心脏植入式电子设备在检测早发性心室收缩时的性能增加了负担
Matthew Elmo G Gayoso1, Giovanni Davogustto2, Robert L Abraham2
1Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Heart rhythm
|May 31, 2025
概括
与标准监测相比,心脏植入式电子设备 (CIED) 低估了早发性心室收缩 (PVC) 的负担. 仅依赖CIED数据可能会错过临床上显著的PVC负担.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 电子生理学 电子生理学
背景情况:
- 频繁的早发性心室收缩 (PVCs) 可以使心肌病变得更糟.
- 心脏植入式电子设备 (CIED) 用于心律失常并收集数据.
- 在量化PVC负担方面,CIED的准确性尚未得到充分理解.
研究的目的:
- 评估CIEDs在量化PVC负担方面的表现.
- 为了将CIED数据与门诊心脏监测进行比较,当前的护理标准.
主要方法:
- 确定了患有CIED的成人患者,同时接受门诊心脏监测.
- 没有包括最近进行PVC切除或药物改变的患者.
- 顺序回归模型比较了CIED检测到的PVC负担与439名患者的门诊监测.
主要成果:
- 在CIED检测中,PVC负担的中位数比门诊监测低 (0.61%) (1.90%).
- 在CIED中,通常低估了PVC负担.
- 在门诊监测中,PVC负荷≥15%的可能性只有11%被CIED检测出来.
结论:
- 与门诊监测相比,CIEDs显著低估了PVC负担.
- 临床医生不应该仅仅依赖CIED数据来评估PVC负担.
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