在耐力运动员与非运动员中检测心房动:使用可植入心脏监测器进行积极的预测值和负担估计
Jon Magne Letnes1,2, Andreas Berg Sellevold1,2, Turid Apelland3,4
1Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway.
Heart rhythm O2
|February 25, 2026
概括
植入式心脏监测仪 (ICM) 在运动员和非运动员中检测心房动 (AF) 的准确性相似. 优化AF负担估计涉及更长的情节检测和排除短事件.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
背景情况:
- 植入式心脏监测器 (ICM) 对于检测心房动 (AF) 和量化AF负担至关重要.
- 运动生活方式对ICM检测到的AF情节和自动负担估计的准确性的影响需要澄清.
研究的目的:
- 为了比较运动员和非运动员之间ICM检测到的AF情节的积极预测值 (PPV).
- 在这些人群中评估自动化AF负担估计的准确性.
主要方法:
- 分析了来自两个随机试验的4周前随机化阶段.
- 在32名耐力运动员和159名非运动员中,ICM检测到3041次AF发作 (≥30秒).
- 为了确定真正的AF,进行了手动评判,总共监测了4202天.
主要成果:
- 对于ICM检测到的AF,患者平均PPV在运动员 (0.59) 和非运动员 (0.51) 之间是相似的.
- 随着剧情持续时间的增加,PPV显著增加,在剧情>60分钟时达到0.89.
- 自动和验证的AF负担之间的相关性为0.67,在排除<6分钟的发作后改善到0.85.
结论:
- 通过ICM检测到的AF插曲PPV在运动员和非运动员中是可比的.
- 较长的AF插曲持续时间提高了准确性,并且排除短插曲增强了自动负担估计.
- ICM适用于运动群体的AF监测.
相关概念视频
Holter Monitor: 24-Hour Monitoring
3.2K
Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
3.2K
Pulse rhythm
1.5K
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
1.5K
Dysrhythmias V: Evaluating Dysrhythmias
415
Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
415


