A wearable real-time telemonitoring electrocardiogram device compared with traditional Holter monitoring

作     者：Qin Shen Jianqing Li Chang Cui Xingyao Wang Hongxiang Gao Chengyu Liu Minglong Chen Qin Shen;Jianqing Li;Chang Cui;Xingyao Wang;Hongxiang Gao;Chengyu Liu;Minglong Chen

作者机构：Department of Cardiologythe First Affiliated Hospital of Nanjing Medical UniversityNanjingJiangsu 210029China School of Biomedical Engineering and InformaticsNanjing Medical UniversityNanjingJiangsu 211166China School of Instrument Science and EngineeringSoutheast UniversityNanjingJiangsu 210096China 

出 版 物：《The Journal of Biomedical Research》 (生物医学研究杂志（英文版）)

年 卷 期：2021年第35卷第3期

页      面：238-246页

核心收录：

学科分类：0831[工学-生物医学工程（可授工学、理学、医学学位）] 08[工学] 1010[医学-医学技术（可授医学、理学学位）] 10[医学] 

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 

主　　题：wearable ECG device Holter real-time remote ECG monitoring 

摘      要：Arrhythmias are very common in the healthy populations as well as patients with cardiovascular *** them,atrial fibrillation(AF)and malignant ventricular arrhythmias are usually associated with some clinical *** diagnosis of arrhythmias,particularly AF and ventricular arrhythmias,is very important for the treatment and prognosis of *** is a gold standard commonly recommended for noninvasive detection of paroxysmal ***,it has some shortcomings such as fixed detection timings,delayed report and inability of remote real-time *** 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 *** this study,31 patients were recruited and 24-hour synchronous ECG data by H3-ECG and Holter were *** 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 *** 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)(P0.05).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%,***,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.