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

家庭心血管医疗支撑体系建立研究

• 批准号: 15500339
• 负责人: HIRAI Makoto
• 金额: $ 2.05万
• 依托单位: Nagoya University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2003
• 资助国家: 日本
• 起止时间: 2003 至 2005
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-15500339/
• 关键词: In-home Medical Care; Standard 12-lead ECG; ECG-telemedicine; Home Nursing; Arrhythmia; VPN; 高度先進医療; 閉塞性動脈硬化症

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

互联网从患者的家到心脏病学到日本患者的ECG的立即报告，建立了互联网上的家庭心情图（ECG）的支持系统的目的。内部医疗保健。通过互联网访问的日本，我们的ECG系统发现了US -MAPER 12 -ECG系统的300 G，我们通过PHS建立了ECORD和报告系统。与她一起在互联网上，与她的互联网相关的PC，PC（PC）在HOMER NARDEN中。可以在她完成家庭护理之前的10分钟内与护士联系，并在现场向患者进行报告，如果没有特殊的软件，就无法查看数据。在这些患者中进行了多个专门的ECG记录

项目成果

Computerized three-dimensional potential mapping with a multielectrode basket catheter can be useful for pulmonary vein electrical disconnection.

使用多电极篮式导管进行计算机化三维电位测绘可用于肺静脉电断开。

• 发表时间: 2005
• 期刊: J Interv Card Electrophysiol 12
• 作者: Yamada T;Murakami Y;et al.
• 通讯作者: et al.

Diagnostic usefulness of postexercise systolic blood pressure response for detection of coronary artery disease in patients with echocardiographic left ventricular hypertrophy.

运动后收缩压反应对于超声心动图左心室肥厚患者冠状动脉疾病检测的诊断价值。

• 发表时间: 2004
• 期刊: Can J Cardiol 20
• 作者: Yamada K;Hirai M;et al.
• 通讯作者: et al.

Yamada T, Murakami Y, et al.: "Electrophysiological characteristics of ectopic Atrial tachycardia in the right pulmonary veins or Posterior right atrium"Journal of Cardiovascular Electrophysiology. (In press). (2004)

Yamada T、Murakami Y 等人：“右肺静脉或后右心房异位房性心动过速的电生理学特征”心血管电生理学杂志。

Electrophysiologcal characteristics of ectopic Atrial tachycardia in the right pulmonary veins or Posterior right atrium

右肺静脉或右心房后异位房性心动过速的电生理特征

• 发表时间: 2004
• 期刊: Journal of Cardiovascular Electrophysiology 15
• 作者: Yamada T;Murakami Y;et al.
• 通讯作者: et al.

Diagnostic usefulness of postexercise systolic blood pressure response for detection of coronary artery disease in patients with echocardiographic left

运动后收缩压反应对左超声心动图患者冠心病检测的诊断价值

• 发表时间: 2004
• 期刊: Can J Cardiol 20
• 作者: Yamada K;Hirai M;et al.
• 通讯作者: et al.