智能手表的峰值氧气消耗与复杂先天性心脏病中的心肺运动测试相比
Tomio Tran1, Jill Marie Steiner2, Aparajithan Venkateswaran3
1Medicine, Division of Cardiology, University of Washington, Seattle, Washington, USA tomit37@gmail.com.
Heart (British Cardiac Society)
|October 12, 2023
概括
智能手表在患有复杂先天性心脏病的成年人中准确地跟踪运动能力 (高峰氧耗),随着时间的推移与临床测试有很好的相关性.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 医疗技术 医疗技术 医学技术
背景情况:
- 成人先天性心脏病 (ACHD) 患者经常有复杂的病变,需要仔细监测运动能力.
- 峰值氧气消耗 (pVO2) 是功能能力的关键指标,通常通过心肺运动测试 (CPET) 来测量.
- 智能手表提供了一个潜在的工具,用于远程和持续监测生理参数,包括运动能力.
研究的目的:
- 评估智能手表测量的峰值氧气消耗 (pVO2) 与复杂的ACHD患者中CPET衍生的pVO2之间的相关性.
- 评估智能手表在跟踪 pVO2 随时间变化的可靠性.
主要方法:
- 一项前性研究涉及48名患有ACHD (Fontan循环或单右心室) 的患者,他们接受了至少一年间隔的两次CPET.
- 用通用估计方程线性回归来分析智能手表与CPET衍生的pVO2.2之间的相关性.
- 每个CPET的六个月内进行心声图.
主要成果:
- 智能手表和CPET对心率峰值和pVO2的测量显示出强烈的相关性 (皮尔森相关系数>0.86).
- 智能手表测量的pVO2值平均比CPET测量值高3.146毫升/公斤/分钟.
- 两种CPET之间的pVO2变化也与相关性很好 (皮尔森相关性=0.9165),表明对功能能力变化的跟踪一致.
结论:
- 智能手表表现出与CPET的良好相关性,无论是绝对的pVO2值还是复杂的ACHD患者的随时间变化.
- 这表明智能手表可能是监测ACHD患者的运动能力的宝贵工具,补充了传统的临床评估.
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