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在运动压力测试期间可穿戴单线心电图监测的有效性:一项比较研究
Hyo-In Choi1, Seung Jae Lee1, Jong Doo Choi2
1Division of Cardiology, Department of Internal Medicine, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Seoul 03181, Republic of Korea.
可穿戴的单线心电图设备可以准确监测心率 (HR),并在运动测试期间检测异常的心跳. 这些设备为分级运动测试 (GXT) 提供了传统的多心电图系统的可靠替代方案.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 运动医学 运动医学
背景情况:
- 有限的比较研究存在于运动期间可穿戴的单线电图设备与标准的多线电图相比.
- 可穿戴式心电图越来越多地使用,需要在临床环境中进行验证.
研究的目的:
- 在分级运动测试 (GXT) 中验证可穿戴单导电图监测器对心率 (HR) 度量的准确性.
- 在GXTs期间,将可穿戴的单ECG与传统的多ECG的性能进行比较.
主要方法:
- 一组50名患者同时接受GXT,使用可穿戴单导和常规多导心电图.
- 使用类内相关系数和布兰德-阿尔特曼分析来量化对应性.
主要成果:
- 在设备之间观察到通常一致的最小和平均HR读数.
- 对于心室和心室外宫鼓动有很强的一致性.
- 对跨GXT阶段的HR测量达成充分协议,尽管总QRS和最大RR协议不足.
- 标准的多导电心电图显示了更高的噪声水平,尽管在统计学上并不显著.
结论:
- 可穿戴的单线心电图设备可靠地监测HR,并在运动期间检测异常心跳.
- 这些设备为运动测试的传统多心电图系统提供了可行的替代方案.
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