病例报告:与左侧辅助通路相结合的正向心房回流性心力衰竭 - - 用智能设备进行智能诊断
Caroline M Wiederkehr1, Andreas S Müller1, Martin Igual2
1Department of Cardiology, Stadtspital Zürich Triemli, Birmensdorferstrasse 497, 8063 Zürich, Switzerland.
European heart journal. Case reports
|April 28, 2025
概括
可穿戴的心电图设备可以通过捕捉明显的心律失常来诊断不常见的脑上脉高心率 (SVT). 通过智能设备记录狭窄和广的复杂心跳动脉,有助于精确的诊断和治疗.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 电子生理学 电子生理学
背景情况:
- 超腹腔动脉动脉 (SVT) 诊断通常需要心电图 (ECG) 文档,这在标准的霍尔特监测中经常被忽视.
- 在SVT患者中,症状的频率是高度可变的,使诊断复杂化.
- 具有心电图功能的可穿戴智能设备为记录罕见心律失常提供了一个有希望的解决方案.
研究的目的:
- 为了突出可穿戴心电图设备在罕见的脑上脉高心率的情况下的诊断实用性.
- 为了证明可穿戴技术如何能够捕捉出不同的心动节拍形态,帮助诊断.
主要方法:
- 一个59岁男性的案例研究,患有不常见的心.
- 利用带有心电图功能的可穿戴智能设备,记录了两个不同的心力衰竭发作.
- 进行电生理学研究以确认诊断和指导切除.
主要成果:
- 可穿戴设备成功记录了两个不同的心电图追踪:一个狭窄的QRS复合性心力衰竭 (200次/分钟) 和一个宽的复合性心力衰竭与左捆分支块形态.
- 这些发现表明库梅尔的标志,导致怀疑心房回流性心力衰竭与左侧辅助路径.
- 电生理学研究证实了诊断,并成功地切除了侧向心肌脉的辅助通路.
结论:
- 可穿戴式智能设备是诊断症状,罕见的脑上高心率的宝贵工具.
- 穿戴式心电图 (ECG) 记录了各种心动节拍形态,包括异常心室导电,提供了关键的诊断信息.
- 这项技术促进了复杂心律失常的准确诊断和有针对性的治疗.
相关概念视频
01:28Mechanism of Cardiac Arrhythmias
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Arrhythmias are irregular heart rhythms occurring when the heart's electrical impulses become abnormal. These disturbances can lead to various symptoms, depending on their severity and the underlying cause. Some common factors contributing to arrhythmias include hypoxia, ischemia, electrolyte imbalances, excessive catecholamine exposure, drug toxicity, and muscle overstretching. Arrhythmias can be classified into two main types based on the rate and site of origin of abnormal heart rhythms.
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01:30Pulse 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.
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01:28Disturbances in Heart Rhythm
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01:25Assessment of apical radial pulse
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Apical-Radial (A-R) Pulse Assessment
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01:19Electrophysiology of Normal Cardiac Rhythm
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01:28Electrocardiogram Fundamentals
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Introduction
An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
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An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin...
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