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Updated: Jan 23, 2026

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通过使用Apple Watch提高对心房的检测和及时诊断:一项随机对照试验
Nicole J van Steijn1, Isabel S Blommestijn1, Sebastiaan Blok2
1Department of Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Centre, University of Amsterdam, Amsterdam, the Netherlands; Cardiology Centers of the Netherlands, Utrecht, the Netherlands.
Journal of the American College of Cardiology
|January 22, 2026
概括
在六个月内,智能手表查显著增加了高风险中风患者新发动心房动 (AF) 的检测. 这种远程监测方法在识别这种常见的心律失常方面比标准护理更有效.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 预防医学 预防医学
背景情况:
- 心房动 (AF) 是中风的主要原因,由于其无症状和性性质,往往无法检测到.
- 可穿戴技术提供了一种可扩展的,非侵入性的方法来查心律不整,如AF.
- 早期发现AF对于及时实施中风预防策略至关重要.
研究的目的:
- 评估基于智能手表的远程查对检测新发性心房动 (AF) 的有效性.
- 用智能手表监测与标准护理来比较患有中风风险较高的患者的AF检测率.
- 评估可穿戴技术在改善高风险人群中AF诊断方面的作用.
主要方法:
- 一个前性的多中心随机对照试验,涉及437名65岁以上的患有中风风险升高的患者 (CHA2DS2-VASc≥2名男性,≥3名女性).
- 参与者被随机分配到六个月的智能手表监测 (光电心电图和心电图) 或标准护理.
- 在24小时内通过远程心电图审查确认了新发病的AF,定义为持续≥30秒的插曲.
主要成果:
- 在智能手表干预组中,新发性AF在9.6%的人群中被检测出来,而在标准护理组中为2.3% (风险差异:7.3%).
- 智能手表组显示出明显更高的检测率 (P = 0.001),危险率为4.40.
- 仅在智能手表组中发现了几次无症状的AF发作,突出显示了它在检测静音心律失常方面的实用性.
结论:
- 与标准护理相比,基于智能手表的六个月查显著提高了高风险患者新发性心房的检测.
- 智能手表的远程监控是改善AF诊断的有效策略,并可能降低弱势群体中风风险.
- EQUAL试验 (NCT05686330) 提供了强有力的证据,证明可穿戴设备在心血管查中的临床实用性.
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