The ECG Service was founded in 1948 by Prof. Tao Shouqi, who brought back a Cambridge ECG device from abroad after finishing studies there, and he took the lead in the domestic ECG clinical practice and research. Yao Zhengyi, Chen Qingzhang, Li Gaoping, Li Jingxia and Zhou Jingmin successively served as the director. The current director is Yao Zhengyi, andLin Jingyu the associate director. There are 19 registered staff members, 9 with master’s degree, 5 with senior professional title, and 10 with intermediate professional title.
Since the Shanghai Institute of Cardiovascular Diseases was founded in 1958, the ECG Service has been responsible for various cardiovascular diagnostic procedures ranging from invasive ones like cardiac catheterization and ballistocardiogram (BCG) to non-invasive ones like vectorcardiography (VCG), Exercise-ECG, and Esophagus ECG Pacing, making great contribution to the national leading position of our hospital in the cardiovascular specialty, as well as to the popularization and development of related research and practice. At present, in addition to general surface ECG, dynamic ECG monitoring, ambulatory blood pressure monitoring, and treadmill monitoring, the department has carried out new technologies such as pulse wave/ankle-brachial index test and remote ECG monitoring etc. To better serve patients, we started tilt table test in 2015, which is the primary diagnosis method for vasovagal syncope. Among all procedures, there are about 240,000 cases of routine ECG per year, 15,000 cases of dynamic ECG, and 4,000 cases of treadmill monitoring. Now the ECG network system covers the whole hospital, sharing the ECG information with the hospital management network. It makes the hospital the first one in the country to achieve complete digitalization of ECG storage, consultation, quality control and electronic records throughout the hospital.
Over the last half a century, we have always been an important electrocardiology training base for Shanghai and even China, and have participated in the training of junior college students, undergraduate students, senior doctors, master students and doctoral students. In addition to the teaching of medical undergraduates to postgraduates, we also undertake a lot nontraditional teaching, including that of college students and junior college students majoring in medical equipment or biological engineering, and visiting electrocardiologists from all over the country. To meet the educational needs, we have compiled several related teaching materials, including Electrocardiograms for Medical Students and A Textbook of Clinical Electrocardiogram Slides. We also participated in the organization of pre-conference ECG education and training courses of the 4th to the 7th Oriental Congress of Cardiology. Since 2002, we have been holding one national continuing education program every year, and one remote national ECG training course every two years, which are acclaimed by peers around the country.
In 2009, Shanghai ECG Quality Control Center was founded. As the initiators, Li Jingxia and other experts formulated Shanghai ECG Quality Control Handbook and Shanghai Routine ECG Diagnosis and Writing Standards. Meanwhile, the ECG Service is responsible for the training and quality inspection of Shanghai ECG Quality Control.
The ECG Service is an important scientific research base of electrocardiology in China. From the exploration of surface ECG in 1950s and 60s to the newest research of computer appliance recently, it has participated in and completed many projects, including clinical cardiac catheterization, clinical study on VCG, study of high frequency ECG (key project of the Seventh Five-year Plan), study of heart rate variability (PhD research project), clinical application of computer ECG(postdoctoral research project), common ECG standards for Chinese people (funded by Lucile & Packard), optimization of computer ECG diagnosis standard (funded by and cooperated with HP Central Lab), study of computer multimedia teaching system for cardiovascular major students (funded by Chinese Academy of Science and cooperated with Shanghai Institute of Technical Physics of the Chinese Academy of Science). All the above-mentioned projects have filled in the gap in domestic research and made great contributions to the development of China’s medical science. Over 100 academic papers have been published in top journals.
Monographs we have compiled include The Diagnosis and Differential Diagnosis Illustrations of General ECG with Li Gaoping and Li Jingxia as the chief editors, Case Analysis of Cardiac Pacing, Essentials of Pacemaker’s New Algorithm, and Interventional Therapy of Arrhythmia with Su Yangang the chief editor. We have also participated in compiling related chapters of many monographs such as Practice of Cardiology, Practice of Internal Medicine, and Modern Cardiology etc.