Validation of the 3-lead tele-ECG versus the 12-lead tele-ECG and the conventional 12-lead ECG method in older people

被引：13

作者：

Antonicelli, Roberto ^{[1
]}

Ripa, Chiara ^{[1
]}

Abbatecola, Angela M. ^{[2
]}

Capparuccia, Carlo A. ^{[1
]}

Ferrara, Letizia ^{[3
]}

Spazzafumo, Liana ^{[4
]}

机构：

[1] Italian Natl Res Ctr Aging, Telemed Ctr, Dept Cardiol, Ancona, Italy

[2] Italian Natl Res Ctr Aging, Sci Direct Dept, Ancona, Italy

[3] Italian Natl Res Ctr Aging, Med Direct Dept, Ancona, Italy

[4] Italian Natl Res Ctr Aging, Dept Gerontol Res, Stat & Biometry Ctr, Ancona, Italy

来源：

JOURNAL OF TELEMEDICINE AND TELECARE | 2012年 / 18卷 / 02期

关键词：

CONGESTIVE-HEART-FAILURE; ATRIAL-FIBRILLATION; ELDERLY-PATIENTS; ELECTROCARDIOGRAM; PALPITATIONS; TRANSMISSION; ARRHYTHMIAS; GUIDELINES; MANAGEMENT; AGREEMENT;

D O I：

10.1258/jtt.2011.110613

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

We compared the diagnostic accuracy of 3-lead tele-ECGs to both 12-lead tele-ECGs and a conventional 12-lead ECG device (the gold standard). The subjects were older people (n = 107) with a mean age of 66 years. The overall agreement between two cardiologists on interpreting the 3-lead tele-ECG recordings was 97% (kappa = 0.96, P < 0.001) and it was 91% for the 12-lead tele-ECGs (kappa = 0.90, P < 0.001). We also found excellent agreement on the interpretation of the 3-lead tele-ECGs compared to the gold standard: 98% (kappa = 0.96, P < 0.001) and for the 12-lead tele-ECG compared to the gold standard: 98% (kappa = 0.96, P < 0.001). Bland-Altman plots showed that the apparent differences between the techniques were not clinically relevant. The use of a 3-lead tele-ECG device may be useful for reducing the delay in treating specific heart disease conditions, e.g. in older people affected by chronic heart disease who need frequent ECG monitoring.

引用

页码：104 / 108

页数：5

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