患者的遵从性是否影响可穿戴心脏转换器除器的有效性? 一个单一中心体验
Luca Fazzini1, Maria Francesca Marchetti1, Ferdinando Perra1
1Clinical Cardiology Unit, Department of Medical Sciences and Public Health, University Hospital of Cagliari, Via Carrara 25, 09125 Cagliari, Italy.
Journal of clinical medicine
|July 29, 2023
概括
标准化培训显著提高了可穿戴心脏转换器-除器的患者坚持和有效性. 观察到高每日磨损时间,支持设备.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
背景情况:
- 可穿戴式心脏转换器-除器 (WCD) 对于预防心脏突然死亡至关重要.
- 患者的坚持是WCD有效性的关键,但培训往往是非标准化的.
研究的目的:
- 评估患者对WCD的坚持,作为设备有效性的指标.
- 评估标准化培训协议对WCD遵守和有效性的影响.
主要方法:
- 在2020年6月至2022年8月期间,有25名WCD患者被招募.
- 患者接受了基于建议的标准化协议的培训.
- 随访持续到升级到植入式设备,平均佩戴时间为90天 (23.5小时/天).
主要成果:
- 观察到高粘附度,平均每日佩戴时间为23.5小时.
- 24%的参与者最终被植入了一个心脏转换器-除器.
- 在植入和非植入组之间,左心室射出分数和索引终端透缩体积的显著差异被注意到.
结论:
- 标准化的患者培训对于最大限度地提高可穿戴心脏转换器-除器的坚持和有效性至关重要.
- 这项研究支持了WCD的实用性,并强调了适当的患者教育的重要性.
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