From "passive rescue" to "active screening", they jointly build the "heart" defense line

"Hello, Mr. Yang, I am a doctor at the Central Hospital of Putuo District. The ECG you made in a community hospital was diagnosed with atrial fibrillation by a doctor. The hospital's "reminder" call. "My father hasn't been to the district central hospital for an electrocardiogram. How could they know his situation?" Laosan Yang told his daughter Ms. Yang. The father and daughter had questions and went to the Department of Cardiology in the district central hospital.

Hu Wenying, a doctor in the cardiologist, took the doctor Yang, and solved the doubts for his father and daughter. It turned out that the Caoyang Street Community Health Service Center, which was a doctor Yang, was a pilot hospital for the intelligent graded diagnosis and treatment of atrial fibrillation and treatment of the Central Hospital of Putuo District. The electrocardiogram inspection information he did was accurate and analyzed by the AI ​​ECG analysis software. Risk, then the system sends the basic information and ECG of the old Yang to the intelligent class diagnosis and treatment platform. "While the information arrived at the platform, the system issued a warning to the department doctor. The doctor could check and diagnose the first time to remind the patient to come to the doctor." Dr. Hu said.

The doctor provided Mr. Yang with a series of treatment suggestions

At present, hypertension and atrial fibrillation (atrial fibrillation) is a major issue facing the cardiovascular field, and its incidence increases with age. Studies have shown that these two diseases often coexist in the same patient and promote each other. Hypertension will increase the risk of atrial fibrillation, and the blood pressure instability of atrial fibrillation patients is quite high. "Compared to the awareness rate of hypertension, the detection rate and knowing rate of atrial fibrillation are very low. Because of this, many patients discovered that they suffered from atrial fibrillation when they were sent to the hospital for emergency treatment." Putuo Liu Zongjun, director of the Department of Cardiology of the District Central Hospital, said that this has missed the "opportunity" of intervention treatment for treatment, and it also increased the pain and cost of treatment for patients. For the well -known hypertension, the incidence is high, the standard rate is low, the compliance is not good, and the standardized management is not in place, which also makes hypertension a harmful health and increase the complications of cardiovascular and cerebrovascular complications. To this end, the Putuo District Central Hospital actively explored the development of atrial fibrillation/hypertensive intelligent grading diagnosis and treatment, and enhanced the "integration" process of the treatment of chronic disease treatment of cardiovascular.

Wisdom "blessing" insight into potential high -risk groups

"Establishing a scientific management system with full management and homogeneous management is an important part of preventing and treating cardiovascular diseases and reducing patient mortality." Liu Zongjun proposed that through intelligent and informatization methods The online linkage of district -level medical institutions and even municipal medical institutions, break the data barriers, open up the long -range consultation channel of "one hospital, multi -level linkage" to form a closed -loop management of prevention, treatment, and rehabilitation. Early treatment "became the" normal "of the" heart "of guardianship.

Intelligent screening and remote management system of atrial fibrillation community

The Department of Cardiology, Putuo District Central Hospital completed the establishment of the AI ​​Fangbi Cardiac Diagnostic Model in April last year. By collecting the static ECG data recorded by the outpatient ECG room, the emergency ECG room, and the electrocardiogram room of the physical examination station, and the Putuo District Maternal and Child Health Hospital, the Putuo District Traditional Chinese Medicine Hospital, Caoyang Street Community Health Service Center, Changfeng Street Changfeng Community Health Service Center, Changsheng Town Community Health Service Center, Zhenru Street Community Health Service Center, Changfeng Street Baiyu Community Health Service Center, Taipu Town Community Health Service Center, and Taopu Town Second Community Health Service Center 9 Putuo Western Medical Union Member unit's static ECG data, upload AI ECG analysis software, feedback AI ECG analysis results to hospital cardiac doctors, and early warning. "In the past, there were many intermediate links such as such cross -hospital linkages. Now through the system 'distribution order', doctors can check the electrocardiogram of the potential high -risk population through a specific applet on their mobile phones. Patients strive for more treatment. "Liu Zongjun introduced to reporters.

Through the regional medical linkage, the AI ​​atrial fibrillation cardiac diagnostic model collects more than 80,000 static ECG diagrams and captures more than 4,000 abnormal ECG. Among them, AI diagnosed nearly 2,000 "atrium tremor". "This intelligent grading model allows us to know my situation as soon as possible. Which hospital should we go to and which step of treatment?" Ms. Yang said.

Classified diagnosis and treatment accurate policies effective intervention

"China Cardiovascular Health and Disease Report 2021" shows that the incidence and mortality rate of cardiovascular disease in my country still top the list. In 2019, 46.74%and 44.26%of the causes of cardiovascular disease in rural areas and urban and urban. Two cases died of cardiovascular disease. The report pointed out that after calculation, the number of cardiovascular diseases in my country is 330 million, of which about 4.87 million atrial fibrillation, about 245 million high blood pressure, cardiovascular disease prevention and control situation is still severe, and the inflection point has not yet arrived. The incidence of hypertension is high, but the standard rate is low, the awareness rate is low, and the standardized management is not in place, which is the main cause of hypertension complications.

Hypertension and standard center can only be graded for diagnosis and treatment management platform

Aunt Song, 74, has been in high blood pressure for more than ten years and has been controlled through drugs. Recently, dizziness has continued to come to the community health service center for treatment. After a series of examinations, it is normal. At the suggestion of family doctors, Aunt Song joined the community health service center and Putuo District Central Hospital to cooperate with hypertension and intelligent class diagnosis and treatment projects.

The hypertension intelligent class diagnosis system is a blood pressure data that records patients' self -test or diagnosis in the community through WeChat mini -programs, and has precipitated to hypertension database. Essence "After the aunt's symptoms enter the system, the system jumps out of the reminder, it is recommended to refer it, and automatically enter the state of to be referred." Family doctors provide patients' age, medical history, blood pressure, examination results and other related data. After the staff entered the hypertension intelligent grading diagnosis and treatment mini -programs, the system performed AI comparison. "The system automatically evaluates the danger of the patient's disease, and will automatically divide the management plan to the patient to remind the patient when to follow the hospital." Dr. Hou Shuxin, the person in charge of the project, said, "If you need to go to the higher -level hospital for diagnosis and treatment, the system will still be in the system. Divide patients to the module to be referred. "

After referring to the Department of Cardiology of the District Central Hospital, after a detailed examination, Aunt Song was diagnosed with "a large amount of shunt from the right to the left -prompting the existence of room septal defects" and symptomatic treatment. After the treatment was completed, Aunt Song turned back to the original hospital for treatment. "At the same time as the patient returned, our system also followed up and would customize personalized management services for patients." Dr. Shuxin, the Central Hospital of Putuo District, introduced. According to the potential risk factors of patients, such as smoking, obesity, hyperlipidemia, hyperglycemia, high uric acid, or merging coronary heart disease, stroke, etc., personalized push of different health science popularization knowledge and problems that need attention to patients to help them support them to raise Good living habits and treatment of diseases.

"In the past, when we encountered this situation like Aunt Song, we may just consider from the hypertension itself. Now with this system, it is like a specialist who is around with us, which can make our diagnosis and treatment more accurate and efficient." Dr. Song, a general doctor of the Wind Community Health Service Center, said that through the intelligent system platform, the effective management of the family doctors' hypertension of community residents has been further improved, and the upper and lower two -way referrals are more effective. use.

Promote the joint construction of the "protective heart" closed -loop management

The Putuo District Hospital is the lead unit of the western medical federation of Putuo District. The hospital Department of the hospital is a key specialist and regional advantage discipline in Shanghai. In recent years, the district central hospital has obtained five national centers certification, and has achieved outstanding results in the diagnosis and treatment of cardiovascular diseases, leading the same level of similar hospitals at the same level. In terms of cardiovascular chronic disease management, the Department of Cardiology has applied deep learning and Internet technology to the management of chronic diseased diagnosis and treatment. Relying on the Western Medical Federation Platform of Putuo District, 11 hospitals in the United Medical Federation, through artificial intelligence Internet technology, conduct dangerous layers of patients with hypertension, quickly diagnose atrial fibrillation, and realize specialists, general doctors and patients in the clouds in the cloud. "Trinity" information docking can achieve early screening, early diagnosis and treatment, and subsequent continuous follow -up and recovery to form a closed loop of "protective heart" management.

This further promotes the management of specialists in patients with hypertension and atrial fibrillation. Based on artificial intelligence technology, hypertension and atrial fibrillation intelligent grading management system can increase the standards of the treatment of patients with hypertension, reduce complications, and achieve timely and accurate assessment of patients with atrial fibrillation, and then provide specialized and personalized recommendation treatment solutions With the green medical channel, the classic diagnosis and treatment model of "first -level first -level diagnosis, two -way referral, and upper and lower linkage" is solidly implemented to improve the overall health level of the masses.

It is understood that since the operation of atrial fibrillation/hypertension intelligent class diagnosis and treatment, more than 2,000 cases have accumulated atrial fibrillation, and more than 1,000 patients with high blood pressure patients have been managed. (Reporter Yi Wen)

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