Remote ECG Monitoring Research Articles

P1461Assessment of remote heart rhythm and arterial blood pressure sampling in professional drivers of public transport

Abstract Background Atrial fibrillation (AF) and arterial hypertension are two main causes of stroke. Therefore, screening for these diseases is essential in population and especially in people which professions is related to public safety. Purpose The aim of this study was to estimate the prevalence of newly cases of AF and hypertension in professional drivers of public transport working in Moscow. Methods From August to September 2018 480 professional drivers of public transport were enrolled in the study. All of them were screened with CardioQVARK monitor attached to iPhone to obtain 1-channel ECGs and photoplethysmograms. Blood pressure was calculated by using waveform and spectral analysis of photoplethysmograms. All ECGs were analyzed automatically and checked by experienced cardiologist. Outpatient counseling was provided to drivers with detected atrial fibrillation or hypertension. During this visit ECG and blood pressure were measured to confirm the remote monitoring results. Results Among 480 professional drivers 97,9% (n=470) were male and 2,1% (n=10) female, mean age was 47 years (min – 20, max – 67). 44,6% (n=214) were active smokers and 29,8% (n=143) were obese. We diagnosed 5 new cases of atrial fibrillation (1%) and 187 (39%) new cases of hypertension. Patients with newly diagnosed AF were male, three of them had newly diagnosed hypertension and CHA2DS2-VASc score – 1. So, in three cases oral anticoagulants therapy was started. The prevalence of hypertension in patients with newly AF was higher (p<0,0001). In patients with newly diagnosed hypertension 29,2% (n=140) were in grade 1, 8,3% (n=40) – in grade 2 and 1,5% (n=7) – in grade 3 respectively. These patients were significantly older (p<0,0001) and obese (p<0,0001). Antihypertensive therapy was started in all cases. Conclusion Although the professional drivers of public transport in Moscow had annually and every day medical check-up, it had been possible to evaluate new cases of AF and hypertension by using remote heart rate and photoplethysmogram monitoring. Remote monitoring of ECG and blood pressure (BP) is useful tool for screening AF and hypertension especially in people which work activities is concerned with public safety. The remote monitoring of ECG and BP in this category had great social and economic outcomes.

Effects of home-based cardiac exercise rehabilitation with remote electrocardiogram monitoring in patients with chronic heart failure: a study protocol for a randomised controlled trial

IntroductionPatients with chronic heart failure (CHF) can benefit from exercise rehabilitation (ER) with significant improvements in exercise capacity, quality of life and reduction in hospitalisations. Despite its reported benefits, only...

Diagnostic utility of long-term remote ECG monitoring in compare with 24 hour Holter monitoring in patients with atrial fibrillation after catheter radiofrequency ablation in the early postoperative period.

To evaluate the diagnostic utility of long-term remote monitoring of ECG compared with 24 hour Holter monitoring for the detection of cardiac arrhythmias and conduction disturbance in patients with atrial fibrillation (AF) after catheter radiofrequency ablation (RFA; isolation) of the pulmonary veins. The study included 62 patients aged 58.5±11.1 years, with paroxysmal or persistent AF, after catheter RFA (pulmonary veins isolation). Patients underwent long-term remote ECG monitoring, 24 hour Holter monitoring and transthoracic echocardiogram. After 24 hour Holter monitoring of 62 patients with AF after RFA in 21 of them (33.9%) was detected early recurrence of AF. Remote ECG monitoring of 18 patients, detected AF in 7 patients (39%), 2 of them were asymptomatic AF recurrence. 24 hour Holter monitoring of the same 18 patients AF recurrence was not detected at all (0%). Both of devices, long-term remote monitoring of ECG and 24 hour Holter monitoring detected 45.2% of recurrence of AF. Over the wearing of both devises 24 hour Holter and long-term remote monitor the last detected more events among 18 patients (33% vs 0%). Two evens of AF recurrence were asymptomatic.

The future of remote ECG monitoring systems.

Remote ECG monitoring systems are becoming commonplace medical devices for remote heart monitoring. In recent years, remote ECG monitoring systems have been applied in the monitoring of various kinds of heart diseases, and the quality of the transmission and reception of the ECG signals during remote process kept advancing. However, there remains accompanying challenges. This report focuses on the three components of the remote ECG monitoring system: patient (the end user), the doctor workstation, and the remote server, reviewing and evaluating the imminent challenges on the wearable systems, packet loss in remote transmission, portable ECG monitoring system, patient ECG data collection system, and ECG signals transmission including real-time processing ST segment, R wave, RR interval and QRS wave, etc. This paper tries to clarify the future developmental strategies of the ECG remote monitoring, which can be helpful in guiding the research and development of remote ECG monitoring.

Study on the Impacts of remote real-time transmission 12-lead electrocardiogram system on door-to- balloon time in patients with ST-segment elevation myocardial infarction

Objective This study was aimed to evaluate the remote real-time transmission 12-lead electrocardiogram system on door-to-balloon time in patients with ST-segment elevation myocardial infarction. Methods We retrospectively analyzed the consecutive patients with STEM I who had accepted primary percutaneous coronary intervention (PCI) in the chest pain center of our hospital from February 2012 to July 2012. The study group consisted of patients with pre-hospital ECG, while the control group included patients without pre-hospital ECG, Their door-to-balloon time and door-to-catheter room time, mortality w ere compared. Results Totally 60 consecutive patients who had received primary PC I for STEMI were evaluated. Among them, 35 patients were hospitalized with pre-hospital ECG while the other 25 patients without ECG. The Pre-hospital ECG was associated with a significantly shorter median door-to-balloon time (38 min vs. 94min; P 0.05), Significant difference was seen in the median hospital time in study group (5 compared with control group (7day) (5 day vs. 7 day ; P <0.01). Conclusions The remote real-time transmission 12-lead electrocardiogram system is associated with a significantly shorter door-to- balloon time in STEMI patients. The remote real-time transmission 12-lead electrocardiogram system is recommended in patients suspected STEMI. Key words: Acute ST-segment elevation myocardial infarction; Pre-hospital electrocardiogram; Door-to-balloon time; Electrocardiogram/remote-electrocardiogram; Real-time; Tele-medicine; Remote ECG monitoring; Wireless/3G; Pre-hospital diagnosis

Remote Real-Time ECG Monitoring System Based on 3G Network

In order to meet the flexibility and real-time of the remote ECG monitoring system and other application requirements, a design proposal of a remote real-time ECG monitoring system based on 3G chip is presented in this paper. ARM9-based embedded control chip S3C2440 is chosen as the core and 3G module SIM5218 embedded TCP / IP protocol stack is used to transmit ECG data of the system which has functions of displaying the real-time ECG waveform and alarming. Thus, the real-time transmission of the large ECG data from the user to the monitoring center has been accomplished in this system. The research of the system provides convenience for the timely rescue of patients with cardiovascular disease.

Study of the pre-hospital diagnostic reliability of real-time tele-transmission of 12-lead electrocardiogram of patients with acute ST-segment elevated myocardial infarction

Objective To evaluate the pre-hospital diagnostic reliability of real-time tele-transmission of 12-lead electrocardiogram of patients with ST-segment elevated acute myocardial infarction (STEMI).Methods The 12-lead electrocardiogram was simultaneously recorded with real-time tele-transmission system and a conventional electrocardiograph in 40 STEMI cases.The width and amplitude of each wave,the deviated amplitude of ST-segment in the same leads were compared by t-test and rank-sum test.Results There were no statistical differences in the width and amplitude of P wave,QRS wave and t wave as well as the deviated altitude of ST-segment between the two separate electrocardiographs (P ＞0.05).There was a significant positive correlation between the two ECG devices in respect of ST-segment elevated altitude (r =0.912,P =0.000).The differential ability of ST-segment elevation between two separate ECG devices kept highly consistent (Kappa value:0.976).Conclusions Real-time tele-transmission of 12-lead electrocardiogram is reliable for the pre-hospital diagnosis of STEMI. Key words: Acute myocardial infarction; Electrocardiogram/remote-electrocardiogram; Real-time ; Tele-medicine; Remote ECG monitoring; Wireless/3G; Bluetooth ; Pre-hospital diagnosis; Reliability ; Accuracy

Design of Mobile Remote ECG Monitoring System Based on 3G

This paper presents a mobile remote ECG monitoring system based on 3G. The system combines 3G wireless communication technology and traditional Holter monitoring technology to meet the development of monitoring technology and equipment. Without affecting the patients’ normal life, system guardian real-time monitoring of patients ECG parameters and alarm to abnormal heart activity of patients in a timely manner. What’s more, with the help of 3G, system can upload the abnormal ECG data to the analysis of monitoring platform for doctors, who provided the correct diagnostic and monitoring guidance and feedback to patients.

Study on diagnosis to remote ECG monitoring for arrhythmia

Objective To investigate the application value of remote ECG monitoring for arrhythmia diagnosis.Methods From April 2010 to December 2011, 80 cases of arrhythmia patients treated in our hospital were.chosen,at first,each patient had a 24-hour Holter monitoring.After the end of Holter monitoring,80 patients had the remote ECG monitoring, then we analyzed the ECG data of the two monitoring methods.Arthythmia detection rates of the two methods were calculated.The arrhythmia detection rates were compared and the types of arrhythmia were analyzed.Results The arrhythmia detection rate of 24-hour ambulatory ECG was 52.5％,3 cases were detected irregular arrhythmia; the detection rate of remote ECG monitoring was 86.3％,2 cases detected irregular arrhythmia(P ＜ 0.05).Conclusion Remote ECG monitoring can not only bring convenience to the arrhythmia diagnosis,but also has a higher detection rate,a certain detection to irregular heart rate.It is a strong complement of hospital routine heart rate diagram check and 24-hour Holter.So remote ECG monitoring has a great significance in the clinical diagnosis of abnormal heart rhythms. Key words: Remote ECG testing; Arrhythmia; Diagnosis

Remote fetal ECG monitoring and outpatient labour induction

AimTo evaluate the feasibility of trans-abdominal fetal ECG (aECG) monitoring with portable device (MONICA AN24) during outpatient labour induction.MethodsLow risk post-term women induced with slow release PG E2 pessaries (10...

12-Lead Remote ECG Monitoring in Follow-Up of Pulmonary Vein Ablation

12-Lead Remote ECG Monitoring in Follow-Up of Pulmonary Vein Ablation

An implantable radio-telemetry system for remote monitoring of heart rate and deep body temperature in poultry

Abstract A radiotelemetry system for the remote monitoring and recording of ECG, heart rate and deep body temperature in poultry is described. The design of the package affords simple surgical implantation of the transmitter and sensors without interference with the animal's normal physiological function or behaviour. Evaluation of the system under laboratory conditions demonstrated accurate and reliable transmission and recording of the physiological signals, at ranges up to 10 m, during control periods and exposure to thermal stress. It is proposed that the system will prove particularly valuable in the continuous monitoring of physiological responses of unrestrained animals to both acute and chronic exposure to environmental stressors. Whilst intended for specific use in poultry, the system may find applications in many other species.