穿戴式不规则心律检测复发和心电图心房动确认:Fitbit心脏研究
Steven A Lubitz1,2, Michael V McConnell3,4, Caitlin Selvaggi5
1Cardiac Arrhythmia Service and Cardiovascular Research Center, Boston, MA (S.A.L.).
Circulation. Arrhythmia and electrophysiology
|June 25, 2025
概括
在可穿戴设备用户中,经常出现不规则心律检测是常见的. 较长的心电图监测显著增加了确认心房动 (AF) 的可能性.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 医疗器械 医疗器械
背景情况:
- 戴在手腕上的可穿戴设备通过光电心律学检测不规则的心律.
- 电心电图 (ECG) 是必要的,以确认心房动 (AF).
研究的目的:
- 确定复发性不规则心律检测 (IHRD) 的频率.
- 估计AF确认的各种心电图监测策略的诊断产量.
- 确定反复出现的IHRD的预测因素.
主要方法:
- 分析了来自Fitbit心脏研究的1057名参与者,这些参与者使用了手腕戴式设备,并在IHRD后戴上了为期1周的ECG贴片.
- 收集了基线临床数据,设备指标和后续心电图数据.
主要成果:
- 57.2%的参与者在3个月内经历了另一次IHRD.
- 经过较长时间的心电图监测,AF的诊断产量增加了:10秒心电图的7.6%,一周的每日两次30秒心电图的19.0%,以及4周监测的60.8%.
- 年龄较大,男性性别,血管疾病,较长的初始IHRD和较少的睡眠预测了复发的IHRD.
结论:
- 在可穿戴设备初次检测后,心律不规则的情况很常见.
- 延长心电图监测时间对于增加AF确认率至关重要.
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