A New System Dedicated to Real-time Cardiac Arrhythmias Tele-assistance and Monitoring
A New System Dedicated to Real-time Cardiac Arrhythmias Tele-assistance and Monitoring
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DOI：
10.3217/jucs-012-01-0030
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发表时间：
2006
期刊：
影响因子：
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通讯作者：
Haiying Zhou;K. Hou;L. Gineste;C. D. Vaulx;J. Ponsonnaille
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文献类型：
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作者：
Haiying Zhou;K. Hou;L. Gineste;C. D. Vaulx;J. Ponsonnaille
法国每年有6万多人死于心律失常。目前用于诊断心律失常的技术如霍尔特、R.TEST和遥测系统由于监测持续时间的限制而部分有效。本文介绍了一种新型的心律失常远程实时辅助监测系统。该系统一般由无线心电传感器、本地接入单元、远程中心服务器和远程监控终端4个主要配置单元组成。该系统的主要技术挑战包括三个方面：实时自动心电诊断算法，嵌入式实时多任务操作系统，实时可靠的远程医疗通信协议。本文针对这些问题给出了解决方案，并详细说明了技术细节。目前，该系统已在法国克莱蒙-费兰德Gabriel Montreal医院的CHRU对30名患者进行了评估，并用于测试运动员在体育锻炼期间的心脏状态。性能测试结果表明，该系统完全满足实时心脏监测和诊断应用的要求，可以作为长期的心脏保健设备。
More than 60,000 people die suddenly each year in France due to cardiac arrhythmias. The current techniques used to diagnose cardiac arrhythmias such as HOLTER, R.TEST and telemetry system are partially efficient owing to the limitation of the duration of monitoring. This paper presents a new system dedicated to real-time cardiac arrhythmias tele- assistance and monitoring. This system is generally composed of 4 main configurable elements: wireless ECG sensor, local access unit, remote centre server, and remote surveillance terminal. The main technical challenges of this system include three aspects: a real-time automatic ECG diagnostic algorithm, an embedded real-time multi-task operating system, and a real-time reliable telemedicine communication protocol. This paper gives our solutions to these problems and specifies the technical details. Currently, this system has been evaluated on thirty patients at the CHRU of Gabriel Montpied hospital (Clermont-Ferrand, France) and also been used to test the athletes' cardiac status during the physical exercises. The performance results show that this system meets fully the requirements of real-time cardiac monitoring and diagnosing application and can be used as a long-term cardiac healthcare equipment.