Hasin Y, David D, Rogel S
Br Med J. 1976 Sep 11;2(6036):609-12. doi: 10.1136/bmj.2.6036.609.
The electrocardiograms of ambulatory patients have been monitored over the telephone by staff of the intensive cardiac care unit using equipment in the unit. Telephone monitoring is a useful way of diagnosing transient symptomatic arrhythmias and a reliable aid in supervising the patient's rhythm at the beginning or end of treatment. The doctor has direct contact with the patient at the time of his symptoms so that he can reassure or instruct him. This system costs relatively little in manpower and equipment and permits relatively long periods of follow-up. It is effective, however, only in symptomatic cases in which the rate or rhythm disturbances last long enough to be transmitted. Also important are the negative findings when the patient complains of symptoms and abnormal findings during routine telephone transmissions. Accurate detection of transient ischaemic changes seems to be less reliable, and further technical improvements are required.
心脏重症监护病房的工作人员使用病房内的设备，通过电话对门诊患者的心电图进行了监测。电话监测是诊断短暂性症状性心律失常的一种有用方法，也是在治疗开始或结束时监测患者心律的可靠辅助手段。在患者出现症状时，医生可直接与患者联系，从而能够安慰或指导患者。该系统在人力和设备方面成本相对较低，并允许进行较长时间的随访。然而，它仅对那些心律或节律紊乱持续时间足够长以进行传输的症状性病例有效。同样重要的是，当患者在常规电话传输过程中抱怨有症状和出现异常结果时的阴性发现。对短暂性缺血变化的准确检测似乎不太可靠，需要进一步的技术改进。
