在社区药房使用移动心电图技术查未诊断的心房动:一个准实验性的横截面研究 (PREVENIM ICTUS)
Óscar García Agudo1, Ricardo Fuertes González2, María García Gil3
1Muy Ilustre Colegio Oficial de Farmacéuticos de Valencia, Valencia, Spain. oscar.garcia@micof.es.
BMC primary care
|January 30, 2026
概括
社区药房可以有效地查患有心血管风险因素的老年人未被诊断的心房动 (AF). 这种由药剂师主导的方法使用移动心电图技术,有助于早期检测和预防中风.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 社区药房实践 社区药房实践
背景情况:
- 心房动 (AF) 是一种普遍的心律失常,增加了中风风险,在高危人群中往往未被诊断出来.
- 药房中的移动心电图技术对AF检测有希望,但来自南欧的数据有限.
- 这项研究旨在评估55岁以上的风险成年人中西班牙药店未诊断的AF频率.
研究的目的:
- 为了确定55岁及以上的有心血管风险因素的成年人未被诊断的心房动 (AF) 的频率.
- 评估在社区药房进行机会性AF查的可行性.
- 通过及时的AF诊断,促进早期中风预防.
主要方法:
- 一项在西班牙社区药房,卫生中心和辅助诊所进行的准实验性,多中心,横截面研究.
- 纳入标准:55岁以上的用户,至少有一个心血管风险因素 (高血压,糖尿病,心力衰竭等). ) 的情况.
- 查包括由药剂师执行的1导电心电图 (ECG).
主要成果:
- 784名用户进行了查;7.9% (62) 显示了心电图变化.
- 在那些有改变的人中,58.1% (36) 有可能的AF,并被转介给12导电图确认.
- 六名参与者 (17.6%的受访者) 被诊断出患有AF.
结论:
- 在社区药房使用便携式心电图技术进行机会性AF查是一种可行的策略.
- 这种方法有效地识别了风险人群中未被诊断的AF的潜在病例.
- 通过药房查早期诊断AF有助于有效预防中风.
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