Hedayati Goudarzi Mohammad Taghi, Zare Marzouni Hadi, Tarkhan Fazel, Bijani Ali, Babagoli Mehdi, Shadifar Amirhossein, Abbas Alipour Javad
Cardiology Department, Rohani Hospital, School of Medicine, Babol University of Medical Sciences, Babol, Iran.
Qaen Faculty of Medical Sciences, Birjand University of Medical Sciences, Birjand, Iran.
Galen Med J. 2024 Aug 29;13:e3376. doi: 10.31661/gmj.v13i.3376. eCollection 2024.
The remote medical monitoring system can facilitate monitoring patients with cardiac arrhythmia, and consequently, reduce mortality and complications in individuals requiring emergency interventions. Hence, it is necessary to evaluate new telemedicine devices and compare them with standard devices. Therefore, this study aimed to evaluate and compare the new remote monitoring system, Smart Emergency Medical System-Health Internet of Things (SEMS-HIOT) developed by the Health Technology Development Centre of Babol University of Medical Sciences on patients with different cardiac arrhythmias and compare it with the standard device.
In this case-control study, 60 patients were divided into the six most common arrhythmia groups (n=10 per each group and equal gender) as atrial fibrillation, ventricular tachycardia, paroxysmal supraventricular tachycardia, premature ventricular contractions, atrial tachycardia, and premature atrial contractions. Also, 20 healthy individuals (including 10 men and 10 women) without any arrhythmia (normal rhythm) were considered as the control group. Three similar SEMS-HIOT devices were used as test devices and a standard cardiac monitoring device as the control device. The clinical parameters, including heart rate, pulse rate, oxygen saturation, body temperature, and cardiac electrical activity via electrocardiogram (ECG) lead-II were recorded.
Findings showed that the performance of the SEMS-HIOT test device was similar and in the same range for all indices in each group and there were no significant differences compared to the performance of the control device (P0.05). Also, the ECG records measured with SEMS-HIOT and standard device indicate no significant differences (P0.05).
Our study showed that the cardiac indices as well as ECG findings, which were measured with SEMS-HIOT and common standard devices confirmed the accuracy and reliability of the new telematics device for monitoring patients with cardiac diseases.
远程医疗监测系统有助于对心律失常患者进行监测，从而降低需要紧急干预的个体的死亡率和并发症。因此，有必要评估新型远程医疗设备并将其与标准设备进行比较。因此，本研究旨在评估和比较由巴博尔医科大学健康技术发展中心开发的新型远程监测系统——智能应急医疗系统-健康物联网（SEMS-HIOT）在不同心律失常患者中的表现，并将其与标准设备进行比较。
在本病例对照研究中，60名患者被分为六个最常见的心律失常组（每组n = 10且性别均衡），即心房颤动、室性心动过速、阵发性室上性心动过速、室性早搏、房性心动过速和房性早搏。另外，20名无任何心律失常（正常心律）的健康个体（包括10名男性和10名女性）被视为对照组。使用三台类似的SEMS-HIOT设备作为测试设备，一台标准心脏监测设备作为对照设备。记录临床参数，包括心率、脉率、血氧饱和度、体温以及通过心电图（ECG）II导联记录的心脏电活动。
研究结果表明，SEMS-HIOT测试设备在每组所有指标上的表现相似且处于相同范围，与对照设备的表现相比无显著差异（P>0.05）。此外，用SEMS-HIOT和标准设备测量的心电图记录也无显著差异（P>0.05）。
我们的研究表明，用SEMS-HIOT和普通标准设备测量的心脏指标以及心电图结果证实了这种新型远程信息处理设备在监测心脏病患者方面的准确性和可靠性。
