Garabelli Paul, Stavrakis Stavros, Po Sunny
University of Oklahoma - Heart Rhythm Institute, Oklahoma City, Oklahoma, USA.
Curr Opin Cardiol. 2017 Jan;32(1):53-57. doi: 10.1097/HCO.0000000000000350.
The use of smartphones for arrhythmia monitoring is another leap for ECG utilization and arrhythmia detection - effectively taking the technology to any smartphone user. Smart wearable technology, while very common, is limited mostly to activity tracking and exercise motivation. Rhythm strip generating smartphone products (Kardia Mobile by AliveCor and ECG Check by Cardiac Designs) are more powerful at arrhythmia detection than wearable monitors. These products, which have been studied in a variety of situations, rely on an external device with metal sensors to create a rhythm strip, which is usually Lead I. A different subset of smartphone products use photoplethysmography through a phone camera and light to detect atrial fibrillation. Together, these products are creating a paradigm shift in rhythm detection and monitoring.
使用智能手机进行心律失常监测是心电图应用和心律失常检测的又一次飞跃——实际上是将这项技术推广到了每一位智能手机用户。智能可穿戴技术虽然非常普遍，但大多仅限于活动追踪和运动激励。能够生成心律图的智能手机产品（AliveCor公司的Kardia Mobile和Cardiac Designs公司的ECG Check）在心律失常检测方面比可穿戴监测器更强大。这些产品在各种情况下都经过了研究，它们依靠带有金属传感器的外部设备来生成心律图，通常是I导联。另一类智能手机产品则通过手机摄像头和光线利用光电容积脉搏波描记法来检测心房颤动。总之，这些产品正在引发心律检测和监测方面的范式转变。
