Abstract
Objective: In addition to ambulatory Holter electrocardiographic recording and transtelephonic electrocardiographic monitoring (TTM), a cardiac remote monitoring system can provide an automatic warning function through the general packet radio service (GPRS) network, enabling earlier diagnosis, treatment and improved outcome of cardiac diseases. The purpose of this study was to estimate its clinical significance in preventing acute cardiac episodes. Methods: Using 2 leads (V1 and V5 leads) and the automatic warning mode, 7160 patients were tested with a cardiac remote monitoring system from October 2004 to September 2007. If malignant arrhythmias or obvious ST-T changes appeared in the electrocardiogram records was automatically transferred to the monitoring center, the patient and his family members were informed, and the corresponding precautionary or therapeutic measures were implemented immediately. Results: In our study, 274 cases of malignant arrhythmia, including sinus standstill and ventricular tachycardia, and 43 cases of obvious ST-segment elevation were detected and treated. Because of early detection, there was no death or deformity. Conclusions: A cardiac remote monitoring system providing an automatic warning function can play an important role in preventing acute cardiac episodes.
Highlights
IntroductionAcute cardiac episodes, including acute coronary artery syndrome and malignant arrhythmia, are the leading causes of sudden cardiac death (SCD).[1,2] Seventy percent of these patients do not receive the early diagnosis and treatment that would prevent death.[3,4] The effective prevention of acute cardiac episodes has become an investigative focus among researchers all over the world.[5,6,7,8] Following the development of ambulatory Holter electrocardiographic recording and transtelephonic electrocardiographic monitoring (TTM), cardiac remote monitoring systems were researched widely and applied in clinical practice.[9,10,11,12,13] ambulatory Holter electrocardiographic recording can only be used to analyze recordsShou-Qiang Chen et al.retrospectively.[14]
We discovered 274 cases of malignant arrhythmias, including 87 cases of serious sinus standstill (Fig.2) and 5 cases of sustained ventricular tachycardia (Fig.3), informed the patient immediately
The major risk factor for sudden cardiac death (SCD) is the presence of coronary artery disease, usually accompanied by a reduced ejection fraction
Summary
Acute cardiac episodes, including acute coronary artery syndrome and malignant arrhythmia, are the leading causes of sudden cardiac death (SCD).[1,2] Seventy percent of these patients do not receive the early diagnosis and treatment that would prevent death.[3,4] The effective prevention of acute cardiac episodes has become an investigative focus among researchers all over the world.[5,6,7,8] Following the development of ambulatory Holter electrocardiographic recording and transtelephonic electrocardiographic monitoring (TTM), cardiac remote monitoring systems were researched widely and applied in clinical practice.[9,10,11,12,13] ambulatory Holter electrocardiographic recording can only be used to analyze recordsShou-Qiang Chen et al.retrospectively.[14]. TTM can provide real-time monitoring, but it is limited to a certain extent because it transfers electrocardiogram records through only an immobile telephone.[15,16]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
