使用手持式心电图仪器检查患者群体中 Paroxysmal 心房的可行性
Jonathan Mant1, Rakesh N Modi1, Peter Charlton1
1Primary Care Unit, Department of Public Health and Primary Care, Strangeways Research Laboratory, University of Cambridge, 2 Worts' Causeway, Cambridge CB1 8RN, UK.
概括
在初级保健中,使用手持式心电图 (ECG) 设备,包括远程方法和85岁以上的个人,可以对心房动 (AF) 进行人口查. 在所有年龄组中都实现了高质量的ECG和抗凝血剂的吸收.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 老年病的医生 老年病的医生
背景情况:
- 关于在非专业环境中使用手持式心电图 (ECG) 设备对患有心房动症 (AF) 进行人口查的数据有限,特别是在75岁以上的人群中.
- 调查远程与现场查的可行性和结果对于更广泛的实施至关重要.
研究的目的:
- 评估在初级保健中使用手持式心电图装置对 Paroxysmal AF 进行人口查的可行性.
- 为了比较远程 (邮政) 和亲自查方法.
- 评估年龄对查吸收,心电图质量,AF检测和抗凝剂启动的影响.
主要方法:
- 这是一项查研究,涉及来自英国13家全科医院的65岁及以上的个人.
- 查通过实践护士预约或远程邮寄ECG设备进行.
- 参与者使用手持式心电图设备1-4周,结果包括吸收,心电图质量,AF检测和抗凝开始.
主要成果:
- 在面对面 (87.5%) 和远程 (90.0%) 设置中观察到高选率.
- 98.0%的参与者提供了可解释的心电图,没有根据环境或年龄的显著差异 (除了85岁以上的91.1%).
- 在2.6%的参与者中检测到AF,检测率随年龄增加 (85岁以上的9.2%). 82.8%的AF患者开始服用抗凝药.
结论:
- 在一般实践中,包括远程查方法在内,对帕洛西斯马性AF进行人口查是可行的.
- 查对所有64岁以上的年龄组有效,包括非常老年人 (85岁以上).
- 高质量的ECG和成功的抗凝血启动支持这种查方法的广泛采用.
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