一个新的,非侵入性的基于人工智能的心力衰竭远程监测系统:在无症状患者中检测未被诊断的甲状腺功能障碍
Allan Böhm1,2, Julia Lucka1,3, Amitai Segev1,4
1Premedix Academy, Bratislava, Slovakia.
European journal of case reports in internal medicine
|August 11, 2025
概括
未经治疗的甲状腺疾病可能会使心力衰竭 (HF) 恶化. 使用光聚体镜的左心室填充压力 (LVFP) 的非侵入性监测可以帮助检测HF脱补偿的早期迹象并指导治疗.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 生物医学工程 生物医学工程
背景情况:
- 未经治疗的甲状腺疾病可以加速心力衰竭 (HF) 失补偿.
- 监测心脏填充压力有助于早期检测和预防HF脱补偿.
- 对左心室填充压力 (LVFP) 的非侵入性评估对于管理HF至关重要.
研究的目的:
- 介绍一种新的非侵入性方法,用于使用光聚光学测量来评估LVFP.
- 突出这项技术在治疗患有同时存在甲状腺疾病和高血压的患者中的潜力.
- 为了证明远程血液动力学监测在预防HF脱补偿方面的实用性.
主要方法:
- 开发了一种非侵入性方法来评估使用光电图信号分析 (Seerlinq HeartCore技术) 的LVFP.
- 评估了一名99岁的女性患者,患有亚临床HF和新诊断的甲状腺功能障碍.
- 远程监控LVFP和临床状态.
主要成果:
- 该HeartCore算法表明该患者的LVFP升高.
- 该患者被诊断患有甲状腺功能障碍,并接受治疗,并调整了furosemide的剂量.
- 在4个月的随访中,该患者没有出现HF失补偿的迹象或症状.
结论:
- 这一案例强调了非侵入性LVFP监测在早期识别HF患者临床前恶化的潜力.
- 该技术为远程血液动力学监测的侵入性方法提供了一个有希望的替代方案.
- 这项技术的实施可能会防止HF失补偿和住院治疗.
相关概念视频
Holter Monitor: 24-Hour Monitoring
285
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...
285
Pulse rhythm
927
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...
927
Heart Failure IV: Classification and Diagnostic Evaluation
32
Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
32
Heart Failure VI: Adjunct Therapies
27
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
27
Rheumatic Heart Disease IV: Nursing Management
38
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
38
Heart Failure VII: Nursing Interventions
139
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
139


