比较便携式心电监测仪HCG-801的家庭应用-流行病学和临床价值课件

1、Yuji Kasamaki*, Yukio Ozawa, Atsushi Sindo*, Masakatsu Ota*, Cheng Zuheng*, Mohamtei Masumu*, Yitong Ma*, Midori Masuno*, Kazuya Kusumoto*MJG Cardiovascular Institute, Saitama, Japan* Nihon University School of Medicine, Tokyo, Japan* Xinjiang Medical University, Xinjiang, China* OMRON HEALTHCARE Co

2、., Ltd., Kyoto, JapanEpidemiological and Clinical Usefulness of the Portable ECG Monitoring, HCG-801 for Home Use - Comparison with 12-lead ECGBackgroundNon-transmission portable ECG monitor has been recently developed for home use in Japan.Not only the monitor is easy to operate, but also periodica

3、l monitoring is possible for long periods. This has been leading doctors to early detection and diagnosis of arrhythmia or angina, which is difficult with Holter monitoring. Based on the usage experience in a joint research conducted in the western region of China, usefulness of HCG-801 (OMRON HEALT

4、HCARE Co., Ltd.) as a screening tool for cardiovascular diseases will be discussed.HCG-801Non-transmission type of portable ECG for home useInduction system: bipolar single channel * recommended to record with right hand at V4Heart rate range: 2 to 200 beats/min.Accuracy: bandwidth 0.05 to 40Hz samp

5、ling rate 125HzOperation of HCG-801Turn the unit on.Hold the unit with right hand.Place the index finger on the finger electrodes and press the chest electrode against the chest.Press the START button.Monitor on the Main Unit of HCG-801example of waveform displayed on the monitorexample of commentEC

6、G ViewerCorrelation between HCG801 and 12-lead ECG33rd International Congress on Electrocardiology(2006)R-R interval(msec)QT interval(msec)QRS width(msec)T wave amplitude(mV)Result 1: Detection of Arrhythmia21 cases of arrhythmia were detected with 12-lead ECG monitor while 32 cases were detected wi

7、th HCG-801.Detection rate with HCG-801 is the same as or higher than that with 12-lead ECG monitor.ECG Waveform Recorded with HCG-801Sinus rhythmVPC* all of the ECGs above are in 25mm/s, 10mm/mVComparison of ECG from the Same Subject 12-lead ECG HCG-801IIV2V4V5* all of the ECGs above are in 25mm/s,

8、10mm/mVResult 3: Concordance Rate on Doctors DiagnosisConcordance Ratebetween 12-lead ECG and HCG-801 recorded at V4:72.0% (116 out of 161 cases)Arrhythmia detected either with HCG-801or 12-lead ECG: 11.8% (19 cases)Abnormality detected rather than V4:14.3% (23cases)Others including artifact: 1.9% (

9、3cases)Result 4: Detection of Arrhythmia and ST-T Segment Abnormality Only one case of Af was not well detected with HCG-801. The other cases detected only with 12-lead ECG were due to the time lag of recording.Number of cases Detected12-lead ECG(all leads)HCG-801 (at V4)Nunber of CasesDetection Rat

10、esArrhythmia*VPC292482.8%SVPC161487.5%Af211990.5%Others161275.0%ST-T segment Abnormality714056.3%Result 5: Detection of ST-T Segment Abnormality with Single LeadWaveform recorded with HCG-801Cases of ST-T segment abnormality detected only at V5 on the same subject12-lead ECGHCG-801V4V5* all of the E

11、CGs above are in 25mm/s, 10mm/mVConclusionSince it is easy to operate the portable ECG monitor, HCG-801, it is useful not only for early detection and diagnosis of cardiovascular diseases at medical institutions but also on epidemiological study. Moreover, it is expected to use it at home as a monitoring tool.元日本大学医学部教授