对于心房动和ST段变化的可穿戴心电图设备的诊断准确性:系统性审查
Mara Sînziana Sîngeap1, Luiza Elena Corneanu1, Andrei Prodaniuc1
1Faculty of Medicine, Grigore T. Popa University of Medicine and Pharmacy, 700115 Iași, Romania.
可穿戴式心电图装置在检测心房动 (AF) 和ST段变化方面具有很高的准确性,与传统方法相比. 为了获得广泛的临床采用,需要进一步验证.
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:
- 可穿戴式心电图 (ECG) 设备,包括智能手表,是检测心律失常的新兴工具.
- 它们在补充或取代传统的ECG方法方面的潜力正在积极调查中.
- 主要应用包括识别心房动 (AF) 和ST段异常.
研究的目的:
- 评估可穿戴心电图设备的诊断性能 (灵敏度和特异性).
- 为了比较可穿戴式心电图设备的精度与黄金标准的12导心电图.
- 评估可穿戴式心电图用于检测AF和ST段变化.
主要方法:
- 在PubMed,Scopus和SpringerLink进行系统的文献搜索,截至2025年6月.
- 包括过去五年的开放访问,英语临床研究.
- 分析了5项符合标准的研究:成年人群,可穿戴式心电图使用,12心电图比较器和诊断精度数据.
主要成果:
- 分析了5项涉及1133名参与者的研究,评估了Apple Watch,KardiaMobile 6L等设备.
- 灵敏度在83%至100%之间;特异性在79%至100%之间.
- 算法改进和重复测量减少了不确定的结果;智能手表多通道心电图显示了ST升高心肌梗塞检测的高一致性.
结论:
- 可穿戴式心电图设备对AF和ST段异常具有很高的诊断准确性,特别是在监督的环境中.
- 广泛使用的障碍包括不确定的记录和算法限制.
- 现实世界的验证和算法改进对于更广泛的临床整合至关重要.
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