title: The realization of ubiquitous 12-lead ECG diagnosis in emergency telemedicine.
abstract: This study presents an e-technology to realize a mobile 12-lead electrocardiography (ECG) information system capable of providing clinicians with ubiquitous 12-lead ECG diagnoses. Until now, there has been limited information on mobile systems that can exchange information with clinically used 12-lead ECG for emergency telemedicine. The development of mobilized 12-lead ECG diagnoses in clinical practice is impeded by the heterogeneous 12-lead ECG file formats and compressed ECG waveform data. In this study, clinically used Standard Communications Protocol ECG and Extensible Markup Language ECG interpreters were developed to extract compressed 12-lead ECG waveform data. A 12-lead ECG database server connecting with a hospital information system was then built to collect 12-lead ECG files and related clinical data. Additionally, a mobile 12-lead ECG database was implemented on mobile phones for remote 12-lead ECG diagnoses. Clinical evaluations confirmed the usefulness of this mobile 12-lead ECG information system, which significantly improves the diagnostic accuracy and the performance of medical treatments in cardio-emergency telemedicine. In summary, this system facilitated ubiquitous 12-lead ECG diagnoses and enhanced the efficiency and service quality of emergency telemedicine.
authors.affiliation: Department of Information Management, Yuan Ze University, Chung-Li, Taiwan. jchsieh@saturn.yzu.edu.tw
authors.forename: Jui-chien
authors.initials: JC
authors.lastname: Hsieh
authors.forename: Kuo-chiang
authors.initials: KC
authors.lastname: Yu
authors.forename: Chung-Chi
authors.initials: CC
authors.lastname: Yang
mesh_terms: D000465:Algorithms; D003936:Diagnosis, Computer-Assisted / Q000295:instrumentation* / Q000379:methods; D015716:Electrocardiography, Ambulatory / Q000295:instrumentation* / Q000379:methods; D004630:Emergencies; D006801:Humans; D016247:Information Storage and Retrieval / Q000379:methods*; D016347:Medical Records Systems, Computerized; D012815:Signal Processing, Computer-Assisted / Q000295:instrumentation; D013685:Telecommunications / Q000295:instrumentation*; D017216:Telemedicine / Q000295:instrumentation* / Q000379:methods; D013686:Telemetry / Q000295:instrumentation / Q000379:methods