Tong D A, Gajjala V, Widman L E
Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, USA.
Proc Annu Symp Comput Appl Med Care. 1995:601-5.
Health care practitioners are often faced with the task of interpreting complex heart rhythms from electrocardiograms (ECGs) produced by 12-lead ECG machines, ambulatory (Holter) monitoring systems, and intensive-care unit monitors. Usually, the practitioner caring for the patient does not have specialized training in cardiology or in ECG interpretation; and commercial programs that interpret 12-lead ECGs have been well-documented in the medical literature to perform poorly at analyzing cardiac rhythm. We believe that a system capable of providing comprehensive ECG interpretation as well as access to online consultations will be beneficial to the health care system. We hypothesized that we could develop a client-server based telemedicine system capable of providing access to (1) an on-line knowledge-based system for remote diagnosis of cardiac arrhythmias and (2) an on-line cardiologist for real-time interactive consultation using readily available resources on the Internet. Furthermore, we hypothesized that Macintosh and Microsoft Windows-based personal computers running an X server could function as the delivery platform for the developed system. Although we were successful in developing such a system that will run efficiently on a UNIX-based work-station, current personal computer X server software are not capable of running the system efficiently.
医疗从业者常常面临解读由12导联心电图机、动态（Holter）监测系统和重症监护病房监测仪所产生的复杂心律的任务。通常，照顾患者的从业者并未接受过心脏病学或心电图解读方面的专业培训；而且医学文献中已有充分记录表明，用于解读12导联心电图的商业程序在分析心律方面表现不佳。我们认为，一个能够提供全面心电图解读以及在线会诊渠道的系统将对医疗系统有益。我们假设能够开发出一个基于客户端 - 服务器的远程医疗系统，该系统能够提供对（1）用于远程诊断心律失常的在线知识系统以及（2）使用互联网上现成资源进行实时交互式会诊的在线心脏病专家的访问。此外，我们假设运行X服务器的基于Macintosh和微软Windows的个人计算机可以作为所开发系统的交付平台。尽管我们成功开发出了这样一个能在基于UNIX的工作站上高效运行的系统，但当前的个人计算机X服务器软件无法高效运行该系统。
