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24页PPT

4th China-Japan Cardiovascular Forum, Nov.22-23, 2008
Monitor on the Main Unit of HCG-801
example of waveform displayed on the monitor
example of comment
P IC T
*** OMRON HEALTHCARE Co., Ltd., Kyoto, Japan i m a g e f o r m a t
is not supported
Background
• Non-transmission portable ECG monitor has been recently developed for home use in Japan.
4th China-Japan Cardiovascular Forum, Nov.22-23, 2008
HCG-801
Non-transmission type of portable ECG for home use
Induction system: bipolar single channel * recommended to record with right hand at V4
• It is suggested that the detection rate of abnormal ECG excluding arrhythmia will be increased, if provided that locations for recording ECG are adjusted.
Comparison of ECG from the Same Subject
12-lead ECG
II
HCG-801
V2
V4
V5
* all of the ECGs above are in 25mm/s, 10mm/mV
4th China-Japan Cardiovascular Forum, Nov.22-23, 2008
Lead and Recording time
HCG-801
: 30 sec, in a sitting position
(single bipolar lead) Right hand - V2, V4, V5, II
12-lead ECG : 10 sec, supine position (used as reference)
Heart rate range: 2 to 200 beats/min.
Accuracy: bandwidth 0.05 to 40Hz sampling rate 125Hz
4th China-Japan Cardiovascular Forum, Nov.22-23, 2008
Operation of HCG-801
Methods
ECG waveform was recorded with both HCG-801 and 12lead ECG monitor. Arrhythmia and abnormal ECG were diagnosed by doctor examining the outcomes from both types of monitors.
1. Turn the unit on. 2. Hold the unit with right hand. 3. Place the index finger on the
finger electrodes and press the chest electrode against the chest. 4. Press the START button.
Subjects: Epidemiological study
90 years or older Uygurs residing in Hotan of the western region of China. Subjects: 60 Uygurs Sex: 36 males and 24 females Age: 94.6 +/- 4.2 years old Period: July 2019 – August 2019
• Detection rate with HCG-801 is the same as or higher than that with 12-lead ECG monitor.
M a c in to s h P IC T im a g e fo rm a t
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M acintosh PICT im age form at
isn Cardiovascular Forum, Nov.22-23, 2008
Correlation between HCG801 and 12-lead ECG
R-R interval (msec)
Subjects : 161 outpatients Sex : 98 males and 63 females Age : 68.2 +/-11.9 years old Period : December 2019 – May 2019
4th China-Japan Cardiovascular Forum, Nov.22-23, 2008
QRS width (msec)
QT interval (msec)
T wave amplitude
(mV)
33rd International Congress on Electrocardiology(2019)
4th China-Japan Cardiovascular Forum, Nov.22-23, 2008
• Not only the monitor is easy to operate, but also periodical 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.
is n o t su p p o rted
Arrhythmia detected either with HCG-801 or 12-lead ECG: 11.8% (19 cases)
4th China-Japan Cardiovascular Forum, Nov.22-23, 2008
ECG Waveform Recorded with HCG-801
Sinus rhythm
VPC
* all of the ECGs above are in 25mm/s, 10mm/mV
4th China-Japan Cardiovascular Forum, Nov.22-23, 2008
* Subjects recorded ECG with HCG-801 on their own. * 12-lead ECG was recorded immediately before or after recording with HCG-801.
4th China-Japan Cardiovascular Forum, Nov.22-23, 2008
4th China-Japan Cardiovascular Forum, Nov.22-23, 2008
Result 1: Detection of Arrhythmia
• 21 cases of arrhythmia were detected with 12-lead ECG monitor while 32 cases were detected with HCG-801.
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4th China-Japan Cardiovascular Forum, Nov.22-23, 2008
Discussion: Epidemiological Study
Result 3: Concordance Rate on Doctor’s Diagnosis
Concordance Rate between 12-lead ECG and HCG-801 recorded at V4:
72.0% (116 out of 161 cases)
M acin to sh P IC T im ag e fo rm at
MJG Cardiovascular Institute, Saitama, Japan
* Nihon University School of Medicine, Tokyo, Japan ** Xinjiang Medical University, Xinjiang, China
M acintosh
Epidemiological and Clinical Usefulness of the Portable ECG Monitoring, HCG-801 for Home Use - Comparison with 12-lead ECG
Yuji Kasamaki*, Yukio Ozawa, Atsushi Sindo*, Masakatsu Ota*, Cheng Zuheng**, Mohamtei Masumu**, Yitong Ma**, Midori Masuno***, Kazuya Kusumoto***
4th China-Japan Cardiovascular Forum, Nov.22-23, 2008