用于长期全披露监测的低功耗可穿戴式心电图贴片的临床验证。
Clinical validation of a low-power and wearable ECG patch for long term full-disclosure monitoring.
作者信息
Torfs Tom, Smeets Christophe J P, Geng Di, Berset Torfinn, Van der Auwera Jo, Vandervoort Pieter, Grieten Lars
机构信息
Imec, Kapeldreef 75, Heverlee, Leuven, Belgium.
Department of Cardiology, Ziekenhuis Oost-Limburg, Schiepse Bos 6, Genk, Belgium; Faculty of Medicine and Life Sciences, Hasselt University, Martelarenlaan 42, Hasselt, Belgium.
出版信息
J Electrocardiol. 2014 Nov-Dec;47(6):881-9. doi: 10.1016/j.jelectrocard.2014.08.012. Epub 2014 Aug 14.
BACKGROUND
Detection of intermittent atrial fibrillation (AF) is done using a 24-h Holter. Holter recordings are powerful but lack the comfort and have limited recording times resulting in under diagnosing of intermittent AF.
OBJECTIVE
Within this work we evaluated and compared a novel miniaturized three-channel ECG monitoring patch versus a 24-h Holter system.
METHODS
Both patients with a chronic AF rhythm (n=5) as well as patients with an AF rhythm that underwent electrical reconversion (n = 5) were equipped with both a 24-h Holter and ECG patch.
RESULTS
Alignment of raw data of both ECG systems allowed cross-correlation analysis. Overall good correlations of up to 85% were obtained. RR-interval analysis of both systems resulted in very high correlations of 99% and higher. AF analysis showed correct identification of AF on both ECG systems.
CONCLUSIONS
The performance of our ECG patch matches that of the 24-h Holter and could provide a suitable tool for long-term monitoring applications.
背景
间歇性房颤（AF）的检测通过24小时动态心电图监测（Holter）进行。Holter记录功能强大，但舒适性欠佳且记录时间有限，导致间歇性房颤的诊断不足。
目的
在本研究中，我们评估并比较了一种新型小型三通道心电图监测贴片与24小时Holter系统。
方法
慢性房颤节律患者（n = 5）以及接受电复律的房颤节律患者（n = 5）均同时配备24小时Holter和心电图贴片。
结果
两个心电图系统的原始数据对齐后可进行互相关分析。总体相关性良好，高达85%。两个系统的RR间期分析显示相关性非常高，达到99%及以上。房颤分析表明，两个心电图系统均能正确识别房颤。
结论
我们的心电图贴片性能与24小时Holter相当，可为长期监测应用提供合适的工具。
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