The Realization of Ubiquitous 12-Lead ECG Diagnosis in Emergency Telemedicine

Abstract

This study presents an e-technology to realize a mobile 12-lead electrocardiography (ECG) information system capable of providing clinicians with ubiquitous 12-lead ECG diagnoses. Until now, there has been limited information on mobile systems that can exchange information with clinically used 12-lead ECG for emergency telemedicine. The development of mobilized 12-lead ECG diagnoses in clinical practice is impeded by the heterogeneous 12-lead ECG file formats and compressed ECG waveform data. In this study, clinically used Standard Communications Protocol ECG and Extensible Markup Language ECG interpreters were developed to extract compressed 12-lead ECG waveform data. A 12-lead ECG database server connecting with a hospital information system was then built to collect 12-lead ECG files and related clinical data. Additionally, a mobile 12-lead ECG database was implemented on mobile phones for remote 12-lead ECG diagnoses. Clinical evaluations confirmed the usefulness of this mobile 12-lead ECG information system, which significantly improves the diagnostic accuracy and the performance of medical treatments in cardio-emergency telemedicine. In summary, this system facilitated ubiquitous 12-lead ECG diagnoses and enhanced the efficiency and service quality of emergency telemedicine.