《中国康复理论与实践》

《中国康复理论与实践》

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远程心电监测在心肌梗死患者心脏康复中的应用进展①

蔡泽坤综述，徐琳，邱健审校   

  1. 广州军区广州总医院心血管内科，广东广州市510010。
  • 出版日期:2016-01-25 发布日期:2016-05-23

Electrocardiography Telemonitoring System for Cardiac Rehabilitation for Myocardial Infarction (review)

CAI Ze-kun, XU Lin, QIU Jian   

  1. Department of Cardiology, Guangzhou General Hospital of Guangzhou Military Region, Guangzhou, Guangdong 510010, China
  • Published:2016-01-25 Online:2016-05-23

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摘要： 简要介绍远程心电监测系统及其开发状况，包括可穿戴技术。在心肌梗死患者心脏康复过程中，远程心电监测系统通过监测心率，计算心率恢复，可评定自主神经功能；通过计算心率-收缩压双乘积，可推测康复过程患者的乳酸无氧阈，确定有氧运动强度。最后探讨患者康复发生意外的法律责任问题和与物联网结合等创新意义。

关键词: 远程心电监护, 急性心肌梗死, 心脏康复, 综述

Abstract: The electrocardiography (ECG) telemonitoring system is briefly introduced, especially the development progress, including the wearable technology. For early cardiac rehabilitation (CR) after acute myocardial infarction (AMI), the ECG telemonitoring system can monitor heart rate, blood pressure, heart rate recovery (HRR), which is confirmed to assess autonomic nervous function; as well as rate pressure product (RPP), which is confirmed to speculate lactate anaerobic threshold during CR, can be calculated to guide the exercise intensity of CR progress. Finally, the legal liability issues if accidents occurred in home-based CR program, and the innovation, such as combining with the network, are discussed.

Key words: electrocardiography telemonitoring system, acute myocardial infarction, cardiac rehabilitation, review