两个商用PPG智能手机应用程序的诊断性能,以检测心房动
Mihaly Daniel Szonyi1,2, Flora Diana Gausz3, Botond Bocz4
1Gottsegen National Cardiovascular Center, Budapest, Hungary.
European heart journal. Digital health
|February 24, 2026
概括
两款智能手机应用程序在检测心房动 (AFib),一种常见的心律障碍方面表现出高准确度. 这些工具为早期查和患者监测提供了一种有希望的非侵入性方法.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 医疗技术 医疗技术 医学技术
背景情况:
- 心房动 (AFib) 是一种普遍的心律失常,与显著的发病率和死亡率有关.
- 早期发现AFib对于有效的患者管理至关重要.
- 虽然可穿戴设备显示出希望,但智能手机应用程序用于AFib查的诊断精度需要验证.
研究的目的:
- 为了比较两种商业基于光电脉学 (PPG) 的智能手机应用程序的诊断性能,用于检测心房动.
- 评估这些移动卫生工具的准确性,技术性能和可用性.
主要方法:
- 这是一项前性多中心研究,涉及3个心脏病中心的206名患者.
- 使用FibriCheck®和Preventicus Heartbeats®应用程序同时进行PPG记录,并与12导电心电图 (ECG) 一起进行.
- 盲目心脏病学家独立ECG解释以确定诊断准确度.
主要成果:
- 无论是FibriCheck还是Preventicus的心跳都显示出AFib检测的高和可比的诊断准确性.
- 在FibriCheck中,成功的PPG记录率为97.7%,在Preventicus心跳中为87.5%.
- 这两个应用程序的灵敏度和特异性都很高,FibriCheck为89.0%/100.0%和Preventicus心跳为86.4%/99.0%.
结论:
- 智能手机PPG应用程序是早期心房动查和随访的可行,非侵入性工具.
- 这些数字健康解决方案有可能改善患者的治疗结果.
- 需要进一步细化,以尽量减少不确的记录,并提高临床实用性.
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