AKM-N1型携带式远程实时心电监测仪在心律失常诊断中应用.docVIP

携带式远程实时心电监测仪在心律失常诊断中的应用 韩智红 任学军 王云龙 汪烨 聂建明 宋月洁 摘要 目的 通过与动态心电图（Holter）记录的心电图比较，检验携带式远程实时心电检测仪（AKM-N1型，简称心电检测仪）临床应用的价值。方法 选取2011 年 10月～11月在北京安贞医院心内科住院和门诊以心律失常为主要表现的心脏病患者36例。所有入选患者同时行心电检测仪和Holter监测，比对两者同步记录的心电图数据（包括P波时限、PR间期、QRS波群时限、QT间期、RR间期、有无伪差与干扰、有无心律失常及心律失常类型）是否一致。两组分别选取相同时间点比对上述参数，包括记录的第10 min、20 min、30 min、40 min、50 min开始的30秒心电数据，以及在受试者心脏不适或临床医生指示的情况下，2次同步按压两者的“捕捉键”进行心电捕捉的30秒记录。结果 36例患者中男性21例，女性15例。平均年龄43.0±14.8岁（23-70岁）。29例检测到心律失常。两种检测方法得到的不同时间的P波时限、QRS波群时限、PR间期、QT间期与RR间期无差异，两种检测方法检出心律失常的情况高度关联（P0.001），检出心律失常的比例无差异（P=1.0）。两种检测方法出现伪差与干扰的比例无差别，但出现伪差与干扰的情况的关联性不肯定。临床试验过程无不良反应。 结论 携带式远程实时心电监测仪（AKM-N1型）获得的心电数据准确，对心律失常的诊断能力与Holter相当，借助网络传输，可及时指导患者治疗。 关键词 心电图；检测技术；远程医疗 作者单位：100029，首都医科大学附属北京安贞医院-北京市心肺血管病研究所 通信作者：任学军 renxj@163.com 韩智红，女，42岁，主任医师，硕士生导师。主要研究方向：心律失常和心力衰竭的器械和药物治疗。 Application of portable remote real-time electrocardiogram monitor in cardiac arrhythmia diagnosis Han Zhihong ,Ren Xuejun, wang Yunlong, Wang Ye, Nie Jianming, Song Yuejie. Department of Cardiology, Capital Medical University affiliated Beijing Anzhen Hospital, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China Abstract Objective: To test the clinical value of AKM-N1 type portable remote real-time ECG monitor. Methods: 36 patients who were treated in Beijing An-Zhen Hospital from October to November in 2011 were involved. Arrhythmia was the main manifestation in these patients. All patients underwent real-time ECG test and Holter monitor at the same time. The ECG data (including the duration of P wave, PR interval, QRS duration, QT interval, RR interval, artifacts and interference, arrhythmia type) were compared. The parameters of the two groups in the same time-point were selected, including the 10th min, 20th min, 30th min, 40th min, 50th min after beginning, as well as two time-points when the “capture key” were pressed synchronously as subjects had heart discomfort or just after the instruction of doctors. Results: Of these 36 patients, 21 cases were male. The