在英国的非ST升高心肌梗塞后,可插入心律失常监测器的成本效益
Amy Dymond1, E Barker2, N Tsitiridis3
1York Health Economics Consortium, York, UK. amy.dymond@york.ac.uk.
PharmacoEconomics - open
|July 25, 2025
概括
使用可插入心脏监测仪 (ICM) 加上标准护理 (SoC) 的持续心脏监测对于高风险的非ST升高心肌梗塞 (NSTEMI) 患者来说是具有成本效益的,改善了质量调整寿命年 (QALYs) 并提供了有价值的管理选择.
科学领域:
- 心脏病学 心脏病学
- 卫生经济学 卫生经济学
背景情况:
- 幸存于非ST升高心肌梗塞 (NSTEMI) 的患者面临重大心血管不良事件 (MACE) 的高风险.
- 长期监测心律不整可以减轻这种风险.
研究的目的:
- 评估使用可插入心脏监测器 (ICM) 加上标准护理 (SoC) 对高风险NSTEMI患者的持续远程心律失常监测与单独使用SoC的成本效益.
主要方法:
- 从英国国家卫生服务 (NHS) 的角度来看,这是一个终身分区生存模型.
- 纳入了生存分析,来自BIOGARDYGUARD-MI试验的心律失常诊断率,以及与MACE,ICM设备和治疗相关的成本.
- 评估质量调整寿命年 (QALYs) 的健康结果,并进行敏感性分析.
主要成果:
- 对于高风险的NSTEMI患者来说,ICM加SoC具有成本效益,其增量成本效益比为每QALY获得的7766英.
- 使用ICM导致每名患者额外增加0.184个QALY,额外成本为1430英.
- 在所有敏感性分析中,成本效益是一致的.
结论:
- 将ICM添加到SoC是一个具有成本效益的策略,用于在英国NHS中管理高风险的NSTEMI患者.
- 这种方法在临床实践中代表了一种可行的额外管理选择.
更多相关视频
05:03Patient Directed Recording of a Bipolar Three-Lead Electrocardiogram using a Smartwatch with ECG Function
Published on: December 11, 2019
8.7K
16:40A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
Published on: February 28, 2012
26.3K
相关概念视频
Holter Monitor: 24-Hour Monitoring
289
Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
289
Pulse rhythm
929
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.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
929
Dysrhythmias V: Evaluating Dysrhythmias
118
Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
118
Cardiomyopathy V: Interprofessional Care
34
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
34
