JP2007244531A - Holter electrocardiographic monitor and electrocardiographic monitor system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To allow an operator to observe electrocardiogram on the side of a patient in a state of measuring the electrocardiogram. <P>SOLUTION: This Holter electrocardiographic monitor stores obtained electrocardiogram data in an attachable/detachable external memory 16 corresponding to time information. This monitor includes a simple analysis means executing a simple analysis of the arrhythmia based on electrocardiogram data and storing arrhythmia corresponding time information, a display section 18 for displaying information, a list display control means displaying a time list by the arrhythmia corresponding time information and a time list by event time information on the display section 18, and an electrocardiogram display control means displaying the electrocardiogram based on the electrocardiogram data of the corresponding time of the external memory 16 according to the selection of a time in the time list displayed on the display section 18. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

  The present invention relates to a Holter type electrocardiogram monitor that is portable and does not restrain a patient, and an electrocardiogram monitor system configured by using the Holter type electrocardiogram monitor.

  As a conventional electrocardiogram monitor, there is a system called a bedside monitor, and an electrode mounted on a patient, an electrocardiograph and a monitor are connected by a wired line. In this bedside monitor, a cable constituting a wired line is routed around the bed and is complicated. On the other hand, there is known a method of transmitting data using a wireless line, and the complexity around the bed can be eliminated. In addition, the patient can freely move within the hospital, which is useful for rehabilitation, but the electrocardiogram cannot be seen outside the radio wave reception area.

  On the other hand, a Holter type electrocardiograph is known. As shown in FIG. 15, the Holter type electrocardiograph has a storage device 110 such as an SD card or a memory set in the Holter type electrocardiograph 120, and the electrocardiogram. For example, data is continuously measured and accumulated for 24 hours. The storage device 110 in which the electrocardiogram data is accumulated is taken out from the Holter type electrocardiograph 120 and set in the dedicated analyzer 130 for analysis. The dedicated analyzer 130 performs detailed analysis such as arrhythmia.

  The Holter type electrocardiograph 120 is provided with an event button 140, and when the patient feels abnormalities such as palpitation, the electrocardiogram data is measured and stored by operating the event button 140. Even when the Holter type electrocardiograph 120 is used as such an event type electrocardiograph, the storage device 110 in which the electrocardiogram data is accumulated is taken out of the Holter type electrocardiograph 120 and is used for analysis. Set to 130 and used. In any case, although the Holter type electrocardiograph 120 includes the display 150, the electrocardiogram when the event button is pressed in the electrocardiogram measurement state, the arrhythmia analysis is performed, and the result is displayed. You can't see it at 150.

  Patent Document 1 shows a portable electrocardiograph that stores electrocardiogram data in accordance with an operation of an event switch. As described above, when an event button is pressed in the state of electrocardiogram measurement. You can't see your ECG right away.

Further, Patent Document 2 discloses a biological signal communication system using a telemeter type Holter type electrocardiograph. However, even in this system, the electrocardiogram cannot be seen outside the radio wave reception area, and only data transmission to a remote location is intended.
Japanese Patent No. 2789274 JP 2001-78974 A

  In the Holter type electrocardiograph, the electrocardiogram measured and stored in the state of electrocardiogram measurement cannot be readily seen near the patient. Further, in the communication system for biological signals, the electrocardiogram is not used in the radio wave reception area. Is made in view of the problem that the electrocardiogram cannot be seen. Therefore, an object of the present invention is to make it possible to see an electrocardiogram beside the patient in the state of electrocardiogram measurement, and to identify and display an electrocardiogram corresponding to an arrhythmia without any event button operation. It is to provide a type electrocardiogram monitor. Another object of the present invention is to provide an electrocardiogram monitor system capable of outputting an electrocardiogram in a more easily observable state based on data obtained by using the Holter type electrocardiogram monitor.

  The Holter type electrocardiogram monitor according to the present invention is a Holter type electrocardiogram monitor that records the obtained electrocardiogram data in a removable storage device corresponding to the time information, and performs a simple analysis of the arrhythmia based on the electrocardiogram data to provide an arrhythmia response time. Simple analysis means for storing information, storage means for storing obtained electrocardiogram data, event response means for storing event time information according to an operation of an event button, display means for displaying information, and the arrhythmia List display control means for displaying the time list based on the corresponding time information and the time list based on the event time information on the display means, and the corresponding time in the storage device according to the time selection in the time list displayed on the display means Electrocardiogram display control means for displaying an electrocardiogram based on electrocardiogram data on the display means; That.

  In the Holter type electrocardiogram monitor according to the present invention, the list display control means displays a time list of a long-time waveform in time information for each set time on the display means, and the electrocardiogram display control means comprises the display means. The electrocardiogram based on the electrocardiogram data of the corresponding time in the storage device is displayed on the display means in accordance with the time selection in the time list of the long-time waveform displayed in FIG.

  In the Holter type electrocardiogram monitor according to the present invention, the electrocardiogram display control means scrolls the electrocardiogram on the display means in response to a scroll operation.

  The Holter type electrocardiogram monitor according to the present invention is characterized in that it includes a wireless transmission unit that wirelessly transmits at least the obtained electrocardiogram data in correspondence with time information.

  An electrocardiogram monitor system according to the present invention is a Holter type electrocardiogram monitor according to any one of claims 1 to 4, a capturing unit for taking in data possessed by the Holter type electrocardiogram monitor, and an arrhythmia analysis based on the electrocardiogram data. The central side analysis means for storing the arrhythmia response time information, the central side display means for displaying the information, the time list by the central side arrhythmia response time information, or the time list by the time information by the Holter type ECG monitor An electrocardiogram based on electrocardiogram data of the corresponding time taken from the take-in section in accordance with the time selection in the time list displayed on the central-side display means, Central-side electrocardiogram output control means for displaying and outputting on the central-side display means; and And print means for performing printing based on the data sent by Ntoraru side electrocardiogram output control means, the characterized by comprising a 備Ru central monitor device.

  In the electrocardiogram monitoring system according to the present invention, the central electrocardiogram output control means displays an enlarged electrocardiogram on the central display means as required.

  In the electrocardiogram monitor system according to the present invention, the capturing unit is a reader unit for setting a storage device or a wireless receiving unit.

  In the electrocardiogram monitor system according to the present invention, data corresponding to a plurality of patients is captured from the capturing unit, and the central side list display control means and the central side electrocardiogram display control are based on the data corresponding to the selected patient. The means performs processing.

  In the present invention, simple analysis of arrhythmia based on electrocardiogram data is performed, arrhythmia response time information is stored, event time information is stored according to an operation of an event button, a time list and event time information based on the arrhythmia response time information Is displayed on the display means, and an electrocardiogram based on the electrocardiogram data of the corresponding time in the storage device is displayed on the display means in accordance with the time selection in the displayed time list. It is possible to see the electrocardiogram by the side, and the electrocardiogram can be seen immediately by the patient, so that the doctor can decide the diagnosis and treatment policy of the patient at an early stage. In addition, there is an effect that an electrocardiogram corresponding to an arrhythmia can be specified and displayed without operating an event button.

  Also, in the present invention, the above-mentioned Holter type electrocardiogram monitor and the data possessed by the Holter type electrocardiogram monitor are fetched, the arrhythmia is simply analyzed based on the electrocardiogram data, the arrhythmia correspondence time information is stored, and obtained by a new simple analysis. Display a time list based on the arrhythmia response time information or a time list based on the time information from the Holter type ECG monitor, and display an electrocardiogram based on the electrocardiogram data of the corresponding time acquired from the acquisition unit according to the time selection in the displayed time list. Since the electrocardiogram monitor system is configured to include a central monitor device that performs display output and prints based on the transmitted data, there is an effect that the electrocardiogram can be output in a more easily observable state.

  The present invention adopts a configuration in which a time list is displayed on the display means, and an electrocardiogram based on electrocardiogram data at a corresponding time in the storage device is displayed according to time selection in the displayed time list, and the state of electrocardiogram measurement This achieves the purpose of allowing the patient to see an electrocardiogram next to the patient. Also, simple analysis of arrhythmia based on electrocardiogram data is performed, arrhythmia response time information is stored, a time list based on the arrhythmia response time information is displayed, and an electrocardiogram is displayed according to time selection in the displayed time list With the configuration, the object of enabling to specify and display the electrocardiogram corresponding to the arrhythmia without any operation of the event button is achieved.

  In the present invention, an electrocardiogram monitor system is configured to include the holter type electrocardiogram monitor and a monitor device such as a central monitor device. The central monitor device takes in data held by the holter type electrocardiogram monitor, and detects arrhythmia based on the electrocardiogram data. Analyze and display the time list based on the arrhythmia response time information obtained by the new analysis or the time list based on the time information based on the Holter-type ECG monitor, and import from the capture unit according to the time selection in the displayed time list However, as an arrangement for displaying and outputting an electrocardiogram based on the electrocardiogram data at the corresponding time and printing based on the sent data, the object of outputting the electrocardiogram in a more easily observable state is achieved.

  Embodiments of a Holter type electrocardiogram monitor and an electrocardiogram monitor system according to the present invention will be described below with reference to the accompanying drawings. In each figure, the same components are denoted by the same reference numerals, and redundant description is omitted. FIG. 1 shows a block diagram of a first embodiment of a Holter type electrocardiogram monitor according to the present invention, and FIG. 2 shows an external perspective view thereof. The main unit 10 of the Holter type electrocardiogram monitor includes a central processing unit 11 including an CPU and an electrocardiogram measurement circuit 12. For example, a two-channel biological signal arrives at the electrocardiogram measurement circuit 12 via an electrocardiogram detection electrode line 28 to which two to three electrodes attached to the living body are connected, and the electrocardiogram measurement circuit 12 receives an electrocardiogram signal ( ECG signal) is extracted and output. An A / D converter 13 is connected to the electrocardiogram measurement circuit 12, where a signal for one channel is converted into a digital value and sent to the central processing unit 11.

  Connected to the central processing unit 11 are a simple analysis RAM 14 in which a program for simple analysis is stored, an internal RAM 15 used as a working memory, and an external memory 16. The external memory 16 constitutes a detachable storage device, and the electrocardiogram data (ECG data) obtained by the central processing unit 11 from the A / D converter 13 is stored in association with arrival time information. It is.

  A display control unit 17 is connected to the central processing unit 11, and a display unit 18 composed of, for example, an LCD is connected to the display control unit 17. The display unit 18 constitutes display means and displays information such as an electrocardiogram waveform. The display control unit 17 performs display on the display unit 18 based on the display data sent from the central processing unit 11. Power is supplied from the power supply unit 19 including the battery to each unit in the main body 10.

  Further, the central processing unit 11 includes an event button 21 that is operated when the patient feels abnormalities such as palpitation, and a selection button 22 and a determination button 23 for inputting an instruction to switch display contents on the display unit 18. It is connected.

  The Holter type electrocardiogram monitor configured as described above operates according to a program corresponding to the flowchart shown in FIG. That is, when the external memory 16 is set (S11) and the battery is set (S12), the electrocardiogram measurement is started (S13). Then, the central processing unit 11 controls the display control unit 17 to display a real time waveform (S14). Subsequent to step S14, the operation of the selection button 22 is detected (S15), and when the selection button 22 is operated, a recording condition screen is displayed on the display unit 18 (S16). Further, it is detected which of the selection button 22 and the decision button 23 has been operated (S17, S19, S23). When the selection button 22 is operated, the subject information screen, the real-time waveform screen, the event waveform selection screen, the length A time waveform selection screen is displayed on the display unit 18 (S18, S20, S22). When the operation of the enter button 23 is detected in steps S17, S19, and S23, a predetermined screen corresponding to the current screen is displayed, and a different screen or an original screen is displayed on the display unit 18 depending on the content of the button operation. Displayed (S25). In step S25, the arrows directed to steps S16, S18, S20, and S22 indicate processing for displaying the original screen on the display unit 18.

  When the operation of the selection button 22 is detected in step S15 in the state where the real-time waveform is displayed in step S14 in the above, a recording condition screen is displayed on the display unit 18 as shown in FIG. 6 (S16). When the enter button 23 is operated in step S17, the process proceeds from step S17 to step S25, and the display of “2006” corresponding to “year” on the screen shown in FIG. The number “2006” can be switched by the operation, and when the desired number is reached, the display of “02/14” corresponding to “year / month” related to the next item is blinked by the operation of the decision button 23. The number can be changed in the same way, the number is input in the same manner, the time is set in the same manner, and the enter button 23 is operated. Time it is possible to confirm the.

  When the current time is fixed, the display of “Y” and “N” corresponding to “arrhythmia analysis” blinks in the state where the recording condition screen is displayed on the display unit 18 as shown in FIG. For example, one of “Y” and “N” is selected by operating the selection button 22, and the process proceeds to the next item by operating the decision button 23 as described above. When the numeric step input is performed and the setting relating to the recording condition is continued, for example, when “30” or “15” corresponding to “long-time waveform interval” is selected, the determination button 23 is operated. Then, returning to step S23, the subject information screen is displayed on the display unit 18 without blinking as shown in FIG. 6, and finally, it is selected whether the wireless transmission is present or not, and the decision button 23 is operated. When the recording condition screen returns to step S16 can be displayed on the blink without display unit 18 as shown in FIG. 6 is determined. The information set on this recording condition screen and the information set on the previous subject information screen are stored in the external memory 16 and are read out also in the central monitors 3 and 3A to be described later for necessary display etc. Used for.

  In the case where the recording condition is confirmed, when the selection button 22 is operated, this is detected in step S17, and the process proceeds to step S18. In step S18, the subject information screen is displayed on the display unit 18 as shown in FIG. When the determination button 23 is operated, the process proceeds from step S18 to step S25, where the display of the ID-corresponding numbers can be changed by blinking or the like. When it becomes a number, the display of “MF” corresponding to “sex” relating to the next item can be changed by blinking by the operation of the decision button 23. For example, the operation of the selection button 22 can change the “MF”. Select one of them and enter the numbers related to “age” and “weight” in the same way, and set the subject information If the decision button 23 is operated when “50” Kg corresponding to “weight” finally reaches a desired number, the process returns to step S21 and the subject information screen is not blinked as shown in FIG. It is displayed on the display unit 18 and can be confirmed.

  When the subject information is confirmed on the subject information screen and the selection button 22 is operated, this is detected in step S19, and the process proceeds to step S20 to display the event waveform selection screen. Since the process from step S20 to step S23 is irrelevant in the initial setting, the description will be continued assuming that the operation of the selection button 22 is detected in steps S19, S21, and S23. When the operation of the selection button 22 is detected in step S23, it is detected based on the recording flag whether measurement has already been performed (S24). If recording is in progress, the process returns to step S14. If recording has not been started, a message for inquiring to start recording is displayed on the display unit 18 (S26). When the operation of the selection button 22 is detected in step S27, the process returns to step S14, but in step S27, the operation of the decision button 23 is performed. Is detected, recording is set, a recording flag is set (S28), and 1 to 2 minutes after recording starts, the current time and measurement start time are displayed on the display unit 18 on the time display screen in FIG. (S29). On the time display screen, the operation of the selection button 22 is detected (S29A). When the selection button 22 is operated in this step S29A, the process returns to step S14 and the processing is continued.

  At the start of recording in step S29 in FIG. 3, the central processing unit 11 activates the program of the flowchart shown in FIG. 7, fetches the electrocardiogram data A / D converted by the A / D converter 13, and associates it with the time data. It is stored in the external memory 16 (S31), the operation of the event button 21 is detected (S32), and when the event button 21 is operated, the event time is stored in the external memory 16 (S33). When the process proceeds to NO in step S32, the simple arrhythmia analysis is performed when the simple arrhythmia analysis is set (S34). Here, in the simple arrhythmia analysis, for example, a technique such as detecting disturbance of the heartbeat interval (when the average value deviates from a predetermined rate) by RR time measurement is adopted, and time information (arrhythmia corresponding time information) for detecting arrhythmia is externally used. Store in memory 16.

  Following the simple arrhythmia analysis (S34) performed when it is set, the power OFF is detected (S35). If the power is not OFF, the process returns to step S31 and continues. When the power is turned off, a recording end process is performed (S36), and the power is actually turned off (S37). Thereafter, the external memory 16 is taken out (S38).

  As described in FIG. 4, the time display screen is displayed on the display unit 18 (FIG. 8 (V10)). In this state, it is detected whether the selection button 22 has been operated (S29A in FIG. 3), and when the selection button 22 is operated, a real-time waveform screen is displayed on the display unit 18 as shown in FIG. 8 (V11) ( S14). At this time, the heart rate is calculated from the real-time ECG data and displayed. In this state, it is detected whether the selection button 22 has been operated or which of the selection button 22 and the determination button 23 has been operated (S15, S17, S19), and the selection button 22 has been operated three times. As shown in FIG. 8 (V12), the event waveform selection screen is displayed on the display unit 18 (S20).

  As shown in FIG. 8 (V12), it is detected which of the selection button 22 and the determination button 23 is operated in the state where the event waveform selection screen is displayed on the display unit 18 (S21), and the determination button 23 is operated. 8 (V13), a time list based on event time information recorded in the external memory 16 is created and displayed on the display unit 18 (S25: list display control means). In the screen shown in FIG. 8 (V13), the event button 21 switches the scroll direction (DOWN and UP), the selection button 22 is operated to scroll, the decision button 23 is operated to determine the event time, and the time In accordance with the time selection in the list, an electrocardiogram based on the electrocardiogram data at the corresponding time in the external memory 16 is displayed on the display unit 18. That is, an event waveform screen as shown in FIG. 8 (V14) is displayed on the display unit 18 (S25: electrocardiogram display control means). In the screen shown in FIG. 8 (V14), the event button 21 is used to switch the scroll direction (electrocardiogram time direction), the selection button 22 is used for scrolling, and the decision button 23 is used for operation as shown in FIG. 8 (V12). As shown, the event waveform selection screen returns to the state of displaying on the display unit 18.

  As described above, in this embodiment, the selection button 22 is operated in a state where the time display screen is displayed on the display unit 18 (FIG. 8 (V10)), and the real-time waveform screen is displayed as shown in FIG. 8 (V11). Can be displayed on the display unit 18. Then, in a state where the real-time waveform screen is displayed on the display unit 18 (FIG. 8 (V11)), the selection button 22 is operated, and the event waveform selection screen is displayed on the display unit 18 as shown in FIG. 8 (V12). Can be displayed. When the event waveform selection screen is displayed on the display unit 18 (FIG. 8 (V12)), the enter button 23 is operated, and a time list based on event time information is displayed on the display unit 18 as shown in FIG. 8 (V13). Can be displayed. Further, in a state where the time list is displayed on the display unit 18 (FIG. 8 (V13)), a desired time is selected by operating the selection button 22 and the determination button 23, and as shown in FIG. 8 (V14). An event waveform screen corresponding to time can be displayed on the display unit 18. Thus, according to the present embodiment, not only the electrocardiogram waveform collected in real time and the time when the subject operates the event button 21, but also the electrocardiogram waveform at the arrhythmia response time by the simple arrhythmia analysis is selected and displayed. It is possible to make a diagnosis based on an electrocardiogram while a doctor or the like interacts with the subject.

  In step S17, when the event waveform selection screen is displayed on the display unit 18 (FIG. 8 (V12)), it is detected which of the selection button 22 and the decision button 23 has been operated (S18). When the operation is performed, as shown in FIG. 8 (V15), a long-time waveform selection screen is displayed on the display unit 18 (S19).

  As shown in FIG. 8 (V15), it is detected which operation of the selection button 22 and the determination button 23 is performed in a state where the long-time waveform selection screen is displayed on the display unit 18 (S20), and the operation of the determination button 23 is performed. As shown in FIG. 8 (V16), a time list based on time information for each set time interval of the set long-time waveform is created and displayed on the display unit 18 (S25: list display control means). In the screen shown in FIG. 8 (V 16), the scroll direction (DOWN and UP) is switched by the event button 21, the scroll is performed by operating the selection button 22, and the time of the long-time waveform is determined by operating the decision button 23. Then, an electrocardiogram based on the electrocardiogram data at the corresponding time in the external memory 16 is displayed on the display unit 18 in accordance with the time selection in the time list. That is, a long-time waveform screen as shown in FIG. 8 (V17) is displayed on the display unit 18 (S25: electrocardiogram display control means). In the screen shown in FIG. 8 (V17), the event button 21 switches the scroll direction (electrocardiogram time direction), the selection button 22 is used for scrolling, and the decision button 23 is used for operation as shown in FIG. 8 (V15). As shown, the display returns to the state in which the long-time waveform selection screen is displayed on the display unit 18.

  As described above, in this embodiment, the first selection button 22 is operated from the state where the time screen is displayed on the display unit 18 (FIG. 8 (V10)), and the display of FIG. 8 (V11) is obtained. The display shown in FIG. 8 (V12) is obtained by operating the selection button 22 three times from the display shown in FIG. 8 (V11), and the selection button 22 is operated once again as shown in FIG. 8 (V15). The time waveform selection screen can be displayed on the display unit 18 (S22). Then, the determination button 23 is operated while the long-time waveform selection screen is displayed on the display unit 18 (FIG. 8 (V15)), and the time interval time of the long-time waveform is displayed as shown in FIG. 8 (V16). A time list based on information can be displayed on the display unit 18. Further, in a state where the time list is displayed on the display unit 18 (FIG. 8 (V16)), a desired time is selected by operating the selection button 22 and the determination button 23, and as shown in FIG. 8 (V17). A long time waveform screen corresponding to the time can be displayed on the display unit 18. Thus, according to the present embodiment, not only the electrocardiogram waveform collected in real time but also the recorded electrocardiogram data is selected on the display unit 18 by selecting a time at a predetermined time interval. It is possible to display, and it is possible to make a diagnosis by obtaining an electrocardiogram history around a desired time while a doctor or the like interacts with the subject.

  FIG. 9 shows a configuration example of an electrocardiogram monitor system using the above-described holter type electrocardiogram monitor 1. This electrocardiogram monitor system includes a holter type electrocardiogram monitor 1 and a central monitor 3, and a holter analyzer 4 is used when necessary. That is, the Holter analyzer 4 sets the recording device 5 corresponding to the external memory 16 of the Holter type electrocardiogram monitor 1 to perform processing, and the Holter analyzer 4 detects PVC (ventricular extrasystole) or the like. Various processes for quantifying arrhythmia are performed.

  The central monitor 3 used in the electrocardiogram monitor system is configured as shown in FIG. The main body 30 is constituted by a personal computer, for example. The main unit 30 includes a central processing unit 31 including a CPU. The central processing unit 31 includes an arrhythmia analysis unit 32, a data storage memory 33, an input unit 34 including a keyboard and a mouse, an LCD, and the like. A configured display unit (central side display means) 35 is connected. The arrhythmia analysis unit 32 is a central-side analysis means, and is configured by software that analyzes arrhythmia based on electrocardiogram data, and detects heartbeat interval disturbance (when the average value deviates from a predetermined rate) by RR time measurement, etc. Arrhythmia-corresponding time information is obtained by the above method or a method such as comparing QRS waveform patterns.

  The central processing unit 31 is connected to a reader unit 36 and a printer 37 as a capturing unit that captures data held by the Holter type electrocardiogram monitor 1. The reader unit 36 is set with the external memory 16 of the Holter type electrocardiogram monitor 1, and the reader unit 36 reads the data in the external memory 16 in response to an instruction from the central processing unit 31 and transfers it to the central processing unit 31. is there.

  The central monitor 3 configured as described above operates according to a program corresponding to the flowchart shown in FIG. That is, the external memory 16 is set in the reader unit 36 (S41), and the central processing unit 31 detects a data reading instruction (S42). Upon receiving an instruction to read data from the input unit 34 by clicking the screen with the mouse or operating the keyboard, the central processing unit 31 controls the reader unit 36 to read out the data in the external memory 16 and store it in the data storage memory 33 (S43). The display based on the stored data corresponding to the patient is performed (S43A). In this step S43A, the event time information and time information based on the set time interval of the long time waveform are stored in the external memory 16, so that the event time list, the long time waveform time list window, For example, a screen including a long-time waveform at a predetermined time is displayed as shown in FIG. 12 (central side list display control means). In the example of FIG. 12, an enlarged waveform is displayed, but this display need not be included. In this embodiment, the central monitor 3 is displayed. However, the present invention is not limited to the central monitor. For example, any monitor (display) means having the same function as the central monitor such as a bedside monitor can be used. Applicable.

  Next, the central processing unit 31 detects an arrhythmia analysis instruction in step S44 of the flowchart shown in FIG. 11, and if there is an instruction, the arrhythmia analysis unit 32 performs an analysis (S45), and creates an event time list based on the analysis result. Then, the display is performed as shown in FIG. 13 (S46: central-side list display control means). Subsequent to step S46, an instruction to edit the analysis result is detected (S47), and editing is performed when the editing instruction is input (S48). In this editing, for example, a correlation with event time information stored in the external memory 16 is obtained and stored in association with each other, or screening is performed. It is also possible to set so that the analysis by the arrhythmia analysis unit 32 is performed at the same time as data reading even if there is no analysis instruction by setting.

  Next, the central processing unit 31 detects a print instruction (S49). Upon receiving the instruction, the CPU 31 prints each waveform display screen for each patient (S50: central-side electrocardiogram output control means, Print means), detects whether the time of each list has been selected (S51), and if selected, displays an electrocardiogram based on the electrocardiogram data according to the corresponding time on the display 35 which is a central display means (S52: Central-side electrocardiogram output control means) As a result, the corresponding electrocardiogram waveform is displayed in the “long-time compressed waveform display” area in FIGS. Also, in the “enlarged waveform display” area in FIGS. 12 and 13, when the waveform displayed in the “long-time compressed waveform display” area is instructed by, for example, the mouse, the central processing unit 31 displays this portion. Enlarge and display. It is detected whether or not an end input has been input following step S52 (S53). If there is no end input, it is determined whether or not the arrhythmia analysis has ended (S54). If the arrhythmia analysis has not ended, the process returns to step S43A for processing. If the arrhythmia analysis has not been completed, the process branches to step S49 to continue the process. If an end input is detected in step S53, the process ends. Thus, according to the present embodiment, it is possible to output an electrocardiogram in a more easily observable state.

  In addition, information such as IDs corresponding to a plurality of patients stored in the data storage memory 33 is stored, and the central processing unit 31 correspondingly stores the information on the patient selection screen as shown in FIGS. Patients A to F are displayed in the area of. By selecting one of the patients A to F, the central processing unit 31 starts the operation from step S43A in the flowchart of FIG.

  FIG. 14 shows a configuration diagram of an electrocardiogram monitor system according to the second embodiment. This electrocardiogram monitor system includes a Holter type electrocardiogram monitor 1A and a central monitor 3A. The Holter type electrocardiogram monitor 1A includes a wireless transmission unit 24 connected to the central processing unit 11, and the central monitor. 3A includes a wireless reception unit 38 connected to the central processing unit 31. The central monitor 3A includes a reader unit 36 and a wireless reception unit 38 as an acquisition unit. When the central processing unit 11 of the Holter type electrocardiogram monitor 1A performs the operation of step S31 in FIG. 7, the acquired electrocardiogram data is transmitted from the wireless transmission unit 24 and the patient ID in association with the time data. The central processing unit 31 takes in electrocardiogram data or the like from the radio reception unit 38 and stores it in the data storage memory 33, displays it on the display unit 35 in real time, or performs processing by a program corresponding to the flowchart of FIG. According to this embodiment, since the electrocardiogram data is transmitted in real time and processed by the central monitor 3A, monitoring from a nurse center or the like becomes possible. Further, data such as missing due to transmission is stored in the external memory 16 and can be replenished later, enabling appropriate analysis processing.

  The central monitor 3 and the central monitor 3A described above are provided with the arrhythmia analysis unit 32. However, without the arrhythmia analysis unit 32, processing other than the processing of steps S44 to S48 and step S54 in the flowchart of FIG. The waveform viewer may be configured to perform the above. Also with this configuration, it is possible to output an electrocardiogram in a more easily observable state.

The block diagram which shows the Example of the Holter type electrocardiogram monitor which concerns on this invention. The perspective view which shows the external appearance of the Holter type electrocardiogram monitor which concerns on this invention. The flowchart for demonstrating the operation | movement in the Example of the Holter type electrocardiogram monitor which concerns on this invention. The figure which shows the example of a display of the time display screen displayed in the Example of the Holter type electrocardiogram monitor which concerns on this invention. The figure which shows the example of a display of the test subject information screen displayed in the Example of the Holter type electrocardiogram monitor which concerns on this invention. The figure which shows the example of a display of the recording condition screen displayed in the Example of the Holter type electrocardiogram monitor which concerns on this invention. The flowchart for demonstrating the operation | movement at the time of the measurement in the Example of the Holter type electrocardiogram monitor which concerns on this invention. The flowchart for demonstrating the transition of the screen displayed in operation | movement by the Example of the Holter type electrocardiogram monitor which concerns on this invention, and button operation. The figure which shows the 1st Example of the electrocardiogram monitor system comprised using the Example of the Holter type electrocardiogram monitor which concerns on this invention. The block diagram which shows the structure of the central monitor employ | adopted as the 1st Example of the electrocardiogram monitor system which concerns on this invention. The flowchart for demonstrating operation | movement of the central monitor employ | adopted as the 1st Example of the electrocardiogram monitor system which concerns on this invention. The figure which shows an example of the screen displayed before an arrhythmia analysis by the central monitor employ | adopted as the 1st Example of the electrocardiogram monitor system which concerns on this invention. The figure which shows an example of the screen displayed after an arrhythmia analysis by the central monitor employ | adopted as 1st Example of the electrocardiogram monitor system which concerns on this invention. The figure which shows the 2nd Example of the electrocardiogram monitor system comprised using the Example of the Holter type electrocardiogram monitor which concerns on this invention. The block diagram explaining the Holter type electrocardiogram monitor which concerns on a prior art example.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1, 1A Holter type electrocardiogram monitor 3, 3A Central monitor 10 Main part 11 Central processing part 12 Electrocardiogram measurement circuit 13 A / D converter 14 Simple analysis RAM
15 Internal RAM
16 External memory 17 Display control unit 18 Display unit 21 Event button 22 Select button 23 Enter button 24 Wireless transmission unit 30 Main unit 31 Central processing unit 32 Arrhythmia analysis unit 33 Data storage memory 35 Display unit 36 Input unit 37 Printer 38 Wireless reception unit

Claims (8)

In the Holter type electrocardiogram monitor that records the obtained electrocardiogram data in a removable storage device corresponding to the time information,
Simple analysis means for performing arrhythmia simple analysis based on electrocardiogram data and storing arrhythmia response time information;
Storage means for storing the obtained electrocardiogram data;
Event response means for storing event time information in response to an operation of the event button;
Display means for displaying information;
List display control means for displaying a time list based on the arrhythmia corresponding time information and a time list based on event time information on the display means;
An electrocardiogram display control means for displaying an electrocardiogram on the display means based on electrocardiogram data at a corresponding time in the storage device in response to time selection in the time list displayed on the display means. Type ECG monitor. The list display control means displays a time list of a long-time waveform in the time information for each set time on the display means,
The electrocardiogram display control means displays, on the display means, an electrocardiogram based on electrocardiogram data at a corresponding time in the storage device in response to time selection in a time list of long-time waveforms displayed on the display means. The Holter type electrocardiogram monitor according to claim 1. The Holter type electrocardiogram monitor according to claim 1 or 2, wherein the electrocardiogram display control means scrolls the electrocardiogram on the display means in response to a scroll operation. The Holter type electrocardiogram monitor according to any one of claims 1 to 3, further comprising a wireless transmission unit that wirelessly transmits at least obtained electrocardiogram data in correspondence with time information. The Holter type electrocardiogram monitor according to any one of claims 1 to 4,
An acquisition unit for capturing data included in the Holter-type electrocardiogram monitor; central-side analysis means for analyzing arrhythmia based on the electrocardiogram data and storing arrhythmia-corresponding time information; and central-side display means for displaying information Central list display control means for displaying on the central side display means a time list based on time information based on arrhythmia response time information on the central side or time information based on Holter type ECG monitor, and a time list displayed on the central side display means Sent from the central side electrocardiogram output control means, and a central side electrocardiogram output control means for displaying and displaying on the central side display means an electrocardiogram based on the electrocardiogram data of the corresponding time taken in from the take-in portion according to the time selection during A printing means for performing printing based on the data. ECG monitoring system characterized by comprising a Torarumonita device. 6. The electrocardiogram monitoring system according to claim 5, wherein the central electrocardiogram output control means displays an enlarged electrocardiogram on the central side display means in response to a request. The electrocardiogram monitor system according to claim 5 or 6, wherein the capturing unit is a reader unit or a wireless receiving unit for setting a storage device. The data corresponding to a plurality of patients is captured from the capturing unit,
The electrocardiogram monitoring system according to any one of claims 5 to 7, wherein the central list display control means and the central electrocardiogram display control means perform processing based on data corresponding to the selected patient. .

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