在日本使用可穿戴心脏转换器-除器的现状
Reina Tonegawa-Kuji1, Taku Nishida2, Yoko Sumita1
1Department of Medical and Health Information Management National Cerebral and Cardiovascular Center Suita Japan.
Journal of arrhythmia
|August 14, 2024
概括
可穿戴心血管除器 (WCD) 在日本使用,先前心脏骤停或心律失常,心肌病和设备问题预测需要植入式心脏转换器-除器 (ICD).
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 医疗信息学 医疗信息学
背景情况:
- 在日本,与可穿戴心血管除器 (WCD) 相关的利用和患者特征仍然在很大程度上没有特征.
- 了解WCD的使用对于优化心脏病患者管理和设备选择至关重要.
研究的目的:
- 在日本的WCD使用者中调查影响永久植入式心脏转换器-除器 (ICD) 随后植入的患者人口统计和临床因素.
- 在全国范围内提供WCD利用现状的洞察力.
主要方法:
- 来自日本的全国索赔数据库的分析.
- 包括1049例使用WCDs的患者.
- 评估患者的特征和与随后的ICD植入相关的因素.
主要成果:
- 患有心肺骤停 (CPA) 或心室节律失常病史的患者更有可能需要永久性ICD.
- 潜在的心肌病和与设备相关的问题也是随后ICD植入的重要预测因素.
- 与男性相比,女性患者继续进行永久性ICD植入的可能性较低.
结论:
- 之前的CPA或致命的心律失常,心肌病和与设备相关的问题是未来永久性ICD植入WCD用户的关键因素.
- 这些发现揭示了日本关于WCD使用和ICD植入的当前状态和临床决策过程.
- 这项研究强调了需要个性化风险评估来管理被考虑接受WCD治疗的患者.
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