在患有密度性脑卒中后的患者中,基于光谱发电学检测心房动
Marthe J Huntelaar1, Jasper L Selder1, Luuk H G A Hopman1
1Department of Cardiology, Amsterdam UMC, location VUmc, Amsterdam, Netherlands.
Frontiers in stroke
|January 16, 2026
概括
智能手表光电脉扫描 (PPG) 在43%的密码性中风患者中检测到心房动 (AF). 然而,由于准确性问题和后勤问题限制了这种AF查策略的可行性.
科学领域:
- 心脏病学 心脏病学
- 医疗技术 医疗技术 医学技术
- 脑卒中医学 脑卒中医学
背景情况:
- 未诊断的心房动 (AF) 是密码性中风的重要原因之一.
- 摄影力发镜 (PPG) 智能手表为长时间的AF查提供了潜在的可能性.
- 在密码性中风患者中检测AF对于预防复发事件至关重要.
研究的目的:
- 在密码性中风患者中,比较PPG智能手表和Holter监测之间的AF检测率.
- 用PPG智能手表评估使用长时间AF查的可行性.
- 根据黄金标准来评估基于PPG的AF检测的准确性.
主要方法:
- 涉及密码性中风患者的前性研究.
- 使用PPG智能手表 (FibriCheck算法) 进行为期28天的半连续AF监测.
- 同时进行48小时的霍尔特监测以进行并发比较.
主要成果:
- 43%的患者在中风后28天内出现了PPG检测到的AF.
- 在最初的48小时内,PPG检测到2名患者的AF,而Holter监测没有检测到任何.
- 由于入学速度缓慢和资格不合格率高 (92.5%),招生提前停止.
结论:
- PPG智能手表在密码性中风患者的很大比例中检测到AF.
- PPG和Holter监测之间的差异引发了准确性问题.
- 后勤和技术挑战限制了基于PPG的AF查在这个人群中的临床可行性.
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