经验和见解从长期用可穿戴系统进行心电图监测的经验和见解,在源不明的栓塞性中风后
Daniel de Castro1, Jorge Toquero-Ramos1, Diego Jiménez-Sánchez1
1Cardiology Department, University Hospital Puerta de Hierro, Madrid, Spain.
Pacing and clinical electrophysiology : PACE
|September 11, 2023
概括
可穿戴心脏监测器 (PCMw) 能够有效地检测出未确定的源头 (ESUS) 栓塞性中风患者的亚临床心房动 (AF). 在30天内进行早期监测可以显著提高AF检测率,有助于识别中风原因.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 医疗器械 医疗器械
背景情况:
- 源不明的栓塞性中风 (ESUS) 通常具有亚临床心房动 (AF) 作为潜在的原因.
- 彻底的诊断评估对于确定ESUS病因至关重要.
- 长时间的心脏监测可以帮助检测难以捉摸的心律失常.
研究的目的:
- 评估可穿戴心脏监测系统 (PCMw) 的诊断产量,以检测ESUS患者的亚临床AF.
- 确定影响AF检测的因素,包括PCMw启动的时间.
- 评估意外心律失常事件 (UAE) 的频率和预后影响.
主要方法:
- 在ESUS患者中,对200个长期心脏监测可穿戴 (PCMw) 电图记录 (3次领先,持续30天) 的回顾性分析.
- 在2017年至2021年期间检测到持续时间超过30秒的AF.
- 定义阿联为与主要监测指示无关的心律失常.
主要成果:
- 在10.5%的患者中检测到心房动 (AF).
- 当PCMw在ESUS后30天内启动时,观察到更高的AF检测率 (17%与10.3%相比).
- 意外心律失常事件 (UAE) 在26.5%的患者中发生,在某些情况下导致有针对性的治疗.
结论:
- 可穿戴心脏监测 (PCMw) 是一种可行和可靠的方法,用于在ESUS后检测亚临床AF.
- 当PCMw在ESUS事件发生后的前30天内使用时,可以实现AF检测的最佳诊断产量.
- 意想不到的节律失常事件很常见,但似乎不会影响患者的预后.
更多相关视频
18:11A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
Published on: December 28, 2012
24.3K
10:17Real-Time Cardiac Mapping with a Noninvasive Imageless Electrocardiographic Imaging System
Published on: April 11, 2025
684
相关概念视频
Electrocardiogram
2.4K
An electrocardiogram (ECG or EKG) is a critical diagnostic tool that records the electrical signals produced by the heart during each heartbeat. This recording is achieved through electrodes placed strategically on the arms, legs, and chest. The electrocardiograph amplifies these signals and produces 12 distinct tracings, offering a comprehensive understanding of the heart's electrical activity.
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
2.4K
Pulse rhythm
832
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
832
Holter Monitor: 24-Hour Monitoring
52
Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
52
Dysrhythmias V: Evaluating Dysrhythmias
41
Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
41
Electrocardiogram Fundamentals
640
Introduction
An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin...
An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin...
640
