Thabouillot Oscar, Bostanci Kevin, Bouvier Francois, Dumitrescu Nicolae, Stéfuriac Maria, Paule Philippe, Roche Nicolas-Charles
1Emergency Department,Begin Military Hospital,Saint-Mandé,France.
2Department of Cardiology,Begin Military Hospital,Saint-Mandé,France.
Prehosp Disaster Med. 2017 Dec;32(6):691-693. doi: 10.1017/S1049023X17006896. Epub 2017 Aug 15.
This is a case report of a 45-year-old man who reported complete amnesia during the very first kilometer of a 10-km run. He was wearing a heart rate monitor (HRM). The interrogation of his HRM watch showed 200 bpm tachycardia beginning in the first kilometer and increasing up to 220 bpm during the last kilometer. The patient was asked to wear a Holter-monitor (Holter Research Laboratory; Helena, Montana USA) electrocardiogram (ECG) while practicing a training session. This examination allowed for the diagnosis of an adrenergic paroxysmal atrial fibrillation (AF) with an impressive auriculo-ventricular conduction over 260 bpm. This case highlights that non-medical devices, such as connected watches, can be helpful to diagnose arrhythmias. Thabouillot O , Bostanci K , Bouvier F , Dumitrescu N , Stéfuriac M , Paule P , Roche NC . Syncope during competitive events: interrogating heart rate monitor watches may be useful! Prehosp Disaster Med. 2017;32(6):691-693.
这是一例45岁男性的病例报告，该患者在10公里跑步的第一公里就出现了完全失忆。他当时佩戴着心率监测器（HRM）。对其HRM手表的查询显示，在第一公里时心率就开始达到200次/分钟的心动过速，并在最后一公里时增至220次/分钟。要求患者在进行训练时佩戴动态心电图监测仪（美国蒙大拿州海伦娜市的霍尔特研究实验室）。这项检查诊断出为肾上腺素能阵发性心房颤动（AF），房室传导令人印象深刻地超过260次/分钟。该病例突出表明，诸如智能手表之类的非医疗设备有助于心律失常的诊断。萨博约 O、博斯坦奇 K、布维耶 F、杜米特雷斯库 N、斯特富里亚克 M、保罗 P、罗什 NC。竞技赛事中的晕厥：查询心率监测手表可能有用！《院前急救与灾难医学》。2017年；32(6):691 - 693。
