| Japanese |
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| Title | ワイヤレス12誘導心電図伝送による院外心電図伝送の試み |
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| Subtitle | 原著 |
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| Authors | 西川豪1), 野々木宏2), 森典子1), 松尾陽子1), 清水史郎3), 小田敏子4), 土井修2), 神原啓文2) |
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| Organization | 1)静岡県立総合病院腎臓内科, 2)静岡県立総合病院循環器内科, 3)静岡県立総合病院地域医療ネットワークセンター, 4)訪問看護ステーションマザー |
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| Journal | 循環制御 |
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| Volume | 33 |
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| Number | 2 |
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| Page | 88-95 |
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| Year/Month | 2012/8 |
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| Article | 原著 |
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| Publisher | 日本循環制御医学会 |
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| Abstract | 「要旨」 ワイヤレス12誘導心電図伝送「富士山(ふじやま)」を開発し, プレホスピタルから専門病院への伝送の有用性を検討するため実証実験を行った. 方法:小型心電計からBluetooth方式でスマートフォンへ心電図データを送信, 画像ファイルを伝送するシステムを用い心電図を走行車両から伝送, さらに各種施設から病院専門医へ伝送し, 伝送前後の比較を行った. 結果:伝送前後の心電図は変化なく, 伝送時間も7〜95秒(中央値23秒)で遅延はなかった. 院外伝送24例では家電からのノイズ1例以外は質の高い伝送が得られた. ワイヤレス12誘導心電図は小型, 軽量で様々な医療現場での活用が期待される. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | prehospital, 12-lead electrocardiogram, transmission, wireless, internet |
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| English |
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| Title | Novel Use of Wireless 12-lead ECG Transmission in a Prehospital Setting |
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| Subtitle | |
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| Authors | Go Nishikawa1), Hiroshi Nonogi2), Noriko Mori1), Yoko Matsuo1), Shiro Shimizu3), Toshiko Oda4), Osamu Doi2), Hirofumi Kambara2) |
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| Organization | 1)Department of Nephrology Shizuoka General Hospital, 2)Department of Cardiovascular Medicine, Shizuoka General Hospital, 3)Community Health Information Network Center, Shizuoka General Hospital, 4)Home-visit Nursing Care Station Mother |
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| Journal | Circulation Control |
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| Volume | 33 |
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| Number | 2 |
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| Page | 88-95 |
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| Year/Month | 2012/8 |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control in Medicine |
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| Abstract | AHA/ACC guidelines recommend prehospital 12-lead electrocardiogram (ECG) transmission to a percutaneous coronary intervention (PCI) hospital as beneficial for patients with acute coronary syndrome. We created a wireless 12-lead ECG transmission system called “Fujiyama” involving a handheld 12-lead ECG recording device transmitting the ECG to a smartphone through Bluetooth wireless technology, converting the ECG to MFER/JPEG, and sending it to a designated email. Methods: We recorded and transmitted 12-lead ECGs from a moving vehicle and investigated transmission accuracy by comparing recorded ECGs and ECGs received by email. Furthermore, we recorded and sent ECGs to the attending cardiologist from several facilities, including a primary care center emergency room, a clinic, and homes of both home hemodialysis patients and visiting nurse care patients. Results: Recording ECG from a moving vehicle did not affect interpretation of rhythms and ST changes. The transmission time of a 250-350KB size file was 7-95 s (median 23 s), short enough for emergency settings. Among the 24 ECGs only 1 had significant noise contamination. Since the ECG recording device and the smartphone are connected to a wireless network, the surroundings do not affect ECG recordings. Its small-size and light weight tailor it for various settings, including emergency care. |
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| Practice | Basic medicine |
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| Keywords | prehospital, 12-lead electrocardiogram, transmission, wireless, internet |
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