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Published on: December 11, 2019
Evaluation of an electrocardiogram on QR code
Masaharu Nakayama1, Hiroaki Shimokawa
1Medical Informatics Center, Tohoku University Hospital, Sendai, Japan.
Insights
This study presents a novel method for converting electrocardiogram (ECG) data into QR codes, enabling portable storage and retrieval. This innovation improves ECG data accessibility, even without a server connection, aiding cardiac diagnosis.
Area of Science:
- Cardiology
- Medical Informatics
- Biomedical Engineering
Background:
- Electrocardiograms (ECGs) are crucial for diagnosing and monitoring cardiac conditions like ischemic heart disease, myocarditis, arrhythmia, and cardiomyopathy.
- Accurate diagnosis relies on comparing current ECGs with historical data, often requiring access to hospital ECG data servers.
- Limited data connectivity between hospitals hinders the seamless transfer and comparison of vital ECG information.
Purpose of the Study:
- To develop a portable and accessible method for storing and retrieving ECG data.
- To enable ECG data utilization independent of hospital server connections.
- To assess the usability and accuracy of a novel ECG data encoding system.
Main Methods:
- ECG data was converted into text data and encoded into 2D QR codes.
- A system was developed to decode QR codes and reconstruct ECGs using the Google Chart API.
- The system was evaluated on iPhone and iPad devices by fourteen cardiologists and six general physicians.
Main Results:
- The system successfully converted ECG data into QR codes for portability.
- Decoded ECGs were accurately reconstructed and visualized using the Google Chart API.
- Physicians expressed satisfaction with the system's usability and the accuracy of the decoded ECGs compared to original data.
Conclusions:
- The developed QR code system offers a viable solution for portable ECG data storage and retrieval.
- This technology enhances the accessibility of ECG data, overcoming limitations of server connectivity.
- The system shows potential for improving the utilization of ECG data in clinical practice, irrespective of network availability.
Abstract:
An electrocardiogram (ECG) is an indispensable tool to diagnose cardiac diseases, such as ischemic heart disease, myocarditis, arrhythmia, and cardiomyopathy. Since ECG patterns vary depend on patient status, it is also used to monitor patients during treatment and comparison with ECGs with previous results is important for accurate diagnosis. However, the comparison requires connection to ECG data server in a hospital and the availability of data connection among hospitals is limited. To improve the portability and availability of ECG data regardless of server connection, we here introduce conversion of ECG data into 2D barcodes as text data and decode of the QR code for drawing ECG with Google Chart API. Fourteen cardiologists and six general physicians evaluated the system using iPhone and iPad. Overall, they were satisfied with the system in usability and accuracy of decoded ECG compared to the original ECG. This new coding system may be useful in utilizing ECG data irrespective of server connections.
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