智能手表在心脏病室门诊部实施的临床后果
Christopher Schürenberg Petersen1,2, Jonas Bjerring Olesen1, Sebastian Kinnberg Nielsen1
1Department of Cardiology, Copenhagen University Hospital - Herlev and Gentofte Hospital.
Danish medical journal
|September 10, 2025
概括
智能手表 (SWs) 能够有效地检测心患者的心律不整,帮助诊断和治疗完成. 这项研究强调了SWs作为心脏监测和心律失常评估的有希望的工具.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 医疗器械 医疗器械
背景情况:
- 消费者可穿戴设备,如智能手表 (SW),正在增加长期心脏监测的可访问性.
- 由于广泛的可用性和电子健康记录 (EHR) 集成,SW提供了扩展节律监测的潜力.
- 这项研究调查了在患有心的患者中实施SWs的临床影响.
研究的目的:
- 评估使用SW用于监测心患者的临床后果和诊断产量.
- 评估SW产生的心电图 (ECG) 在诊断心律失常时的有效性.
- 根据SW发现,确定心律失常评估完成率和随后启动的临床行动.
主要方法:
- 被转诊为心或诊断不清楚的患者被提供SW长达三个月.
- 参与者被指示在症状发作期间记录SW-ECGs并将其上传到EHR.
- 一位心脏病学家审查了SW-ECGs,提供了诊断,并确定了必要的临床干预措施.
主要成果:
- 该研究包括50名患者 (56%为女性,中位数年龄为57岁).
- 在48%的患者中检测到临床相关的心律失常,其中40%的患者有鼻腔节律,12%的患者有鼻腔外节律.
- 使用SW导致50%的患者完成心律失常评估,50%的患者接受了临床行动,包括电生理学研究和20%以上的废除.
结论:
- 症状驱动的SW使用显示了高的诊断收益率来检测心律失常,并促进了心律失常评估的完成.
- 患者报告说,SW是用户友好的,对日常生活的干扰最小.
- 需要进一步的研究来比较SW监测与传统ECG监测方法的有效性.
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