Skip to main content
SpringerLink
Log in

EKG-Telemonitoring

ECG Telemonitoring

Nucleus der Arbeitsgruppe “Telemonitoring” der Deutschen Gesellschaft für Kardiologie – Herz- und Kreislaufforschung

  • Übersichten
  • Published:
Herzschrittmachertherapie + Elektrophysiologie Aims and scope Submit manuscript

Zusammenfassung

Beim EKG-Telemonitoring wird ein Ein- oder Mehrkanal-EKG registriert und über eine Telephon-Verbindung an den Arzt oder eine andere Fachkraft zur Auswertung übertragen.

Damit kann trotz räumlicher Trennung von einem Gesundheitsdienstleister das Monitoring des Gesundheitsstatus erfolgen: Herzrhythmusstörungen werden zuverlässig diagnostiziert, Palpitationen können eingeschätzt, Erfolge der medikamentösen oder ablativen Therapie kontrolliert oder bei beschwerde-unabhängiger EKG-Registrierung asymptomatische Arrhythmien erfasst werden.

Die Übertragung eines Mehrkanal-EKGs, zum Beispiel bei akutem Koronarsyndrom, optimiert die Rettungskette zur Revaskularisation.

Gemeinsam mit weiteren physiologischen Parametern bietet das EKG-Tele monitoring die Möglichkeit der telemedizinischen Betreuung herzinsuffizienter Patienten.

Neue implantierbare Schrittmacher oder Kardioverter/Defibrillatoren können über Telemonitoring abgefragt und überwacht werden.

Abstract

ECG telemonitoring is the application of single- or multichannel ECGs transmitted by telephone to the physician or an expert center. This enables the control of the health status despite the spatial separation of patient and physician. Cardiac arrhythmias, palpitations of unknown causes, the outcome of antiarrhythmic drug therapy or interventional ablation therapy can be diagnosed using ECG telemonitoring. Even asymptomatic arrhythmias, e.g. paroxysmal atrial fibrillation, may be detected. The use of a multichannel ECG facilitates the early prehospital diagnosis of an acute coronary syndrome and thus helps to optimize the chain of rescue. The telemonitoring of the ECG and additional physiological data enables the tele-care of patients with chronic heart failure. New types of implanted pacemaker or cardioverter/defibrillator devices allow telemonitoring of device data or ECG data for close control.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb.1
Abb.2

Literatur

  1. Atrial Fibrillation Investigators (1994) Risk factors for stroke and efficacy of antithrombotic therapy in atrial fibrillation. Analysis of pooled data from five randomized controlled trials. Arch Intern Med 154: 1449–57

    Article  Google Scholar 

  2. Ahlersmann D, Möller K, Hilgers R, Duwald H, Nitsche R, von Knobelsdorff G, Scholz KH (2008) Bypassing der Notaufnahme führt zu erheblicher Verkürzung der Reperfusionszeiten bei akutem ST-Streckenhebungsinfarkt. 74. DGK-Jahrestagung

  3. Cleland JG, Louis AA, Rigby AS, Janssens U, Balk AH (2005) Noninvasive home telemonitoring for patients with heart failure at high risk of recurrent admission and death: the Trans-European Network-Home-Care Management System (TEN-HMS) study. J Am Coll Cardiol 45: 1654–64

    Article  PubMed  Google Scholar 

  4. Curtis JP, Portnay EL, Wang Y, McNamara RL, Herrin J, Bradley EH, Magid DJ, Blaney ME, Canto JG, Krumholz HM (2006) The Pre-Hospital Electrocardiogram and Time to Reperfusion in Patients With Acute Myocardial Infarction, 2000-2002: Findings From the National Registry of Myocardial Infarction-4. J Am Coll Cardiol 47: 1544–1552

    Article  PubMed  Google Scholar 

  5. Diez C, Korb H, Waehner M, Silber RE, Niemann B (2006) Telemedizinisches EKG-Monitoring nach herzchirurgischen Operationen. Herzschrittmachertherapie und Elektrophysiologie 17: 191–196

    Article  PubMed  CAS  Google Scholar 

  6. Drew BJ, Dempsey ED, Joo TH, Sommargren CE, Glancy JP, Benedict K, Krucoff MW (2004) Pre-hospital synthesized 12-lead ECG ischemia monitoring with trans-telephonic transmission in acute coronary syndromes: pilot study results of the ST SMART trial. J Electrocardiol 37 Suppl: 214–21

    Article  PubMed  Google Scholar 

  7. Einthoven (1906) Le Télécardiogramme. Arch Intern Physiol 4: 132–164

    Google Scholar 

  8. Fetsch T, Bauer P, Engberding R, Koch HP, Lukl J, Meinertz T, Oeff M, Seipel L, Trappe HJ, Treese N, Breithardt G, for the Prevention of Atrial Fibrillation after Cardioversion I (2004) Prevention of atrial fibrillation after cardioversion: results of the PAFAC trial. Eur Heart J 25: 1385–1394

    Article  PubMed  Google Scholar 

  9. Goette A, Breithardt G, Fetsch T, Hanrath P, Klein HU, Lehmacher W, Steinbeck G, Meinertz T (2007) Angiotensin II antagonist in paroxysmal atrial fibrillation (ANTIPAF) trial: rationale and study design. Clin Drug Investig 27: 697–705

    Article  PubMed  CAS  Google Scholar 

  10. Goldberg LR, Piette JD, Walsh MN, Frank TA, Jaski BE, Smith AL, Rodriguez R, Mancini DM, Hopton LA, Orav EJ, Loh E (2003) Randomized trial of a daily electronic home monitoring system in patients with advanced heart failure: the Weight Monitoring in Heart Failure (WHARF) trial. Am Heart J 146: 705–12

    Article  PubMed  Google Scholar 

  11. Hamm CW (2004) [Guidelines: Acute coronary syndrome (ACS). II: Acute coronary syndrome with ST-elevation]. Z Kardiol 93: 324–41

    Article  PubMed  CAS  Google Scholar 

  12. Katalinic A, Waldmann A, Schwaab B, Richardt G, Sheikhzadeh A, Raspe H (2008) The TeleGuard trial of additional telemedicine care in CAD patients. 1 Utilization of the system. J Telemed Telecare 14: 17–21

    Article  PubMed  Google Scholar 

  13. Kouidi E, Farmakiotis A, Kouidis N, Deligiannis A (2006) Transtelephonic electrocardiographic monitoring of an outpatient cardiac rehabilitation programme. Clin Rehabil 20: 1100–4

    Article  PubMed  Google Scholar 

  14. Lazarus A (2007) Remote, wireless, ambulatory monitoring of implantable pacemakers, cardioverter defibrillators, and cardiac resynchronization therapy systems: analysis of a worldwide database. Pacing Clin Electrophysiol 30 Suppl 1: S2–S12

    Google Scholar 

  15. Mavrogeni SI, Tsirintani M, Kleanthous C, Vranakis K, Secheta E, Mihelakis D, Sotiriou D, Gatzonis M, Tsolas C, Kontaratos AN, Cokkinos DV (2000) Supervision of thrombolysis of acute myocardial infarction using telemedicine. J Telemed Telecare 6: 54–58

    Article  PubMed  CAS  Google Scholar 

  16. Mischke K, Zarse M, Perkuhn M, Knackstedt C, Markus K, Koos R, Schimpf T, Graf J, Hanrath P, Schauerte P (2005) Telephonic transmission of 12-lead electrocardiograms during acute myocardial infarction. J Telemed Telecare 11: 185–190

    Article  PubMed  CAS  Google Scholar 

  17. Oeff M, Kotsch P, Gosswald A, Wolf U (2005) Überwachung multipler Herzkreislaufparameter mittels Telemonitoring bei Patienten mit chronischer Herzinsuffizienz. Herzschrittmachertherapie und Elektrophysiologie 16: 150–158

    Article  PubMed  CAS  Google Scholar 

  18. Olson JA, Fouts AM, Padanilam BJ, Prystowsky EN (2007) Utility of mobile cardiac outpatient telemetry for the diagnosis of palpitations, presyncope, syncope, and the assessment of therapy efficacy. J Cardiovasc Electrophysiol 18: 473–7

    Article  PubMed  Google Scholar 

  19. Page RL, Wilkinson WE, Clair WK, McCarthy EA, Pritchett EL (1994) Asymptomatic arrhythmias in patients with symptomatic paroxysmal atrial fibrillation and paroxysmal supraventricular tachycardia. Circulation 89: 224–227

    PubMed  CAS  Google Scholar 

  20. Patten M, Maas R, Bauer P, Lüderitz B, Sonntag F, Dluzniewski M, Hatala R, Opolski G, Muller H-W, Meinertz T, for the SI (2004) Suppression of paroxysmal atrial tachyarrhythmias -- results of the SOPAT trial. Eur Heart J 25: 1395–1404

    Article  PubMed  Google Scholar 

  21. Patten M, Maas R, Karim A, Muller HW, Simonovsky R, Meinertz T (2006) Event-recorder monitoring in the diagnosis of atrial fibrillation in symptomatic patients: subanalysis of the SOPAT trial. J Cardiovasc Electrophysiol 17: 1216–20

    Article  PubMed  Google Scholar 

  22. Sack S, Hehn A, Krukenberg A, Wieneke H, Erbel R (2005) Das Herz Handy® ein neues telemedizinisches Servicekonzept für Herzpatienten. Herzschrittmachertherapie und Elektrophysiologie 16: 165–175

    Article  PubMed  CAS  Google Scholar 

  23. Scalvini S, Piepoli M, Zanelli E, Volterrani M, Giordano A, Glisenti F (2005) Incidence of atrial fibrillation in an Italian population followed by their GPs through a telecardiology service. Int J Cardiol 98: 215–20

    Article  PubMed  Google Scholar 

  24. Scalvini S, Zanelli E, Martinelli G, Baratti D, Giordano A, Glisenti F (2005) Cardiac event recording yields more diagnoses than 24-hour Holter monitoring in patients with palpitations. J Telemed Telecare 11 Suppl 1: 14–16

    Article  PubMed  Google Scholar 

  25. Schickendantz S, Pillekamp F, Emmel M, Sreeram N, Brockmeier K (2006) Wireless Holter transmission in suspected dysrhythmias. J Electrocardiol 39: 54–60

    Article  Google Scholar 

  26. Schütze B, Kamler M (2007) Juristische Aspekte der Telemedizin in Deutschland. Dtsch Med Wochenschr 132: 453–7

    Article  PubMed  Google Scholar 

  27. Schwaab B, Katalinic A, Richardt G, Kurowski V, Kruger D, Mortensen K, Lorenz E, Sheikhzadeh A (2006) Validation of 12-lead tele-electrocardiogram transmission in the real-life scenario of acute coronary syndrome. J Telemed Telecare 12: 315–318

    Article  PubMed  Google Scholar 

  28. Senatore G, Stabile G, Bertaglia E, Donnici G, De Simone A, Zoppo F, Turco P, Pascotto P, Fazzari M (2005) Role of transtelephonic electrocardiographic monitoring in detecting short-term arrhythmia recurrences after radiofrequency ablation in patients with atrial fibrillation. J Am Coll Cardiol 45: 873–6

    Article  PubMed  Google Scholar 

  29. Steven D, Rostock T, Lutomsky B, Klemm H, Servatius H, Drewitz I, Friedrichs K, Ventura R, Meinertz T, Willems S (2008) What is the real atrial fibrillation burden after catheter ablation of atrial fibrillation? A prospective rhythm analysis in pacemaker patients with continuous atrial monitoring. Eur Heart J 29: 1037–42

    Article  PubMed  Google Scholar 

  30. Terkelsen CJ, Norgaard BL, Lassen JF, Andersen HR (2005) Prehospital evaluation in ST-elevation myocardial infarction patients treated with primary percutaneous coronary intervention. J Electrocardiol 38: 187–92

    Article  PubMed  Google Scholar 

  31. Terkelsen CJ, Norgaard BL, Lassen JF, Gerdes JC, Ankersen JP, Romer F, Nielsen TT, Andersen HR (2002) Telemedicine used for remote prehospital diagnosing in patients suspected of acute myocardial infarction. J Intern Med 252: 412–20

    Article  PubMed  CAS  Google Scholar 

  32. Vaisanen O, Makijarvi M, Silfvast T (2005) Prehospital thrombolysis perfomed by a ship’s nurse with on-line physician consultation. Resuscitation 64: 233–6

    Article  PubMed  Google Scholar 

  33. Winklmaier M, Faupel A, Barth M, Galland A, Fraunhofer J, Mang S, Bosse O, Moshage W (2008) Prähospitale EKG Telemetrie beim akuten Myokardinfarkt (STEMI) im ländlichen Raum – Reduzierung der „door to balloon time”. Intensivmed 45: 236

    Google Scholar 

  34. Zugck C, Nelles M, Frankenstein L, Schultz C, Helms T, Korb H, Katus H, Remppis A (2005) Telemedizinisches Monitoring bei herzinsuffizienten Patienten. Herzschrittmachertherapie und Elektrophysiologie 16: 176–182

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Chefarzt der Klinik für Innere Medizin I, Städtisches Klinikum Brandenburg GmbH, Hochstraße 29, 14770, Brandenburg, Deutschland

    Michael Oeff

  2. Klinik für Innere Medizin I, Klinikum Chemnitz gGmbH, Bürgerstr. 2, 09113, Chemnitz, Deutschland

    Axel Müller

  3. Klinikum Kassel GmbH, Medizinische Klinik II, Mönchebergstr. 41-43, 34125, Kassel, Deutschland

    Jörg Neuzner

  4. Klinikum Schwabing, Pneumologie und Internistische Intensivmedizin, Städtisches Klinikum München GmbH, Kölner Platz 1, 80804, München, Deutschland

    Stefan Sack

  5. Universitätsklinikum Bonn, Medizinische Klinik und Poliklinik II, Sigmund-Freud-Str. 25, 53105, Bonn, Deutschland

    Jörg O. Schwab

  6. Universitätsklinikum Leipzig, Zentrum für Innere Medizin, Johannisallee 32, 04103, Leipzig, Deutschland

    Dietrich Pfeiffer

  7. Universitätsklinikum Heidelberg, Innere Medizin III (Kardiologie, Angiologie und Pulmologie), Im Neuenheimer Feld 410, INF 410, 69120, Heidelberg, Deutschland

    Christian Zugck

Authors
  1. Michael Oeff
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Axel Müller
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jörg Neuzner
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Stefan Sack
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Jörg O. Schwab
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Dietrich Pfeiffer
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Christian Zugck
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Michael Oeff.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Oeff, M., Müller, A., Neuzner, J. et al. EKG-Telemonitoring. Herzschr. Elektrophys. 19, 137–145 (2008). https://doi.org/10.1007/s00399-008-0012-7

Download citation

  • Received:

  • Revised:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00399-008-0012-7

Schlüsselwörter

Keywords

Search

Navigation