来自智能手表和智能手表的单导电心电图的诊断性能,用于检测心律失常
Andre Briosa E Gala1,2,3, Alexander James Sharp1,4, David Schramm1
1Department of Cardiology, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Heart rhythm O2
|July 28, 2025
概括
在检测心房动 (AF) 时,CART Ring 设备的准确性比 Apple Watch 更好,而 Apple Watch 错过了许多AF事件. 医生审查改善了AF诊断,但与其他心律问题作斗争.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 数字健康数字健康
背景情况:
- 可穿戴设备越来越多地用于检测心房动 (AF).
- 大多数可穿戴AF检测的验证研究可能会通过排除非AF节奏来高估性能.
研究的目的:
- 评估自动AF检测的诊断性能,使用来自Apple Watch和CART Ring的单导电心电图 (SL-ECGs).
- 为了评估医生对SL-ECGs的解释,与12-lead ECGs相比.
主要方法:
- 一项涉及483名患者的多中心研究,将同时进行的12导电图与Apple Watch和CART Ring的SL-ECGs进行比较.
- 两位心脏病学家独立评估了所有心电图,将记录分类为AF,非AF或未分类.
- 诊断性能被评估在最坏的情况下和宽容的场景,包括自动检测和医生解释.
主要成果:
- 在最糟糕的情况分析中,CART Ring在自动自动化AF检测性能 (灵敏度84.6%,特异性89.9%) 与Apple Watch (灵敏度69.1%,特异性72.6%) 相比更好.
- 果手表的未分类SL-ECG率 (20.1%) 显著高于CART Ring (1.9%).
- 医生解释加强了AF诊断,但显示了其他心律失常的局限性.
结论:
- 卡特环表现出比果手表更好的自动化AF检测准确度,没有太多未经分类的录音.
- 虽然医生的解释可以改善AF检测,但其对其他心律失常的可靠性是有限的.
- 建议谨慎地将可穿戴式心电图技术纳入临床实践,考虑到目前的性能限制.
关键词:
门诊监控系统的监控.果手表是果手表的一种.心房动是一种心房动.卡特赛车的戒指是一个戒指.数字健康数字健康电心电图 (ECG) 是一种心电图.可穿戴设备是可以穿戴的.移动健康 移动健康 移动健康 移动健康更多相关视频
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