房的查:患者和医疗保健系统的负担或利益
1Department of Cardiac Arrhythmia Research and Innovation, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Journal of cardiovascular electrophysiology
|October 21, 2025
概括
全民心房动 (AF) 查提供了早期检测和中风预防. 然而,平衡诸如及时治疗之类的好处与诸如假阳性和系统成本之类的缺点对于成功实施至关重要.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 公共卫生 公共卫生
背景情况:
- 心房动 (AF) 是一种常见的心律失常,显著增加了中风风险.
- 早期检测和抗凝剂是减少中风发病率的关键.
- 由于数字健康的进步,人口层面的查正在引起人们的兴趣.
研究的目的:
- 审查关于AF查的大规模试验和数字健康研究.
- 综合人口水平AF查的好处和局限性.
- 探索改善AF查效率和实施的新兴策略.
主要方法:
- 大规模试验和数字健康研究的系统审查.
- 基于可穿戴设备的AF检测方法的分析.
- 评估人工智能引导的风险分层和数字护理途径.
主要成果:
- 查可以更早地诊断无声的AF,促进及时治疗和减少潜在的中风.
- 挑战包括错误的阳性,不确定的结果,患者焦虑和医疗保健系统的压力.
- 人工智能和数字途径在提高准确性和简化管理方面表现有前途.
结论:
- 针对性,技术增强的AF查可以通过预防中风,使患者和医疗保健系统受益.
- 成功实施需要平衡改进的检测与过度诊断和系统成本的风险.
- 将新技术与基于证据的途径相结合,对于可持续影响至关重要.
相关概念视频
Dysrhythmias V: Evaluating Dysrhythmias
324
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...
324
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT
384
Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
384
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
311
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
311
Dysrhythmias VI: Management of Dysrhythmias
428
Dysrhythmia management involves a multifaceted approach, incorporating pharmacological treatments, medical procedures, surgical interventions, lifestyle modifications, and patient education.Pharmacological ManagementAntiarrhythmic Drugs:Class I (Sodium Channel Blockers): This class includes quinidine and procainamide, which reduce the speed of impulse conduction in the heart, stabilize the cardiac membrane, and control arrhythmias. Quinidine and procainamide are Class IA agents that prolong the...
428
Imaging Studies for Cardiovascular System I:Echocardiography
722
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
722
Ultrasound II: Endoscopic Ultrasound and FibroScan
541
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
541


