CN104921721A - Dynamic electrocardiographic monitoring system with local and remote monitoring functions - Google Patents
Dynamic electrocardiographic monitoring system with local and remote monitoring functions Download PDFInfo
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- CN104921721A CN104921721A CN201510312003.3A CN201510312003A CN104921721A CN 104921721 A CN104921721 A CN 104921721A CN 201510312003 A CN201510312003 A CN 201510312003A CN 104921721 A CN104921721 A CN 104921721A
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Abstract
The invention discloses a dynamic electrocardiographic monitoring system with local and remote monitoring functions. A chest monitoring lead is connected with a portable electrocardiographic monitor, the portable electrocardiographic monitor is respectively connected with a patient mobile device and a patient home computer, the patient mobile device and the patient home computer are respectively connected with a remote electrocardiographic monitoring server, and the remote electrocardiographic monitoring server is connected with a doctor working computer. The portable electrocardiographic monitor acquires electrocardiographic signals of a patient through the chest monitoring lead, the patient mobile device is connected into an internet through a wireless network and realizes real-time communication with the portable electrocardiographic monitor by the aid of a Bluetooth interface, the patient home computer is connected into the internet and communicates with the portable electrocardiographic monitor through a USB (universal serial bus) interface, and the doctor working computer communicates with the remote electrocardiographic monitoring server through the internet. The dynamic electrocardiographic monitoring system has the advantages that a dynamic electrocardiogram of the patient is acquired in real time by the portable electrocardiographic monitor, the patient can be monitored for a long time in a short distance, and movement of the patient cannot be limited.
Description
Technical field
The invention belongs to technical field of medical equipment, relate to a kind of dynamic ecg monitoring system having local and remote monitoring concurrently.
Background technology
Cardiovascular disease has become one of principal disease of harm humans health, and electrocardiogram Electrocardiography, ECG can reflect the health status of heart, is for diagnosing the effective means with angiocardiopathy preventing.Conventional diagnosis electrocardiograph can only obtain the electrocardiogram of short time, helpless for sporadic cardiovascular disease; The electrocardiogram monitor of bedside can carry out long period detection to patient, but requires that patient measures under rest state, limits patient activity; Dynamic ecg Holter can record patient ambulatory electrocardiogram of 24 ~ 72 hours under daily routines state continuously, but cannot carry out real-time analysis to signal, when patient brings out cardiovascular disease, cannot be given treatment in time; Portable real-time cardiac bioelectricity monitoring instrument popular at present; user is facilitated to carry with; can Real-time Collection show the ecg wave form of patient under quiet and daily routines state; but patient is difficult to understand electrocardiogram; owing to lacking the participation of doctor, existing portable real-time cardiac bioelectricity monitoring instrument cannot play real cardiac monitoring effect.
Summary of the invention
The object of the present invention is to provide a kind of dynamic ecg monitoring system having local and remote monitoring concurrently, solve the electrocardiogram that conventional diagnosis electrocardiograph can only obtain the short time, helpless for sporadic cardiovascular disease; The electrocardiogram monitor of bedside can carry out long period detection to patient, but requires that patient measures under rest state, limits the problem of patient activity.
The technical solution adopted in the present invention comprises chest monitoring to lead, chest guards the connection portable ecg monitor that leads, portable ecg monitor connects patient's mobile device and patient's home computer respectively, patient's mobile device is connected remote electrocardiogram monitor server respectively with patient's home computer, and remote electrocardiogram monitor server connects working doctor computer;
Wherein, portable ecg monitor is guarded to lead by chest and is gathered patient's electrocardiosignal; Patient's mobile device, by wireless network accessing Internet, uses blue tooth interface and portable ecg monitor to carry out real-time Communication for Power; Patient's home computer accessing Internet, is communicated with portable ecg monitor by USB interface; Working doctor computer is by the Internet and remote electrocardiogram monitor server communication.
Further, described portable ecg monitor comprises AFE (analog front end) AFE, AFE (analog front end) AFE connects microprocessor, microprocessor connects Micro SD card, supply voltage detection, regulating circuit, Micro USB interface respectively, supply voltage detects and connects rechargable power supplies, rechargable power supplies connects regulating circuit and charging circuit respectively, charging circuit connects Micro USB interface, Micro USB interface connects patient's home computer, regulating circuit connects bluetooth, and bluetooth wirelessly connects patient's mobile device;
Wherein, AFE (analog front end) AFE guards to lead with chest and is connected, and chest is guarded the analog signal digital leading and export and amplifies; Microprocessor possesses calculating, process, stores control, communication control function; Rechargable power supplies is that each several part circuit is powered; Supply voltage detects and detects electric quantity of power supply; Regulating circuit is responsible for running voltage supply voltage being adjusted to each chip needs; Micro USB interface is connected with patient's home computer by data wire, realizes electrocardiosignal and uploads; Charging circuit is realized portable ecg monitor and is charged to rechargable power supplies by Micro USB interface; Bluetooth realizes the both-way communication of portable ecg monitor and patient's mobile device; Micro SD card stores electrocardiosignal for microprocessor.
Further, described patient's mobile device adopts the mobile terminal possessing blue tooth interface, the software operated on equipment comprises mobile phone UI interface, application module and data communication, possesses heart rate and respiratory frequency shows in real time, heart rate abnormality detection and warning, abnormal electrocardiogram upload the function with data acquisition control.
Further, described wireless network adopts 4G network, 3G network, GSM network or WiFi network.
Further, described patient's home computer reads the ambulatory electrocardiogram be stored in portable ecg monitor by USB interface, and by the Internet, electrocardiogram is uploaded to remote electrocardiogram monitor server.
Further, described remote electrocardiogram monitor server comprises data base and distance medical diagnosis platform, can store the complete electrocardiogram of user, extracts and stores amplitude and the time limit of electrocardiogram parameters P, QRS, T ripple, preserves diagnosis result and doctor's advice suggestion.
The system that the invention has the beneficial effects as follows by portable ecg monitor Real-time Collection patient ambulatory electrocardiogram, can long-time, at a distance patient is monitored, and can not patient activity be limited.
Accompanying drawing explanation
Fig. 1 is a kind of dynamic ecg monitoring system structural representation having local and remote monitoring concurrently of the present invention;
Fig. 2 is portable ecg monitor structured flowchart;
Fig. 3 is embedded software structural representation;
Fig. 4 is patient's mobile device software configuration schematic diagram;
Fig. 5 is distance medical diagnosis paralell composition.
Detailed description of the invention
Below in conjunction with detailed description of the invention, the present invention is described in detail.
The present invention is used for implementing local and remote monitoring to the electrocardiosignal of patient under peace and quiet and daily routines state, and as shown in Figure 1, portable ecg monitor 2 guards by chest 1 collection patient electrocardiosignal of leading; Patient's mobile device 3, by wireless network accessing Internet, adopts blue tooth interface and portable ecg monitor 2 to carry out real-time Communication for Power, obtains the real-time heart rate of patient and respiratory frequency; Patient's home computer 4 accessing Internet, is communicated with portable ecg monitor 2 by USB interface, obtains patient's ambulatory electrocardiogram, and is sent to remote electrocardiogram monitor server 5; Working doctor computer 6 is communicated with remote electrocardiogram monitor server 5 by the Internet, checks ecg wave form and feature, makes diagnostic result and doctor's advice suggestion.The heart rate of patient's mobile device 3 couples of patients and respiratory frequency carry out detecting in real time and early warning, realize local real-time monitoring, the remote electrocardiogram monitor platform be made up of remote electrocardiogram monitor server 5 and doctor realizes the long distance monitoring of cardiovascular disease expert to patient's heart.
Detailed construction and functions as described below:
1. chest monitoring leads 1;
Conventional chest leads has CM5, CM1, CM3 and CMf to lead, simulate V5, V1, V3, avf respectively to lead, wherein CM5, CM3, CMf are higher to antetheca, front partition, inferior myocardial ischemia recall rate respectively, the P ripple display of CM1, CMf is clear, helpful to ARR location, etiologic diagnosis.System can according to conditions of patients, selects above-mentionedly to lead arbitrarily.
Such as, when Systematic selection CM5 leads, be connected with human body by 3 electrocardio electrode plate, positive pole is placed in V5 and leads position, and negative pole is placed in presternum place, and region is placed in next intercostal of V5R or V1.Electrode slice is connected with portable ecg monitor by three line conducting wires.
2. portable ecg monitor 2;
Portable ecg monitor 2 by gather patient chest monitoring lead 1 electrocardiosignal, the signal collected is amplified, after filtering and analog digital conversion, is stored in Micro SD card 18, transfers to patient's home computer 4 by Micro usb 15; In addition, portable ecg monitor 2 possesses data processing function, can extract Heart Rate and respiratory frequency, be sent to patient's mobile device 3 in real time by bluetooth 17 from electrocardiosignal.
(1) AFE (analog front end) AFE10;
AFE (analog front end) AFE10 is used for the analog electrocardiogram signal digitized of conducting wire output and amplifies.Preferably, can adopt ADS1292 chip, this chip has two low-noise programmable gain amplifier PGA and two high-resolution analog-digital converter ADC, and possesses low power consumption characteristic.
(2) microprocessor 11;
Microprocessor 11 possesses calculating, process, stores control, communication control function.Preferably, microprocessor 11 can select MSP430F5529 chip, and this chip is a 16 super low-power consumption high-performance microprocessors, and has USB interface.
As shown in Figure 3, the embedded software operated on microprocessor 11 is made up of communication module, data acquisition module, data processing module and data memory module.Wherein, communication module comprises usb communication and Bluetooth communication two kinds of communication modes.
(3) rechargable power supplies 12;
Rechargable power supplies 12 is powered for each several part circuit.The chargeable lithium cell of 3.7V can be selected.
(4) supply voltage detects 13;
Supply voltage detects 13 pairs of electric quantity of power supply and detects, and the result that microprocessor 11 detects 13 according to supply voltage judges that whether electricity is not enough, whether charging completes, and as required battery electric quantity state is sent to patient's mobile device 3 by blue tooth interface.Preferably, NRF51822 chip can be selected to realize supply voltage detect.
(5) regulating circuit 14;
Regulating circuit 14 is responsible for running voltage supply voltage being adjusted to each chip needs, can adopt TPS63030/31 buck/boost converter.
(6) Micro usb 15;
Micro usb 15 completes portable ecg monitor 2 and the data communication of patient's home computer 4, realizes electrocardiogram and uploads, and provide the interface charged to rechargable power supplies 12.
(7) charging circuit 16;
Charging circuit 16 is realized portable ecg monitor 2 and is charged by Micro usb 15 pairs of rechargable power supplies 12, and MAX1555 chip can be selected to realize charging circuit.
(8) bluetooth 17;
Blue tooth interface realizes portable ecg monitor 2 and the both-way communication of patient's mobile device 3, preferably, NRF51822 chip can be adopted to realize low-power consumption blue tooth interface.
(9) Micro SD card 18;
Micro SD card 18 stores electrocardiosignal for microprocessor 11.Capacity can be selected to be the card of 1GB.
3. patient's mobile device 3;
As shown in Figure 4, patient's mobile device 3 adopts the mobile terminal possessing blue tooth interface, and the software operated on equipment comprises mobile phone UI interface, application module and data communication module.Preferably, patient's mobile device can adopt Android smartphone or iPhone mobile phone.
(1) UI interface
For heart rate and the respiratory frequency of real time patient, and the collecting work of start/stop portable ecg monitor.
(2) application module
Realize the abnormal judgement of heart rate and warning function, phone number warning message extremely can preset by short message sending, electrocardiosignal time abnormal to portable ecg monitor request Heart Rate, and this signal is uploaded to remote electrocardiogram monitor server.
(3) data communication module
Communicated with portable ecg monitor by blue tooth interface, obtain real-time heart rate and
Respiratory frequency.
4. patient's home computer 4;
Patient's home computer 4, by USB interface, can obtain the ambulatory electrocardiogram stored in portable ecg monitor 2; Patient's home computer 4 accessing Internet, is deployed in the distance medical diagnosis platform on remote electrocardiogram monitor server 5 by browser access, by ECG Data Transmission Based to server, and can check diagnostic result and the doctor's advice suggestion of doctor.
5. remote electrocardiogram monitor server 5;
Remote electrocardiogram monitor server 5 accessing Internet, the distance medical diagnosis platform disposed on the server adopts B/S framework to realize, as shown in Figure 5, user management, data transmission, data storage, waveform display, data process&analysis, diagnosis report administration module is comprised.Electrocardiogram from patient's home computer is preserved in a database by distance medical diagnosis platform, and possesses ecg wave form display, the automatic pick up and store function of EGC parameter, for diagnosis provides foundation.
6. working doctor computer 6;
Working doctor computer 6 accessing Internet, is deployed in the distance medical diagnosis platform on remote electrocardiogram monitor server 5, can checks the ecg wave form of patient by browser access, and ecg wave form
Analysis result, and make diagnosis, the suggestion of proposition doctor's advice accordingly.
Present system by portable ecg monitor Real-time Collection patient ambulatory electrocardiogram, carries out local real-time monitoring by patient's mobile device to the respiratory frequency of patient, heart rate, implements distance medical diagnosis by remote electrocardiogram monitor platform.Can long-time, at a distance patient is monitored, and can not patient activity be limited.Described in electrocardiogram acquisition equipment, portable ecg monitor is low in energy consumption, volume is little, lightweight, be easy to carry, can the ambulatory electrocardiogram of continuous collecting patient under quiet and daily life state for a long time; Patient's mobile device possesses respiratory frequency and heart rate feature detects and abnormal alarm function in real time, implements local monitoring to patient; Professional cardiovascular disease doctor accesses, for patient's heart provides long distance monitoring by distance medical diagnosis platform.
The above is only to better embodiment of the present invention, not any pro forma restriction is done to the present invention, every any simple modification done above embodiment according to technical spirit of the present invention, equivalent variations and modification, all belong in the scope of technical solution of the present invention.
Claims (6)
1. one kind has the dynamic ecg monitoring system of local and remote monitoring concurrently, it is characterized in that: comprise chest monitoring and lead, chest guards the connection portable ecg monitor that leads, portable ecg monitor connects patient's mobile device and patient's home computer respectively, patient's mobile device is connected remote electrocardiogram monitor server respectively with patient's home computer, and remote electrocardiogram monitor server connects working doctor computer;
Wherein, portable ecg monitor is guarded to lead by chest and is gathered patient's electrocardiosignal; Patient's mobile device, by wireless network accessing Internet, uses blue tooth interface and portable ecg monitor to carry out real-time Communication for Power; Patient's home computer accessing Internet, is communicated with portable ecg monitor by USB interface; Working doctor computer is by the Internet and remote electrocardiogram monitor server communication.
2. according to the dynamic ecg monitoring system having local and remote monitoring concurrently a kind of described in claim 1, it is characterized in that: described portable ecg monitor comprises AFE (analog front end) AFE, AFE (analog front end) AFE connects microprocessor, microprocessor connects Micro SD card respectively, supply voltage detects, regulating circuit, Micro USB interface, supply voltage detects and connects rechargable power supplies, rechargable power supplies connects regulating circuit and charging circuit respectively, charging circuit connects Micro USB interface, Micro USB interface connects patient's home computer, regulating circuit connects bluetooth, bluetooth wirelessly connects patient's mobile device,
Wherein, AFE (analog front end) AFE guards to lead with chest and is connected, and chest is guarded the analog signal digital leading and export and amplifies; Microprocessor possesses calculating, process, stores control, communication control function; Rechargable power supplies is that each several part circuit is powered; Supply voltage detects and detects electric quantity of power supply; Regulating circuit is responsible for running voltage supply voltage being adjusted to each chip needs; Micro USB interface is connected with patient's home computer by data wire, realizes electrocardiosignal and uploads; Charging circuit is realized portable ecg monitor and is charged to rechargable power supplies by Micro USB interface; Bluetooth realizes the both-way communication of portable ecg monitor and patient's mobile device; Micro SD card stores electrocardiosignal for microprocessor.
3. according to the dynamic ecg monitoring system having local and remote monitoring concurrently a kind of described in claim 1, it is characterized in that: described patient's mobile device adopts the mobile terminal possessing blue tooth interface, the software operated on equipment comprises mobile phone UI interface, application module and data communication, possesses heart rate and respiratory frequency shows in real time, heart rate abnormality detection and warning, abnormal electrocardiogram upload the function with data acquisition control.
4. according to the dynamic ecg monitoring system having local and remote monitoring concurrently a kind of described in claim 1, it is characterized in that: described wireless network adopts 4G network, 3G network, GSM network or WiFi network.
5. according to the dynamic ecg monitoring system having local and remote monitoring concurrently a kind of described in claim 1, it is characterized in that: described patient's home computer reads the ambulatory electrocardiogram be stored in portable ecg monitor by USB interface, and by the Internet, electrocardiogram is uploaded to remote electrocardiogram monitor server.
6. according to the dynamic ecg monitoring system having local and remote monitoring concurrently a kind of described in claim 1, it is characterized in that: described remote electrocardiogram monitor server comprises data base and distance medical diagnosis platform, the complete electrocardiogram of user can be stored, extract and store amplitude and the time limit of electrocardiogram parameters P, QRS, T ripple, preserving diagnosis result and doctor's advice suggestion.
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| CN201510312003.3A CN104921721A (en) | 2015-06-08 | 2015-06-08 | Dynamic electrocardiographic monitoring system with local and remote monitoring functions |
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| CN105496400A (en) * | 2016-03-01 | 2016-04-20 | 张胜国 | Portable multilead wireless electrocardiogram monitoring apparatus and method |
| CN107049277A (en) * | 2017-05-08 | 2017-08-18 | 刘大朋 | A kind of patient monitor of clinical department of internal medicine |
| CN107736887A (en) * | 2017-11-09 | 2018-02-27 | 湖北工业大学 | A kind of Multifunctional mobile electrocardiogram monitor system and method |
| CN108577831A (en) * | 2018-03-19 | 2018-09-28 | 武汉海星通技术股份有限公司 | Singly lead heart patch data long-range monitoring and diagnosis system and its processing method |
| CN109288517A (en) * | 2018-11-30 | 2019-02-01 | 李丽杰 | A kind of dynamic electrocardiogram real-time display system |
| CN110074777A (en) * | 2019-06-05 | 2019-08-02 | 姜铁超 | A kind of portable cardiac monitoring device |
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Inventor after: Guo Zhiyuan Inventor after: Li Li Inventor after: Yu Lin Inventor after: Li Zhen Inventor after: Zhang Jing Inventor after: Zhang Yong Inventor before: Guo Zhiyuan Inventor before: Li Li Inventor before: Yu Lin Inventor before: Li Zhen Inventor before: Zhang Jing |
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Application publication date: 20150923 |
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