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在常规临床实践中检测心律失常的贴片型和型可穿戴心电图装置的比较性能
Dong Geum Shin1, Bokyoung Kim2, Jihyun Ahn3
1Division of Cardiology, Hallym University Medical Center, Kangnam Sacred Heart Hospital, Seoul 07441, Republic of Korea.
可穿戴式心电图监视器,贴片类型和类型,显示出相似的心房的检测率. 补丁类型提供更长的监控和更好的暂停检测,但有更多的噪音,指导个性化的设备选择.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 数字健康数字健康
背景情况:
- 可穿戴式心电图 (ECG) 监测对于检测心房动 (AF) 和亚临床心律失常至关重要.
- 贴片型和型监视器是常见的,但有不同的优缺点.
研究的目的:
- 在现实临床环境中比较贴片型和型可穿戴心电图监视器.
- 评估他们各自的优势和局限性,以检测心律失常.
主要方法:
- 对使用可穿戴心电图监视器的639名门诊患者的回顾性分析 (2022年3月至2023年10月).
- 患者分为贴片型 (n=466) 和型 (n=173) 组.
- 评估的指示,监测持续时间,心律失常检测和噪声率.
主要成果:
- 心房的检测率相似 (24.0%和24.9%).
- 补丁式监视器的记录持续时间更长,停顿事件检测率更高 (p<0.001,p=0.004).
- 补丁式监视器的噪声负担明显增加 (p<0.001).
结论:
- 贴片类型和类型的可穿戴心电图在临床上适用于心律失常监测.
- 贴片型提供延长监测和更好的暂停检测,而型通常用于有症状的患者.
- 基于患者需求的个性化设备选择是最佳可穿戴心电图使用的建议.
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