使用可穿戴设备检测缺血性中风患者心房动的有效方法:STABLED试验的前性多中心子研究
Tomonari Saito1, Yasuhiro Nishiyama1,2, Toshiaki Otsuka3
1Department of Neurology, Graduate School of Medicine, Nippon Medical School, Tokyo, Japan.
Frontiers in neurology
|September 2, 2025
概括
在没有先前AF诊断的中风患者中,可穿戴的心电图贴片检测到心房动 (AF). 在中风患者中早期检测AF使得及时的抗凝药治疗能够预防复发性中风.
科学领域:
- 心脏病学
- 神经学
- 医疗器械
背景情况:
- 前庭动是中风的重要原因,导致高死亡率和发病率.
- 在中风患者中早期发现AF对于启动抗凝药治疗和预防复发性中风至关重要.
研究的目的:
- 评估可穿戴无线贴片心电图系统 (Duranta) 在经历过缺血性中风但未先诊断过心房动的患者中检测心房动的疗效.
- 通过使用Duranta系统在该患者群体中评估AF检测率.
主要方法:
- 这是一项前性多中心研究,涉及241名没有被诊断为AF的缺血性中风患者.
- 使用Duranta可穿戴的无线电脑电图系统持续监测7天.
- 主要结果的分析:监测期内AF的检测率.
主要成果:
- 在随访期间,在8. 7% (21/ 241) 的患者中检测到心房动.
- 杜兰特可穿戴心电图系统显示出高检测率的新发 AF.
- 在没有AF史的患者中,左心房尺寸增加和失脂症被确定为AF检测的决定因素.
结论:
- 像Duranta这样的可穿戴无线电图系统是有效且简单的工具,
- 通过使用此类设备及早发现肌肉前膜,可以迅速提供抗凝剂治疗,从而防止中风的复发.
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