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技术进步在心房颤动筛查中的临床意义。

Clinical Implications of Technological Advances in Screening for Atrial Fibrillation.

机构信息

Department of Medicine, University of Southern California Keck School of Medicine, Los Angeles, CA, United States.

Palo Alto Health Care Foundation, Menlo Park, CA, United States.

出版信息

Prog Cardiovasc Dis. 2018 Jan-Feb;60(4-5):550-559. doi: 10.1016/j.pcad.2018.01.007. Epub 2018 Jan 16.

Abstract

The incidence of atrial fibrillation (AF) continues to increase worldwide as people live longer. AF is the leading cause of stroke among patients older than 75 years and is responsible for at least 15% of all strokes. Industry has responded to this problem with a plethora of monitoring devices. These include single lead ECG adhesive sensors, implantable loop recorders, smartphone attachments and wearables. This review will concentrate on clinical studies using these technologies. There are wearables including watches and watch-like devices that will be mentioned but these have not been validated for clinical use. This review will begin with a background regarding screening for AF and at the end present findings from Cardiac Implantable devices that could influence use of the new mobile health technologies.

摘要

随着人们寿命的延长,全球范围内心房颤动(AF)的发病率持续上升。AF 是 75 岁以上患者中风的主要原因,至少占所有中风的 15%。为了解决这个问题,工业界已经开发出了大量的监测设备。这些设备包括单导联心电图粘贴式传感器、植入式环路记录器、智能手机附件和可穿戴设备。本综述将集中讨论使用这些技术的临床研究。这里提到了一些可穿戴设备,包括手表和类似手表的设备,但这些设备尚未经过临床使用验证。本综述将首先介绍 AF 的筛查背景,最后介绍心脏植入设备的研究结果,这些结果可能会影响新的移动健康技术的应用。

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