探索最佳心脏电子植入器件编程:减少不可操作的警报和评估临床结果
Mohamed A Mostafa1, George Bodziock1, Lindsey Cotten2
1Department of Cardiology, Wake Forest School of Medicine, Winston Salem, North Carolina, USA.
Journal of cardiovascular electrophysiology
|July 9, 2025
概括
优化心脏植入式电子设备 (CIED) 警报显著减少了不可执行的警报 (NAA) 和警报疲劳. 这种策略安全地提高了效率,而没有增加诸如中风或心脏突然死亡等不良事件.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 医疗器械技术 医疗器械技术
背景情况:
- 心脏植入式电子设备 (CIED) 产生越来越多的远程数据.
- 过度的非可采取行动的警报 (NAA) 会导致临床医生的警报疲劳.
- 需要优化CIED警报参数.
研究的目的:
- 通过优化CIED警报参数来最大限度地减少NAA.
- 评估优化警报参数对临床结果的影响.
- 为了减少CIED患者的警觉疲劳.
主要方法:
- 包括536名拥有CIED的参与者.
- 413名患者的CIED被重新编程,以审查特定的心房动 (AF) 和非持续性心室动脉冲动 (NSVT) 警报.
- 在重编程前和后跟踪NAA;在随访期间评估缺血性中风和突然心脏死亡 (SCD).
主要成果:
- 重编程显著降低了NAA (p < 0.001).
- 在AF警报的重编程和对照组之间,缺血性中风的发生率相似.
- 与对照组相比,重新编程的患有NSVT警报的患者突然心脏病死亡的发生率较低.
结论:
- 基于指南的CIED警报参数优化显著降低了NAA负担.
- 这种方法并没有增加设备检测到AF或NSVT的患者的不良结果 (中风,SCD).
- 优化CIED警报可以安全地减少数据噪声并提高临床效率.
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