非侵入性中期心电图补丁监测在检测心房动时有效
Xinzhe James Cai1, Julian Cheong Kiat Tay1, Yilin Jiang1
1Department of Cardiology, National Heart Centre Singapore, 5 Hospital Drive, 169609, Singapore.
Journal of electrocardiology
|October 16, 2023
概括
中期心电图贴片监测可以有效地检测高危患者的心房动 (AF). 这种方法提高了AF检测的灵敏度,有助于预防中风的早期干预.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 公共卫生 公共卫生
背景情况:
- 心房动 (AF) 是中风和发病率的重要原因.
- 目前的查方法包括机会性脉冲测量和12心电图.
- 中期心电图贴片监测器可以提高AF检测的灵敏度.
研究的目的:
- 在没有先前诊断和CHA2DS2-VASc分数至少为1.0的患者中评估AF的发生率.
- 评估中期持续心电图监测 (Spyder ECG) 对AF检测的有效性.
主要方法:
- 未来的多中心研究 (新加坡心房动研究).
- 从2016年5月到2019年12月连续招募住院和门诊患者.
- 使用了中期连续心电图监测装置 (Spyder ECG).
主要成果:
- 在355名监测患者中,1.7%的患者被诊断为AF.
- 新发现的AF患者更有可能报告心 (50.0%对11.8%).
- 在128名冠状动脉旁路移植后患者中,7.0%的患者在手术后发生了AF.
结论:
- 非侵入性,基于贴片的中期心电图监测是AF的有效查工具.
- 通过持续监测及早检测可以促进及时治疗.
- 该研究强调了先进监测在识别AF中的实用性.
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