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门诊患者抗心律失常治疗的电话远程调整

Transtelephone adjustment of antiarrhythmic therapy in ambulatory patients.

作者信息

Hasin Y, David D, Rogel S

出版信息

Cardiology. 1978;63(4):243-51. doi: 10.1159/000169903.

DOI:10.1159/000169903
PMID:657175
Abstract

The electrocardiograms of 80 ambulatory patients receiving antiarrhythmic therapy were supervised with the help of a transtelephone monitoring system. The patients used a pocket-size modulator and reported several times daily to the receiving center integrated into the intensive cardiac care unit. The surveillance lasted for 5-28 days during which various drugs in varying dosages were administered to suppress or prevent dysrhythmias. In 94% of the patients, a satisfactory therapeutic achievement was obtained. The transtelephone system provides easy diagnosis, immediate pattern recognition, direct and frequent contact with the ambulatory patient and long periods of follow-up. During this time, the proper antiarrhythmic agent can successfully be defined, its effective dose can safely be determined and unnecessary hospitalization can thus be prevented.

摘要

借助遥测电话监测系统,对80例接受抗心律失常治疗的门诊患者的心电图进行了监测。患者使用袖珍型调制器,每天向重症心脏病监护病房的接收中心报告几次。监测持续5 - 28天,在此期间给予不同剂量的各种药物以抑制或预防心律失常。94%的患者获得了满意的治疗效果。遥测电话系统提供了易于诊断、即时模式识别、与门诊患者直接且频繁的联系以及长时间的随访。在此期间,可以成功确定合适的抗心律失常药物,安全地确定其有效剂量,从而避免不必要的住院治疗。

相似文献

1
Transtelephone adjustment of antiarrhythmic therapy in ambulatory patients.门诊患者抗心律失常治疗的电话远程调整
Cardiology. 1978;63(4):243-51. doi: 10.1159/000169903.
2
[The dynamic electrocardiogram in the diagnosis of arrhythmias].[动态心电图在心律失常诊断中的应用]
G Ital Cardiol. 1981;10(Suppl 2):12-7.
3
[Dynamic electrocardiography in ambulatory cardiology practice].[动态心电图在门诊心脏病学实践中的应用]
Boll Soc Ital Cardiol. 1980;25(6):611-8.
4
Diagnostic and therapeutic assessment by telephone electrocardiographic monitoring of ambulatory patients.通过对门诊患者进行电话心电图监测进行诊断和治疗评估。
Br Med J. 1976 Sep 11;2(6036):609-12. doi: 10.1136/bmj.2.6036.609.
5
Transtelephonic electrocardiographic transmission for management of cardiac arrhythmias.
Am J Cardiol. 1986 Nov 1;58(10):1021-4. doi: 10.1016/s0002-9149(86)80031-5.
6
Electrocardiographic monitoring in ambulatory patients with cardiac arrhythmias.动态心律失常患者的心电图监测。
Cardiol Clin. 1983 May;1(2):293-304.
7
The contributions of ambulatory ECG.
Geriatrics. 1979 Dec;34(12):60-8.
8
[Preparation of the patient for ambulatory monitoring of the electrocardiogram].
G Ital Cardiol. 1981;10(Suppl 2):43-7.
9
Ambulatory electrocardiographic monitoring. Technique and clinical indications.动态心电图监测。技术与临床应用指征。
JAMA. 1976 Aug 2;236(5):494-5.
10
Long-term antiarrhythmic therapy in survivors of prehospital cardiac arrest. Initial 18 months' experience.院外心脏骤停幸存者的长期抗心律失常治疗。最初18个月的经验。
JAMA. 1977 Dec 12;238(24):2621-4.

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Transtelephonic electrocardiographic monitoring for detection and treatment of cardiac arrhythmia.通过电话传输进行心电图监测以检测和治疗心律失常。
Postgrad Med J. 1990 Feb;66(772):110-2. doi: 10.1136/pgmj.66.772.110.