ECG monitoring in daily life is an important means of treating heart disease. To make it easier for the medical to monitor the ECG of their patients outside the hospital, we designed and developed an ECG monitoring an...ECG monitoring in daily life is an important means of treating heart disease. To make it easier for the medical to monitor the ECG of their patients outside the hospital, we designed and developed an ECG monitoring and alarming system based on Android smart phone. In our system, an ECG device collects the ECG signal and transmits it to an Android phone. The Android phone detects alarms which come from the ECG devices. When alarms occur, Android phone will capture the ECG images and the details about the alarms, and sends them to the cloud Alarm Server (AS). Once received, AS push the messages to doctors’ phone, so the doctors could see the ECG images and alarm details on their mobile phone. In our system, high resolution ECG pictures are transmitted to doctors’ phone in a user-friendly way, which can help doctors keep track of their patient’s condition easily.展开更多
Some heart diseases need long-term monitoring to diagnose. In this paper, we present a wearable single lead ECG monitoring device with low power consumption based on MSP430 and single-lead ECG front-end AD8232, which ...Some heart diseases need long-term monitoring to diagnose. In this paper, we present a wearable single lead ECG monitoring device with low power consumption based on MSP430 and single-lead ECG front-end AD8232, which could acquire and store patient’s ECG data for 7 days continuously. This device is available for long-term wearing with a small volume. Also, it could detect user’s motion status with an acceleration sensor and supports Bluetooth 4.0 protocol. So it could be expanded to be a dynamic heart rate monitor and/or sleep quality monitor combined with smart phone. The device has huge potential of application for health care of human daily life.展开更多
A portable and comfortable wireless ECG monitoring system composed of fabric electrodes and a monitoring terminal was proposed,which is essential to continuous ECG monitoring. The ECG signal acquired could be processe...A portable and comfortable wireless ECG monitoring system composed of fabric electrodes and a monitoring terminal was proposed,which is essential to continuous ECG monitoring. The ECG signal acquired could be processed and stored in the monitoring terminal. The HR was got and transmitted to any devices through a Bluetooth interface. The experimental results in resting and walking showed that the ECG monitoring system could acquire the ECG signal steadily,continuously and precisely.展开更多
目的探讨基于循证证据的标准化管理对重症加强护理病房(intensive care units,ICU)心电监护患者误警报率及护士警报疲劳的影响。方法随机选取2021年7月—2023年6月月福建医科大学附属泉州市第一医院中临床100台ICU心电监护仪器。2021年...目的探讨基于循证证据的标准化管理对重症加强护理病房(intensive care units,ICU)心电监护患者误警报率及护士警报疲劳的影响。方法随机选取2021年7月—2023年6月月福建医科大学附属泉州市第一医院中临床100台ICU心电监护仪器。2021年7月—2022年12月实施常规管理期间的临床50台ICU心电监护仪器纳为常规管理组,将2023年1—6月实施基于循证证据的标准化管理期间的临床50台ICU心电监护仪器纳为循证管理组。比较2组心电监护患者误警报率、报警能力处理评分和护士警报疲劳。结果循证管理组的心电监护仪器误警报率为16.13%,常规管理组为26.15%,差异有统计学意义(P<0.05)。循证管理组中护士报警能力处理评分较常规管理组高,差异有统计学意义(P<0.05)。循证管理组患者的ICU护士报警疲劳量表评分为(15.32±3.28)分,常规管理组为(21.56±4.64)分,差异有统计学意义(P<0.05)。结论基于循证证据的标准化管理可以降低ICU心电监护患者误警报率,提升护士处理能力,降低护士报警疲劳度。展开更多
Arrhythmias are very common in the healthy populations as well as patients with cardiovascular diseases.Among them,atrial fibrillation(AF)and malignant ventricular arrhythmias are usually associated with some clinical...Arrhythmias are very common in the healthy populations as well as patients with cardiovascular diseases.Among them,atrial fibrillation(AF)and malignant ventricular arrhythmias are usually associated with some clinical events.Early diagnosis of arrhythmias,particularly AF and ventricular arrhythmias,is very important for the treatment and prognosis of patients.Holter is a gold standard commonly recommended for noninvasive detection of paroxysmal arrhythmia.However,it has some shortcomings such as fixed detection timings,delayed report and inability of remote real-time detection.To deal with such problems,we designed and applied a new wearable 72-hour triple-lead H3-electrocardiogram(ECG)device with a remote cloud-based ECG platform and an expertsupporting system.In this study,31 patients were recruited and 24-hour synchronous ECG data by H3-ECG and Holter were recorded.In the H3-ECG group,ECG signals were transmitted using remote real-time modes,and confirmed reports were made by doctors in the remote expert-supporting system,while the traditional modes and detection systems were used in the Holter group.The results showed no significant differences between the two groups in 24-hour total heart rate(HR),averaged HR,maximum HR,minimum HR,premature atrial complexes(PACs)and premature ventricular complexes(PVCs)(P>0.05).The sensitivity and specificity of capture and remote automatic cardiac events detection of PACs,PVCs,and AF by H3-ECG were 93%and 99%,98%and 99%,94%and 98%,respectively.Therefore,the long-term limb triple-lead H3-ECG device can be utilized for domiciliary ECG self-monitoring and remote management of patients with common arrhythmia under medical supervision.展开更多
文摘ECG monitoring in daily life is an important means of treating heart disease. To make it easier for the medical to monitor the ECG of their patients outside the hospital, we designed and developed an ECG monitoring and alarming system based on Android smart phone. In our system, an ECG device collects the ECG signal and transmits it to an Android phone. The Android phone detects alarms which come from the ECG devices. When alarms occur, Android phone will capture the ECG images and the details about the alarms, and sends them to the cloud Alarm Server (AS). Once received, AS push the messages to doctors’ phone, so the doctors could see the ECG images and alarm details on their mobile phone. In our system, high resolution ECG pictures are transmitted to doctors’ phone in a user-friendly way, which can help doctors keep track of their patient’s condition easily.
文摘Some heart diseases need long-term monitoring to diagnose. In this paper, we present a wearable single lead ECG monitoring device with low power consumption based on MSP430 and single-lead ECG front-end AD8232, which could acquire and store patient’s ECG data for 7 days continuously. This device is available for long-term wearing with a small volume. Also, it could detect user’s motion status with an acceleration sensor and supports Bluetooth 4.0 protocol. So it could be expanded to be a dynamic heart rate monitor and/or sleep quality monitor combined with smart phone. The device has huge potential of application for health care of human daily life.
文摘A portable and comfortable wireless ECG monitoring system composed of fabric electrodes and a monitoring terminal was proposed,which is essential to continuous ECG monitoring. The ECG signal acquired could be processed and stored in the monitoring terminal. The HR was got and transmitted to any devices through a Bluetooth interface. The experimental results in resting and walking showed that the ECG monitoring system could acquire the ECG signal steadily,continuously and precisely.
文摘目的探讨基于循证证据的标准化管理对重症加强护理病房(intensive care units,ICU)心电监护患者误警报率及护士警报疲劳的影响。方法随机选取2021年7月—2023年6月月福建医科大学附属泉州市第一医院中临床100台ICU心电监护仪器。2021年7月—2022年12月实施常规管理期间的临床50台ICU心电监护仪器纳为常规管理组,将2023年1—6月实施基于循证证据的标准化管理期间的临床50台ICU心电监护仪器纳为循证管理组。比较2组心电监护患者误警报率、报警能力处理评分和护士警报疲劳。结果循证管理组的心电监护仪器误警报率为16.13%,常规管理组为26.15%,差异有统计学意义(P<0.05)。循证管理组中护士报警能力处理评分较常规管理组高,差异有统计学意义(P<0.05)。循证管理组患者的ICU护士报警疲劳量表评分为(15.32±3.28)分,常规管理组为(21.56±4.64)分,差异有统计学意义(P<0.05)。结论基于循证证据的标准化管理可以降低ICU心电监护患者误警报率,提升护士处理能力,降低护士报警疲劳度。
基金This research was funded by the Key Research and Development Plan of Jiangsu Province under grant BE2017735.Q.S.conceived the study and wrote the manuscript.Q.S.,C.C.,H.G.X.W.collected,analyzed,and interpreted the data.H.G.and X.W.contributed substantially to the development of ECG signal conversion Matlab software and remote automatic detection algorithm.J.L.,M.C.and C.L.revised the manuscript,evaluated and supervised the study.
文摘Arrhythmias are very common in the healthy populations as well as patients with cardiovascular diseases.Among them,atrial fibrillation(AF)and malignant ventricular arrhythmias are usually associated with some clinical events.Early diagnosis of arrhythmias,particularly AF and ventricular arrhythmias,is very important for the treatment and prognosis of patients.Holter is a gold standard commonly recommended for noninvasive detection of paroxysmal arrhythmia.However,it has some shortcomings such as fixed detection timings,delayed report and inability of remote real-time detection.To deal with such problems,we designed and applied a new wearable 72-hour triple-lead H3-electrocardiogram(ECG)device with a remote cloud-based ECG platform and an expertsupporting system.In this study,31 patients were recruited and 24-hour synchronous ECG data by H3-ECG and Holter were recorded.In the H3-ECG group,ECG signals were transmitted using remote real-time modes,and confirmed reports were made by doctors in the remote expert-supporting system,while the traditional modes and detection systems were used in the Holter group.The results showed no significant differences between the two groups in 24-hour total heart rate(HR),averaged HR,maximum HR,minimum HR,premature atrial complexes(PACs)and premature ventricular complexes(PVCs)(P>0.05).The sensitivity and specificity of capture and remote automatic cardiac events detection of PACs,PVCs,and AF by H3-ECG were 93%and 99%,98%and 99%,94%and 98%,respectively.Therefore,the long-term limb triple-lead H3-ECG device can be utilized for domiciliary ECG self-monitoring and remote management of patients with common arrhythmia under medical supervision.
