什么时候智能手表心率问题在儿童中表明心律失常?
Brynn E Dechert1, Martin J LaPage1
1Department of Pediatrics, University of Michigan, Ann Arbor, MI.
The Journal of pediatrics
|September 3, 2023
概括
患有智能手表问题的儿科患者很少有真正的心律失常. 智能手表的高心率增加了心律失常的几率,但仅症状本身就没有预测力.
科学领域:
- 心脏病学 心脏病学
- 儿童心脏病学 儿童心脏病学
- 数字健康数字健康
背景情况:
- 智能手表的心脏数据在儿科心脏病学中越来越常见.
- 人们对智能手表检测到儿童心律失常的准确性和临床意义表示担忧.
研究的目的:
- 为了确定智能手表心脏数据关注的儿科患者真正心律失常的发生率.
- 在这个人群中确定真正心律失常的预测因素.
主要方法:
- 对126名儿童 (年龄在10-18岁) 的回顾性队列研究提出了智能手表节奏问题.
- 从2018年1月到2021年12月收集的数据.
- 主要结局:通过临床评估或测试诊断出心律失常.
主要成果:
- 15%的患者 (19/126) 被诊断出患有真正的心律失常.
- 在89%的病例中出现了心动节拍.
- 心率≥190次/分钟是一个显著的预测因素 (OR 14.3),而症状则较小 (OR 3.2).
- HR ≥190和症状的正预测值为39%;负预测值为95%.
结论:
- 真正的心律失常在患有智能手表心率问题的儿科患者中不常见.
- 智能手表电图或趋势数据很少足以进行诊断.
- 临床评估对于确认心律失常至关重要.
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