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On the afternoon of September 1, 2019, local time in Shanghai, Xu Yawei team of Shanghai Tenth People's Hospital presented the 2019 European Heart Disease Conference (ESC2019) Digital Health Stage
with an informatization solution for acute myocardial infarction.
The European Heart Conference is the world's largest heart event, attended annually by representatives from more than 140 countries and regions, with more than 40,000 participants. This time, five ai-speak projects have been shortlisted. After experts and live audience real-time voting score, finally, Xu Yawei team of acute heart attack information treatment solution won the second place in the contest.
Xu Yawei, Director of Major Internal Medicine, 10th People's Hospital of Shanghai, Director of Cardiology, Director of Panvascular Disease Research Institute of Tongji University School of Medicine, Deputy Chairman of the Internal Medicine Branch of the Chinese Medical Association, Chief Scientist of the National Key Research and Development Program, and Winner of the 2nd National Famous Medical Excellence. Committed to acute heart attack rescue. The first "in vitro shock wave and in vitro anti-fighting and stem cell" serial treatment ischemic cardiomyopathy, the opening of precision heart rehabilitation treatment.
in the past 10 years, the Heart Center of Shanghai Tenth People's Hospital, in conjunction with a number of high-tech enterprises and cooperative hospitals, jointly carried out the "China Heart Care Program" to develop an information treatment system for acute myocardial infarction, and won the second prize for the 2017 Chinese Medical Science and Technology Progress Award. Recently, the project has made a breakthrough in the combination of artificial intelligence algorithms in the context of 5G.
Professor Xu Yawei's team pioneered the "mobile PACS, D2D" system in the world, creating an informatization platform for acute heart attack information, and improving regional treatment imbalance. The team made significant progress in the study of vascular reconstruction mechanisms, published online in July 2019 in Nature Communications Nature Communications, and the results were highly praised by colleagues abroad as a result of the study, which will help in the study of atherosclerosis-related vascular diseases and provide new targets for future vascular disease treatment.
China's population monitoring data show that cardiovascular disease deaths accounted for more than 40% of the total death stake, the annual incidence of stroke is 2.50 per 100,000, the annual incidence of coronary heart disease events is 50 per 100,000. According to the summary of the China Cardiovascular Disease Report 2018, the overall mortality rate of acute myocardial infarction (AMI) in China continued to rise from 2002 to 2016, with the 2016 AMI mortality rate of 58.69 per 100,000 cities and 74.72 per 100,000 in rural areas.
this time, Professor Xu Yawei's team of acute myocardial infarction information solutions, for China's myocardial infarction treatment of the two major pain points: patient treatment delay and regional treatment level imbalance, in the overall planning is divided into the hospital, hospital and inter-hospital three levels.
specifically, set up an automatic early warning system for acute myocardial infarction in front of the hospital, establish an information-based treatment system for chest pain center in the hospital, and establish an interconnected mobile PACS image transmission and automatic diagnostic system in the hospital. Through the three systems to establish acute myocardial infarction regional, information-based treatment solutions.
before the hospital: wearable electrocardiogram device and AI electrocardiogram diagnostic system
in order to achieve the patient's end of myocardial infarction electrocardiogram automatic warning, the project in the hardware has developed a heart-protective clothing - wearable electrocardiogram vest, in software, combined with electrocardiogram big data developed electrocardiogram automatic early warning software, the two combined to achieve the pre-hospital electrocardiogram early warning.Since
operation, the accuracy, sensitivity and specificity of the system in the diagnosis of myocardial infarction have reached 90%, 92% and 88%, respectively, and the relevant materials have been submitted in jamA: CARDIOLOGY.
hospital: the establishment of information chest pain center
in order to make full use of 120 minutes of golden treatment time, in the chest pain center workflow based on the Internet of Things technology, the patient wearing chest pain bracelet for the grasp to record all the examination and operation of the hospital treatment details and time, and the whole process does not require any additional operation by medical staff.
system can help to objectively and accurately record the time of all aspects of chest pain treatment, easy to optimize the chest pain center treatment process, to achieve detail management. The 5G plus artificial intelligence analysis system can help optimize the treatment process faster and more accurately, improve the efficiency of myocardial infarction in the hospital, and realize the information upgrade version of the chest pain center.
: The establishment of a mobile PACS2.0 system based on 5G-artificial intelligence
with the support of a strong network of 5G high bandwidth and low delay, combined with the artificial intelligence algorithm established through massive measurement data, enables high-speed interconnection of image data, real-time transmission, and automatic interpretation and analysis of image-based artificial intelligence. In order to connect the hospitals at different levels in the region, the medical information system can be transplanted from the PC side to the mobile side, break the regional imbalance of acute myocardial infarction treatment, and improve the success rate of myocardial infarction treatment in the region.the reference to this article:(1) Ten Hospital Heart Center 2019-09-02 "Xu Yawei Team Acute Heart Infarction Information Solution Debuted esC2019"(2) China Circulation Journal 2019-03 China Cardiovascular Disease Report 2018 Summary(3) China Cardiovascular Journal 2019-02 China Hypertension Prevention and Control Guide
.