported to Oita University Hospital without using the C-ECG system (mean age, 66±12 years). Another 40 consecutive patients were diagnosed with ACS before transportation to Oita University Hospital, and were assigned to the diagnosed group (mean age, 70±14 years). DTB time (70±26 min vs. 96±24 min, P<0.005) and door-to-catheterization laboratory time (33±20 min vs. 53±22 min, P<0.0001) were shorter in the cloud group than in the control group, respectively. C-ECG system integration in Oita Prefecture was useful to appropriately transfer ACS patients to hospital and to facilitate earlier PCI than in the conventional diagnostic system.
移动云心电图（C-ECG）系统有助于缩短急性冠状动脉综合征（ACS）患者的门球时间（DTB），但很少有研究报道该系统在日本大分县这样广阔的地区的实用性。2017年4月17日，C-ECG系统被整合到大分县远程图像传输系统中，安装在大分县10个消防部门的10辆救护车上。在6个月内，使用C-ECG系统将162份疑似ACS的心电图传输到了18家医院。在这162例患者中，17例接受急诊经皮冠状动脉介入治疗（PCI）的患者被分配到云组（平均年龄71±11岁）。对照组由29例连续的ACS患者组成，他们未使用C-ECG系统被转运至大分大学医院（平均年龄66±12岁）。另外40例连续患者在被转运至大分大学医院之前被诊断为ACS，并被分配到确诊组（平均年龄70±14岁）。云组的DTB时间（70±26分钟 vs. 96±24分钟，P<0.005）和门到导管室时间（33±20分钟 vs. 53±22分钟，P<0.0001）分别比对照组短。在大分县整合C-ECG系统有助于将ACS患者适当地转运至医院，并比传统诊断系统更有利于更早地进行PCI。
