超短时间心率变化使用基于光电缩的智能手机应用程序:一个TeleCheck-AF亚分析
Henrike Aenne Katrin Hillmann1, Astrid N L Hermans2, Monika Gawalko2,3,4
1Hannover Heart Rhythm Center, Department of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.
European heart journal. Digital health
|July 24, 2025
概括
通过智能手机进行的光电脉动扫描 (PPG) 可靠地评估了用于心房动 (AF) 管理的超短时间心率变化 (HRV). 这种移动健康方法显示了患者的高度遵守和数据的一致性.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 生物医学工程 生物医学工程
背景情况:
- 自主神经系统 (ANS) 的激活在心房动 (AF) 病理生理学中至关重要.
- 心率变化 (HRV) 量化了ANS活动.
- 评估使用光电致血学 (PPG) 的超短时间HRV是一个新兴的领域.
研究的目的:
- 评估使用PPG记录进行超短时间HRV评估的可行性.
- 为了确定移动健康方法 (TeleCheck-AF) 对于远程AF管理的有效性.
主要方法:
- 在TeleCheck-AF框架内使用基于PPG的智能手机应用程序.
- 包括855名患者,其中13465人记录了鼻节律.
- 评估了静止心率,连续差异 (RMSSD) 的平方根平均值,患者的遵守性和数据的一致性.
主要成果:
- 实现了95.2%的患者遵守高跨记录一致性.
- 中位心率为每分钟66.5次,中位RMSSD为40毫秒.
- RMSSD根据性别,CHA2DS2-VA得分,AF病史,切除状态,年龄和BMI而有所不同.
结论:
- 一分钟的PPG记录可以准确地确定超短时间HRV.
- 采用TeleCheck-AF的方法显示了用户高度的合规性和一致性.
- 此移动健康策略可能适用于其他涉及HRV的疾病.
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