Research on Establishment of Supporting System for In-Home Cardiovascular Medicine

本研究旨在建立心血管疾病居家医疗照护的支援系统，透过网际网路将12导联心电图由病人家中传送至心脏科医师，并即时将心电图报告给病人。在日本，比起医院护理，更喜欢家庭医疗护理的患者数量最近正在增加。然而，在家庭医疗护理下的患者中，ECG未被定期记录。由于家庭医疗护理的患者年龄较大且经常患有缺血性心脏病等心血管疾病，因此建立家庭患者护理的ECG记录和报告系统显得非常重要。起初，我们无法找到日本制造的具有互联网可访问性的移动的12导联心电图系统。我们发现美国制造的300 g移动的12导联心电图系统，可通过PHS访问互联网。我们建立了心电图记录和报告系统，包括：1。一名护士携带300 g的移动的12导联心电图系统和移动的p ...更多信息 个人电脑（PC）与她在家庭护理。2.护士在医生的指导下记录12导联心电图。3.记录的12导联ECG通过互联网从家庭护理中心发送到心脏病专家的PC。心脏病专家在办公室的PC或办公室外的移动的PC接收到12导联ECG报告后，立即通过便携式电话发送报告。这些项目得到了名古屋大学医学院伦理委员会的批准。通常，在护士完成家庭护理前10分钟内，心脏病专家的报告可以到达护士那里，她可以当场向患者简要解释心脏病专家的报告。数据用密码存储，此外，没有特殊软件无法查看数据。传输并报告了超过35个ECG。对几名患者进行了随访ECG记录。部分患者心电图出现ST-T改变和心律失常，为家庭医疗和家庭护理提供了有用信息。少

The purpose of this research was to establish the support system for in-home medical care of cardiovascular disease using transmission of 12-lead electrocardiograms (ECGs) by internet from patients' home to cardiologist with immediate report of ECGs to patients. In Japan, the number of patients who prefer in-home medical care to hospital care is increasing recently. However, ECGs are not recorded regularly in patients under in-home medical care. It seems to be important to establish ECG recording and reporting system for in-home patient care because patients under in-home medical care are aged and frequently suffering from cardiovascular disease such as ischemic heart disease. At first, we could not find mobile 12-lead ECG system made in Japan with internet accessibility. We found US-made mobile 12-lead ECG system of 300 g with internet accessibility by PHS. We established ECG record and reporting system as followings ; 1. A nurse carries mobile 12-lead ECG system of 300 g and mobile p … More ersonal computer (PC) with her in home nursing. 2. A nurse records 12-lead ECGs under the direction of a doctor. 3. Recorded 12-lead ECGs are sent from the site of home nursing to cardiologist's PC through internet. A cardiologist send report of 12-lead ECGs by portable phone immediately after receiving them by PC at office or mobile PC out of the office. These programs were approved by the ethical committee of Nagoya University School of Medicine. Usually a report from a cardiologist could be reached to the nurse within 10 min before she finished home nursing, and she could explain the report from a cardiologist briefly to the patient on the spot. Data were stored with Pass Word and, in addition, data cannot be viewed without special software. More than 35 ECGs were transmitted and reported. Follow up ECG recordings were performed in several patients. In those patients, some ECGs showed ST-T changes and arrhythmias, and provided useful information for in-home medical care and home nursing. Less