植入式循环记录器的准确性:多中心,多设备的比较.
Suraya H Kamsani1, Melissa E Middeldorp2, Shaun Evans2
1Centre for Heart Rhythm Disorders, Adelaide University and Royal Adelaide Hospital, Adelaide, South Australia, Australia; Cardiology Department, National Heart Institute, Kuala Lumpur, Malaysia.
JACC. Clinical electrophysiology
|February 13, 2026
概括
植入式循环记录器 (ILR) 在检测心律失常方面表现出不同的准确性,许多虚假警报增加了临床工作量. 改善ILR警报算法是必要的,以减少这种负担.
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:
- 植入式循环记录器 (ILR) 对于长期的心脏监测至关重要.
- 然而,常见的ILR虚假阳性警报显著增加了医疗保健提供者的临床负担.
研究的目的:
- 评估和比较四个领先的ILR设备的心律失常检测准确度.
- 这项研究特别评估了Medtronic LINQ II,波士顿科学LUX-Dx,Biotronik Biomonitor III和阿博特确认Rx.
主要方法:
- 使用了一个大型的多中心数据库,包含来自6,756名患者的437,351次心电图验证发作.
- 选择了1,140名患者的随机样本进行详细分析,由医生决定的警报.
主要成果:
- 波士顿科学LUX-Dx显示了对心房高心率/心房衰竭和心肌梗塞检测的最高正预测值 (PPV).
- 麦德罗尼克LINQ II和阿博特确认Rx具有中度的PPV,而Biotronik Biomonitor III在心房高心率/AF方面显示了最低的PPV.
- 暂停检测在Abbott Confirm Rx中最差,主要是由于感应不足,而波士顿科学LUX-Dx表现最好.
结论:
- 目前的植入式循环记录器在心律失常检测方面具有可变的准确性.
- 尽管进行了算法改进,但在所有测试的设备中仍然存在大量虚假阳性警报.
- 在ILR警报算法的进一步进步对于减轻与虚假警报相关的临床负担至关重要.
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