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通过多传感器植入式除器算法测量的双心室节奏量和心力衰竭状态之间的关联

Luca Santini¹, Leonardo Calò², Antonio D'Onofrio³

¹Giovan Battista Grassi Hospital, Rome, Italy.

Cardiovascular digital health journal

|July 11, 2024

概括

保持高的双心室节奏 (BiV%) 对于心脏再同步治疗 (CRT) 至关重要. 降低的BiV%显著增加了心力衰竭 (HF) 警报的风险,强调了持续节奏对患者结果的重要性.

科学领域:

心脏病学心脏病学
生物医学工程生物医学工程
心脏衰竭管理的管理

背景情况:

高的双心室节奏百分比 (BiV%) 对于心脏再同步治疗 (CRT) 的成功至关重要.
心灵逻辑指数是一个多参数心力衰竭 (HF) 风险评分,来自可植入式心脏转换器-除器 (ICD) 数据,预测HF失补偿.

研究的目的:

调查CRT ICD患者每日BiV%与他们的HF状态之间的关联.
评估HeartLogic算法的预测能力与BiV%波动相关.

主要方法:

在26个中心的306名CRT ICD患者中实施了HeartLogic算法.
随访时间中位数为26个月,在此期间,在186名患者中记录了619个HeartLogic警报.
每日BiV%与HeartLogic警报数据和临床状态指标相关分析.

主要成果:

最佳临床状态与BiV%超过99%相关.
降低BiV% (低于98%) 的发作频繁,持续时间较长,百分比较低,显著增加了HeartLogic警报的风险.
超过7天的BiV%下降预测了90%敏感度的警报,而BiV% ≤96%预测了74%敏感度和81%特异性的警报.

结论:

每日BiV%降低与HeartLogic指数显示的临床状况恶化之间存在显著的相关性.
即使是节奏百分比和持续时间的轻微减少也与心力衰竭警报的风险增加有关.
恒定的高BiV%对于优化CRT患者的HF管理至关重要.

关键词:

双管节奏是双管节奏的节奏.在CRT中,CRT可以在CRT中使用.心脏衰竭是因为心脏衰竭.在ICD的基础上,ICD是ICD.多传感器的使用方法远程监控远程监控远程监控

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