Title
An intelligent telecardiology system using a wearable and wireless ECG to detect atrial fibrillation.
Abstract
This study presents a novel wireless, ambulatory, real-time, and autoalarm intelligent telecardiology system to improve healthcare for cardiovascular disease, which is one of the most prevalent and costly health problems in the world. This system consists of a lightweight and power-saving wireless ECG device equipped with a built-in automatic warning expert system. This device is connected to a mobile and ubiquitous real-time display platform. The acquired ECG signals are instantaneously transmitted to mobile devices, such as netbooks or mobile phones through Bluetooth, and then, processed by the expert system. An alert signal is sent to the remote database server, which can be accessed by an Internet browser, once an abnormal ECG is detected. The current version of the expert system can identify five types of abnormal cardiac rhythms in real-time, including sinus tachycardia, sinus bradycardia, wide QRS complex, atrial fibrillation (AF), and cardiac asystole, which is very important for both the subjects who are being monitored and the healthcare personnel tracking cardiac-rhythm disorders. The proposed system also activates an emergency medical alarm system when problems occur. Clinical testing reveals that the proposed system is approximately 94% accurate, with high sensitivity, specificity, and positive prediction rates for ten normal subjects and 20 AF patients. We believe that in the future a business-card-like ECG device, accompanied with a mobile phone, can make universal cardiac protection service possible.
Year
DOI
Venue
2010
10.1109/TITB.2010.2047401
IEEE Transactions on Information Technology in Biomedicine
Keywords
Field
DocType
electrocardiography,autoalarm intelligent telecardiology system,biomedical telemetry,power-saving wireless ecg device,mobile handsets,internet browser,expert system,medical disorders,netbooks,diseases,expert systems,emergency medical alarm system,mobile device,remote database server,mobile phone,ecg signal,ecg,wireless,mobile phones,cardiovascular disease,atrial fibrillation (af),lightweight wireless ecg device,cardiovascular system,internet,business-card-like ecg device,notebook computers,abnormal ecg,wearable ecg,proposed system,bluetooth,sinus bradycardia,cardiac asystole,built-in automatic warning expert system,cardiac-rhythm disorders,mobile,atrial fibrillation,qrs complex,medical expert systems,sinus tachycardia,intelligent systems,real time systems,clothing,algorithms,displays,telemetry,real time
Atrial fibrillation,Intelligent decision support system,Sinus tachycardia,Computer science,Wearable computer,Expert system,Mobile device,Mobile phone,Medical emergency,Bluetooth
Journal
Volume
Issue
ISSN
14
3
1558-0032
Citations 
PageRank 
References 
36
2.51
2
Authors
11
Name
Order
Citations
PageRank
Chin-Teng Lin13840392.55
Kuan-Cheng Chang2362.51
Chun-Ling Lin3647.50
Chia-Cheng Chiang4362.51
Shao-Wei Lu5747.77
Shih-Sheng Chang6362.51
Lin Bor-Shyh719820.39
Hsin-Yueh Liang8362.51
Ray-Jade Chen9373.21
Yuan-Teh Lee10434.19
Li-Wei Ko1151958.70