在心力衰竭患者中使用手持式心声记录器进行自我测量远程监测的可行性 - - SELPH多中心试点研究
Nobuyuki Kagiyama1, Takatoshi Kasai1, Nobutaka Murata2
1Department of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan; Department of Digital Health and Telemedicine R&D, Juntendo University, Tokyo, Japan.
Journal of cardiology
|May 3, 2024
概括
使用多个设备,包括心声记录器,进行自我远程监控对于心力衰竭 (HF) 患者是可行的. 这种方法可能有助于早期发现高频恶化.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 数字健康数字健康
背景情况:
- 通过多参数评估,可以加强对心力衰竭 (HF) 的非侵入式远程监测.
- 将心脏声音监测与传统参数相结合,可能会改善心脏声音管理.
研究的目的:
- 评估使用多个设备进行自我远程监测的可行性,包括手持心脏声音记录器,在门诊高风患者中.
- 探索多参数远程自我监测数据与高风患者临床事件之间的关联.
主要方法:
- 门诊肺炎患者每天进行心脏声音,心电图,氧和,体重和生命体征的自测,持续6个月.
- 通过自我测量率来评估可行性,并根据患者人口统计和HF严重程度分析了坚持.
- 一个可用性问卷评估了患者的体验和自我远程监控系统的感知帮助性.
主要成果:
- 在75%的患者中,每日多参数测量是可行的,自测量率超过70%的天.
- 较低的坚持与年轻的年龄和较高的明尼苏达州生活与心力衰竭问卷得分有关.
- 显著的生理变化 (心率升高,透气血压; Q-S2 间隔降低) 在HF事件发生前7天.
结论:
- 多个设备的自远程监控,包括心脏声音记录,对于老年HF患者来说是可行的.
- 这种干预可以为患者带来缓解感,并通过生理参数监测能够早期检测HF恶化.
相关概念视频
Pulse rhythm
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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...
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Equipments Used To Measure Blood Pressure
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Direct Method
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
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Special considerations while measuring blood pressure
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When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
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