在心房动心脏转换后,使用光电脉动扫描智能手机应用程序进行远程节律监测
Peter Calvert1,2, Mark T Mills1,2, Kelly Howarth2
1Liverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital, Thomas Drive, Liverpool L14 3PE, UK.
European heart journal. Digital health
|July 31, 2024
概括
远程光电脉动扫描 (PPG) 监测提供了一个可行的,经济高效的,和环保的替代传统的心电图 (ECG) 随访后直流心脏转变 (DCCV) 的心房动.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 直流心转 (DCCV) 是对心房的标准治疗方法.
- 目前的随访包括去医院做心电图 (ECG) 评估.
- 需要更有效,更容易获得的DCCV后监测方法.
研究的目的:
- 评估远程光电显微镜 (PPG) 监测的可行性,成本效益和环境影响.
- 为了比较PPG远程监测与DCCV后传统的12导电图随访.
- 评估患者对PPG远程监控的遵守性和经验.
主要方法:
- 从2020年5月到2022年10月的DCCV病例的回顾性分析.
- 将患者分为远程PPG随访组和传统的ECG随访组.
- 结果的比较,包括监测类型,患者遵守,成本,旅行时间和环境影响.
主要成果:
- 在PPG (89.4%) 和ECG (89.8%) 两组中都观察到高患者遵守率.
- 远程PPG监控导致医疗保健成本显著降低 (每名患者47.91英对135英) 和患者成本 (每名患者0英对5.97英).
- PPG监测减少了每名患者的中位行程时间 (0分钟比44分钟) 和CO2排放量 (0比3.59公斤).
结论:
- 远程PPG监测是评估DCCV后心律失常复发的可行替代方案.
- 这种方法可以大大节省患者的旅行时间和环境影响.
- 远程PPG监控为公共资助的医疗保健系统提供了节省成本的机会.
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