搜索
IntegratedSysteminECGMobileMonitoring:OverviewandOurIdeaZuxiangFang,DaKunLai1Slide复旦大学电子工程系方祖祥DepartmentofElectronicEngineer,FudanUniversityZuxiangFang(Prof.)Apr..21,2008系统集成在远程心电监护中的应用系统集成在远程心电监护中的应用IntegratedSysteminECGMobileMonitoring:IntroductionandOuIntegratedSysteminECGMobileMonitoring:IntroductionandOurIdearIdea2SlideIntegratedSysteminECGMobileMonitoring:OverviewandOurIdeaZuxiangFang,DaKunLaiContents(提要)Contents(提要)FMedicalBackground（临床背景）•State-of-the-art（国内外技术现状）inECGMobileMonitoringwithIntegratedSystem•OurIdeaanddesign（我们的设想和设计）•SystemFramework•PrototypeofMobileMonitor•MonitoringCenterFMedicalBackground（临床背景）•State-of-the-art（国内外技术现状）inECGMobileMonitoringwithIntegratedSystem•OurIdeaanddesign（我们的设想和设计）•SystemFramework•PrototypeofMobileMonitor•MonitoringCenter3SlideIntegratedSysteminECGMobileMonitoring:OverviewandOurIdeaZuxiangFang,DaKunLai1、MedicalBackground（临床背景）1、MedicalBackground（临床背景）Heartdiseases,especiallyHighRiskHeartDiseases,suchasVF(VentricularFibrillation室颤),VT(VentricularTachycardias室速),AF(AtrialFibrillation房颤),AMI(Acutemyocardiuminfection急性心肌梗死),etchavethecommoncharactersof–highmorbidityandhighmortality（高病发率和高死亡率）4SlideIntegratedSysteminECGMobileMonitoring:OverviewandOurIdeaZuxiangFang,DaKunLaiInAmerica（美国）,500,000peopletobesuddendeathperyear,beyond50%oftheamountofallcardiovasculardeathcasesabout1‰thepopulationofthecountry.Onesuddendeathperminute!InChina（中国）,about2.6millionsperyeartobecardiovasculardeathcases,beyond7,000perday.Onecardiovasculardeathper12seconds!5SlideIntegratedSysteminECGMobileMonitoring:OverviewandOurIdeaZuxiangFang,DaKunLai詹姆斯·坎塔卢波FormerCEOofMC-DonaldJamesCantalupo高秀敏GaoXiuminAfamousofactressDoyouknowthem?Anddoyouknowhowtheyleaveus?cardiovascularsuddendeath（心血管猝死）侯耀文HouYaowenActorofcomicdialogue6SlideIntegratedSysteminECGMobileMonitoring:OverviewandOurIdeaZuxiangFang,DaKunLaiThreattoPublichealth:Cardiovasculardiseases(公共卫生危害：心血管疾病)ThreattoPublichealth:Cardiovasculardiseases(公共卫生危害：心血管疾病)Hypertension(高血压):65millionsCoronaryDisease(冠心病)：13.2millions--Acutemyocardiuminfection(急性心肌梗死):7.2millions--Anginapectoris(心绞痛):6,5millionsBrainattack(脑卒中)：5millionsHeartfailure(心力衰竭)：6.5millions——AtotalofpatientswithcardiovasculardiseasesinAmericaMorethan70,000,000！（美国目前有超过7千万的心血管病患者）InAmerica:InAmerica:InAmerica:AMA&AHAHeartDiseaseandStrokeStatistics-2006Update.7SlideIntegratedSysteminECGMobileMonitoring:OverviewandOurIdeaZuxiangFang,DaKunLaiHypertension(高血压):160millionsAcutemyocardiuminfection(急性心肌梗死):2.5millions（newcasesof0.5millionperyear，每年新发病例50万）Brainstroke(脑卒中)：7millionsHeartfailure(心力衰竭)：4millions——ThetotalexpensesofmedicalserviceforpatientswithcardiovasculardiseasesinChina,Morethan￥130,000,000,000！（我国每年主要心血管疾病的医疗费用达1300亿元人民币）InChina:InChina:InChina:StatisticalReportofCardiovasculardiseasesofChina2005.《中国心血管病报道2005》ThreattoPublichealth:Cardiovasculardiseases(公共卫生危害：心血管疾病)ThreattoPublichealth:Cardiovasculardiseases(公共卫生危害：心血管疾病)8SlideIntegratedSysteminECGMobileMonitoring:OverviewandOurIdeaZuxiangFang,DaKunLaiAsweknownthat:Detectingheartdiseaseattacksandsavingpatients’lifebygivingthemquickemergencyaidisaurgentandimportantthingfordoctorsthroughouttheworld,especiallyoutofhospital.（众所周知，对于心脏病患者，尤其是院外患者，尽早捕捉病发征兆、及时有效地抢救急性病发患者，对于所有医疗工作者来说都是非常重要事情和希望达到的目的！）9SlideIntegratedSysteminECGMobileMonitoring:OverviewandOurIdeaZuxiangFang,DaKunLaiMonitoringinICUorCCU:Highcost,movementbelimitedindoororhospital.（患者经济负担重、活动范围受极限、国家医疗资源有限）The1stmethod:ThemainavailablemethodtodealwiththeproblemistosuggestPatientbeinginICUorCCUwithreal-timeheartmonitoring:However,院内集中监护10SlideIntegratedSysteminECGMobileMonitoring:OverviewandOurIdeaZuxiangFang,DaKunLaiThe2ndmethod:Tele-HomeCaremonitoringbyPSTNTele-HomeCare:arangeofECGmonitoringservicestoclientsintheirownhomes.But!Nonreal-timeECGmonitoring.Onlywhenpatients’discomfortorpains,ItawakedandsendECGtohospital.Aswell,Patient’smovementwouldbelimitedindoor.（非实时，非连续，当患者有感不适时采集发送，患者只能在家接受监护）家庭电话远程监护11SlideIntegratedSysteminECGMobileMonitoring:OverviewandOurIdeaZuxiangFang,DaKunLaiThe3rdmethod:PatientwithaHalterandbeingfreemovementWithoutearlydiagnosisbenefitedfromreal-timemonitoringandwithoutanypremonition.Iftheseriousdiseasehappeninanywhereandatanytime,itmostpossibleresultsinsuddendeathduetowithouttreatmentintime.（记录和监护的ECG时间段有限，非实时，非长期监护）But!!院外Holter24-48h动态监护1-30天事件记录器12SlideIntegratedSysteminECGMobileMonitoring:OverviewandOurIdeaZuxiangFang,DaKunLai农村或野外旅游Withoutanymonitoringservice,includingearlydiagnosisandpatient’sposition.Ifseriouscasehappensinthiscondition,Perhapsweknowwhathappened,But,wecantknowwherehappened!（广大农村地区和野外旅游的患者，基本没有任何监护和保护措施）Patientonhistour,especiallyfarmerpatientinruralarea,withsavingmoneyandfreemovement:ThemostSerious!!!13SlideIntegratedSysteminECGMobileMonitoring:OverviewandOurIdeaZuxiangFang,DaKunLaiThoughtherealreadydevelopedsomemethodstodealwiththesetroublesomeinthefieldoftelemedicineortelemonitoringthroughouttheworld,regardlessoftheadvantagesofthesepresentmethodsorsystems,themassapplicationinthehealthcareindustryhasnotyetbeenreali