Chun-Ming Shih1, Che-Wei Lin2, Daniel L Clinciu3, Wen-Shan Jian4, Terry B J Kuo5, Phung Anh Nguyen6, Usman Iqbal6, Chun-Kung Hsu6, Patrick O Owili7, Yu-Chuan Jack Li8. 1. Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Division of Cardiology, Department of Internal Medicine and Cardiovascular Research Center, Taipei Medical University Hospital, Taipei, Taiwan. 2. Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taiwan; Emergency Medicine, Taipei Medical University Hospital and Wanfang Hospital, Taipei, Taiwan. 3. Institute of Translational Medicine, Taipei Medical University, Taipei, Taiwan; Institute of International Trade, Feng Chia University, Taichung, Taiwan. 4. School of Health Care Administration, Taipei Medical University, Taipei, Taiwan; Faculty of Health Sciences, Macau University of Science and Technology, Macau, China. 5. Institute of Brain Science, School of Medicine, National Yang-Ming University, Taipei, Taiwan. 6. Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taiwan. 7. Department of International Health, National Yang-Ming University, Taipei, Taiwan. 8. Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taiwan; Department of Dermatology, Wan-Fang Hospital, Taipei, Taiwan. Electronic address: jaak88@gmail.com.
Abstract
OBJECTIVE: Using mobile wireless technology to monitor ECG in participants of mass events and sports taking place in difficult-to-access location could both prevent and easier detect arrhythmias as well as provide real-time monitoring for any type of injury. We assessed the effectiveness of mobile wireless monitoring technology and IT in detecting possible emergencies during a skyscraper race. METHODS: We attached specially designed wireless surveillance biopatches on 120 individuals participating to monitor their continuous ECG and location during a skyscraper run-up race at Taipei 101 building, Taiwan. The outcomes of interest were detection of abnormal heartbeats and QRS waves indicative of possible cardiac problems and the exact location of participants during the occurrence of emergencies. RESULTS: The devices accurately sent over 50 warnings to our monitoring platform when both, danger limits were reached by competitors (<60 or >195 beats per minute) or competitors stopped moving, proving very effective in quickly detecting abnormities and alerting staff of possible emergencies at exact locations. CONCLUSION: This efficient and inexpensive monitoring method can also prevent arrhythmias in unscreened competitors, the danger of collision among staff and competitors, and preserves oxygen by eliminating additional on-foot monitoring staff. Additionally, it could have multipurpose usage, especially during disasters and accidents occurring in difficult-to-access locations, in military exercises and personal monitoring.
OBJECTIVE: Using mobile wireless technology to monitor ECG in participants of mass events and sports taking place in difficult-to-access location could both prevent and easier detect arrhythmias as well as provide real-time monitoring for any type of injury. We assessed the effectiveness of mobile wireless monitoring technology and IT in detecting possible emergencies during a skyscraper race. METHODS: We attached specially designed wireless surveillance biopatches on 120 individuals participating to monitor their continuous ECG and location during a skyscraper run-up race at Taipei 101 building, Taiwan. The outcomes of interest were detection of abnormal heartbeats and QRS waves indicative of possible cardiac problems and the exact location of participants during the occurrence of emergencies. RESULTS: The devices accurately sent over 50 warnings to our monitoring platform when both, danger limits were reached by competitors (<60 or >195 beats per minute) or competitors stopped moving, proving very effective in quickly detecting abnormities and alerting staff of possible emergencies at exact locations. CONCLUSION: This efficient and inexpensive monitoring method can also prevent arrhythmias in unscreened competitors, the danger of collision among staff and competitors, and preserves oxygen by eliminating additional on-foot monitoring staff. Additionally, it could have multipurpose usage, especially during disasters and accidents occurring in difficult-to-access locations, in military exercises and personal monitoring.
Authors: Ka Hou Christien Li; Francesca Anne White; Gary Tse; Timothy Tipoe; Tong Liu; Martin Cs Wong; Aaron Jesuthasan; Adrian Baranchuk; Bryan P Yan Journal: JMIR Mhealth Uhealth Date: 2019-02-15 Impact factor: 4.773