Abstract
Currently, a number of manufacturers offer devices for self-registration of ECG and other parameters of the cardiovascular system (CVS) by patients and signal analysis using telemedicine technologies. This makes it possible to create medical services based on mobile remote monitoring. The purpose of the article: a review of existing telemedicine solutions for individual ECG recording and related mobile applications and server-side data analysis software for assessing applicability in functional diagnostics and cardiology services. The article highlights the history of the development of methods for telemedicine analysis of ECG, provides a comparative review of modern solutions for medical cardioregistration. Findings. 1. Individual ECG telemonitoring is a promising technology that is comparable in terms of diagnostic capabilities to assess cardiac rhythm disturbances with Holter ECG monitoring and multifunctional monitoring implanted with ECG loopback recorders. The main vector of development of individual ECG telemonitoring systems is related to the automation of ECG analysis both on the server side and in the patient’s mobile application, for this the application of artificial intelligence and big data (bigdata) is promising. 2. Telecardiogram of an electrocardiogram promotes closer contact of the patient and medical service at the minimum expenses of time for such interaction.
Highlights
Summary Currently, a number of manufacturers offer devices for self-registration of ECG and other parameters of the cardiovascular system (CVS) by patients and signal analysis using telemedicine technologies. This makes it possible to create medical services based on mobile remote monitoring
The article highlights the history of the development of methods for telemedicine analysis of ECG, provides a comparative review of modern solutions for medical cardioregistration
Individual ECG telemonitoring is a promising technology that is comparable in terms of diagnostic capabilities to assess cardiac rhythm disturbances with Holter ECG monitoring and multifunctional monitoring implanted with ECG loopback recorders
Summary
Ш. Халфен предложил концепцию «аутотрансляции ЭКГ», которая была реализована в виде комплекта выпускавшейся аппаратуры для регистрации 4 отведений ЭКГ, частотной модуляции сигнала и передачи на приемную станцию, совместимую с выпускавшейся в то время серийно системой «Волна» [4]. В отличии от системы «Волна», которая массово применялась в СССР для дистанционной передачи и консультирования «обычных» ЭКГ [5], аутотрасляция ЭКГ не получила широкого распространения. Система в целом позиционировалась как средство обеспечения амбулаторной ЭКГ-верификации состояния пациента, находящегося под наблюдением кардиолога Недостаток таких систем — число одновременно наблюдаемых пациентов. Несмотря на очевидное преимущество телефона — одновременная возможность осуществления передачи ЭКГ и диалога с пользователем системы — есть существенное ограничение числа одновременно обрабатываемых звонков. Время консультации одного пациента врачом определяет пропускную способность приемного центра в целом
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