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目的同期比较远程心电诊断中心和三级医院心电图室,起搏心电图的占有率和起搏器障碍的检出率。方法 2015年4月16日~2015年7月15日,上海交通大学远程心电诊断中心(简称诊断中心)和上海交通大学医学院附属瑞金医院心脏科心电图室(简称心电图室),所有数字化心电图数据入选统计分析。结果诊断中心心电图检查共262399人次,其中检出起搏心电图共841人次(773例病例),占0.32%,心电图室心电图检查共29214人次,其中检出起搏心电图共236人次(155例病例),占0.81%,心电诊断中心起搏心电图占有率显著低于心电图室(p=0.000);诊断中心检出起搏器故障共23例(2.98%),心电图室检出起搏器故障共3例(1.94%),诊断中心起搏器故障检出率高于心电图室,但无统计学差异(p=0.602)。结论远程心电诊断中心起搏心电图的实际病例数高,检出起搏器故障高,远程心电诊断在起搏术后管理中有重要的价值。
Objectives To compare the occupancy rate of electrocardiogram room, pacemaker electrocardiogram and the detection rate of pacemaker obstacle in remote ECG diagnosis center and tertiary hospital during the same period. Methods From April 16, 2015 to July 15, 2015, the tele-diagnosis center of Shanghai Jiao Tong University (referred to as diagnostic center) and the cardiology department ECG room of Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine (abbreviated ECG room), all digital electrocardiogram Data included in statistical analysis. Results A total of 262399 ECGs were detected in the diagnostic center, of which 841 (773 cases) were detected pacing electrocardiogram, accounting for 0.32%, electrocardiogram electrocardiogram examination of a total of 29214 people, of which 236 were detected pacing electrocardiogram (155 cases) , Accounting for 0.81%. The occupancy rate of electrocardiogram diagnosis center was significantly lower than that of electrocardiogram room (p = 0.000). There were 23 cases (2.98%) of pacemaker failure in diagnosis center and pacemaker failure in electrocardiogram room Three cases (1.94%) had higher rate of pacemaker failure in the diagnostic center than in the ECG room, but there was no significant difference (p = 0.602). CONCLUSIONS: The actual number of pacing ECG in the remote ECG diagnosis center is high, the pacemaker detection is high, and the remote ECG diagnosis is of great value in the management after pacing.