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首页> 外文期刊>Journal of cardiac failure >Validation of remote cardiopulmonary examination in patients with heart failure with a videophone-based system.
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Validation of remote cardiopulmonary examination in patients with heart failure with a videophone-based system.

机译：基于视频电话的系统对心力衰竭患者进行远程心肺检查的验证。

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BACKGROUND: The aim of this study was to evaluate feasibility and accuracy of a videophone-based system for remote cardiopulmonary examination of patients with heart failure. METHODS AND RESULTS: Fifty patients were examined by 2 cardiologists, 1 with a conventional stethoscope and 1 remotely with a videophone-based method, employing an electronic stethoscope and transmitting through an integrated services digital network line. During both sessions, the cardiologists filled out a 27-item questionnaire, which was then compared; concordance between standard and remote examination was evaluated. In 92% of patients, electronic and acoustic auscultation concurred. Only in 3 patients (4%) did teleauscultation not permit a correct interpretation of lung examination. In one patient, bilateral fine crepitant rales were not detected during teleauscultation. Conversely, in the second, patient bilateral fine crepitant rales were recognized during teleauscultation, which were not confirmed during real-life auscultation. In the third nonconcordant patient, moderate-degree wheezing was not detected during teleauscultation. Fine crepitant rales were present at the lungs lower fields in 12 and wheezing in 3 additional patients, and were always correctly identified during teleauscultation. Overall, sensitivity, specificity, positive, and negative predictive value of remote lung auscultation were 88%, 97%, 94%, and 94%, respectively. CONCLUSIONS: Remote cardiopulmonary examination appears as a feasible method for assessing patients with heart failure. Telestethoscopy can therefore be reliably used in the context of comprehensive telecare programs.
机译：背景：本研究的目的是评估基于视频电话的系统对心力衰竭患者进行远程心肺检查的可行性和准确性。方法和结果：两名心脏病专家对50名患者进行了检查，其中1名使用常规听诊器，1名使用基于视频电话的远程方法，采用电子听诊器并通过综合服务数字网络线路传输。在两次会议期间，心脏病专家填写了27个项目的问卷，然后进行了比较。评估了标准检查与远程检查之间的一致性。在92％的患者中，同意进行电子和听诊。只有3例患者（4％）不能进行正确的肺部检查解释。在一名患者中，在听诊期间未检测到双侧细状罗音。相反，在第二，在远程听诊中识别出患者的双侧小pit状罗音，而在实际听诊中并未确认。在第三名不一致患者中，在听诊期间未检测到中等程度的喘息。在12个肺的下部野域中出现了细碎的嘎吱声，另外3个患者出现了喘息声，并且在远程听诊过程中总是可以正确识别出。总体而言，远程肺听诊的敏感性，特异性，阳性和阴性预测值分别为88％，97％，94％和94％。结论：远程心肺检查似乎是评估心力衰竭患者的一种可行方法。因此，可以在全面的远程护理程序中可靠地使用远程骨科镜。

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