苹果手表4的新用途：获取三导联心电图并检测心肌缺血
Novel Use of Apple Watch 4 to Obtain 3-Lead Electrocardiogram and Detect Cardiac Ischemia.
作者信息
Avila Cesar O
机构信息
Department of Emergency Medicine, San Diego Medical Center, CA.
出版信息
Perm J. 2019;23. doi: 10.7812/TPP/19-025. Epub 2019 Jun 27.
Abstract
BACKGROUND
Early recognition and treatment of ST-elevation myocardial infarction (STEMI) results in better outcomes.
OBJECTIVES
To describe a novel technique using the Apple Watch 4 (Apple Inc, Cupertino, CA) to obtain a 3-lead electrocardiogram (ECG) and confirm the watch's feasibility to detect cardiac ischemia in selective cases with a particular injury pattern.
METHODS
Two male patients in the Emergency Department had STEMI apparent on their ECGs. These findings were compared with those from the Apple Watch 4, whose positioning was adjusted for 3-lead ECG.
RESULTS
The patients' real-time, watch-based, 3-lead ECG tracings matched the traditional ECGs demonstrating STEMI, confirming the potential ability of this device to uncover myocardial ischemia. In each patient, cardiac catheterization revealed severe, 100% occlusion of the right coronary artery.
CONCLUSION
The Apple Watch 4 could lead to earlier detection of acute coronary artery disease, but sensitivity and specificity remain unknown.
摘要
背景
ST段抬高型心肌梗死（STEMI）的早期识别和治疗可带来更好的预后。
目的
描述一种使用苹果手表4（苹果公司，加利福尼亚州库比蒂诺）获取三导联心电图（ECG）的新技术，并确认该手表在特定损伤模式的选择性病例中检测心肌缺血的可行性。
方法
急诊科的两名男性患者心电图显示为STEMI。将这些结果与苹果手表4的结果进行比较，该手表的位置已针对三导联心电图进行了调整。
结果
基于手表的患者实时三导联心电图描记与显示STEMI的传统心电图相匹配，证实了该设备发现心肌缺血的潜在能力。在每位患者中，心脏导管检查显示右冠状动脉严重闭塞，闭塞率达100%。
结论
苹果手表4可能会导致急性冠状动脉疾病的更早检测，但敏感性和特异性仍未知。
相似文献
1
Novel Use of Apple Watch 4 to Obtain 3-Lead Electrocardiogram and Detect Cardiac Ischemia.苹果手表4的新用途：获取三导联心电图并检测心肌缺血
Perm J. 2019;23. doi: 10.7812/TPP/19-025. Epub 2019 Jun 27.
2
Single-Lead ECG Recordings Including Einthoven and Wilson Leads by a Smartwatch: A New Era of Patient Directed Early ECG Differential Diagnosis of Cardiac Diseases?智能手表记录单导联心电图，包括 Einthoven 导联和 Wilson 导联：患者指导下心脏疾病早期心电图鉴别诊断的新时代？
Sensors (Basel). 2019 Oct 10;19(20):4377. doi: 10.3390/s19204377.
3
[Application of wearable 12-lead electrocardiogram devices in pre-hospital diagnosis of acute ST segment elevation myocardial infarction].[可穿戴式12导联心电图设备在急性ST段抬高型心肌梗死院前诊断中的应用]
Nan Fang Yi Ke Da Xue Xue Bao. 2022 Oct 20;42(10):1566-1571. doi: 10.12122/j.issn.1673-4254.2022.10.18.
4
The Reliability of the Apple Watch's Electrocardiogram.苹果手表心电图的可靠性。
Cureus. 2023 Dec 1;15(12):e49786. doi: 10.7759/cureus.49786. eCollection 2023 Dec.
5
Watch out for ST-elevation myocardial infarction: a case report of ST-elevation in single-lead electrocardiogram tracing of a smartwatch.警惕ST段抬高型心肌梗死：智能手表单导联心电图ST段抬高一例报告
Eur Heart J Case Rep. 2020 Nov 18;4(6):1-4. doi: 10.1093/ehjcr/ytaa353. eCollection 2020 Dec.
6
aVR ST Segment Elevation: Acute STEMI or Not? Incidence of an Acute Coronary Occlusion.aVR 导联 ST 段抬高：急性 ST 段抬高型心肌梗死还是其他？急性冠状动脉闭塞的发生率。
Am J Med. 2019 May;132(5):622-630. doi: 10.1016/j.amjmed.2018.12.021. Epub 2019 Jan 9.
7
The utility of the triage electrocardiogram for the detection of ST-segment elevation myocardial infarction.分诊心电图在 ST 段抬高型心肌梗死检测中的应用。
Am J Emerg Med. 2018 Oct;36(10):1771-1774. doi: 10.1016/j.ajem.2018.01.083. Epub 2018 Feb 3.
8
Prospective validation of current quantitative electrocardiographic criteria for ST-elevation myocardial infarction.当前定量心电图 ST 段抬高型心肌梗死标准的前瞻性验证。
Int J Cardiol. 2019 Oct 1;292:1-12. doi: 10.1016/j.ijcard.2019.04.041. Epub 2019 Apr 11.
9
Identification of the STEMI-equivalent de Winter Electrocardiogram Pattern After Ventricular Fibrillation Cardiac Arrest: A Case Report.心室颤动心脏骤停后ST段抬高型心肌梗死等效的de Winter心电图模式的识别：一例报告
J Emerg Med. 2016 Jun;50(6):875-80. doi: 10.1016/j.jemermed.2016.03.022. Epub 2016 May 14.
10
Criteria for ECG detection of acute myocardial ischemia: Sensitivity versus specificity.急性心肌缺血心电图检测标准：敏感性与特异性
J Electrocardiol. 2018 Nov-Dec;51(6S):S12-S17. doi: 10.1016/j.jelectrocard.2018.08.018. Epub 2018 Aug 13.
引用本文的文献
1
Determinants of Continuous Smartwatch Use and Data-Sharing Preferences With Physicians, Public Health Authorities, and Private Companies: Cross-Sectional Survey of Smartwatch Users.持续使用智能手表以及与医生、公共卫生当局和私人公司共享数据偏好的决定因素：智能手表用户的横断面调查
J Med Internet Res. 2025 Aug 18;27:e67414. doi: 10.2196/67414.
2
Smartwatch ECG and artificial intelligence in detecting acute coronary syndrome compared to traditional 12-lead ECG.与传统12导联心电图相比，智能手表心电图和人工智能在检测急性冠状动脉综合征中的应用
Int J Cardiol Heart Vasc. 2024 Dec 1;56:101573. doi: 10.1016/j.ijcha.2024.101573. eCollection 2025 Feb.
3
Remote Monitoring of Sympathovagal Imbalance During Sleep and Its Implications in Cardiovascular Risk Assessment: A Systematic Review.睡眠期间交感迷走神经失衡的远程监测及其在心血管风险评估中的意义：一项系统综述。
Bioengineering (Basel). 2024 Oct 19;11(10):1045. doi: 10.3390/bioengineering11101045.
4
Handheld 6-Lead ECG for Early Detection of Acute Inferior Wall ST-T Segment Elevation Myocardial Infarction: HINT-MI Study Design and Rationale.手持式 6 导联心电图在急性下壁 ST-T 段抬高型心肌梗死早期检测中的应用：HINT-MI 研究设计与原理。
Medicina (Kaunas). 2024 Jul 18;60(7):1164. doi: 10.3390/medicina60071164.
5
Multiscale dilated convolutional neural network for Atrial Fibrillation detection.多尺度扩张卷积神经网络在心房颤动检测中的应用。
PLoS One. 2024 Jun 3;19(6):e0301691. doi: 10.1371/journal.pone.0301691. eCollection 2024.
6
Factors influencing smartwatch use and comfort with health data sharing: a sequential mixed-method study protocol.影响智能手表使用和健康数据共享舒适度的因素：一项序贯混合方法研究方案。
BMJ Open. 2024 May 15;14(5):e081228. doi: 10.1136/bmjopen-2023-081228.
7
Application of Convolutional Neural Network for Decoding of 12-Lead Electrocardiogram from a Frequency-Modulated Audio Stream (Sonified ECG).卷积神经网络在从调频音频流（声心电图）中解码 12 导联心电图中的应用。
Sensors (Basel). 2024 Mar 15;24(6):1883. doi: 10.3390/s24061883.
8
Detection of acute coronary occlusion with a novel mobile electrocardiogram device: a pilot study.使用新型移动心电图设备检测急性冠状动脉闭塞：一项初步研究。
Eur Heart J Digit Health. 2024 Jan 17;5(2):183-191. doi: 10.1093/ehjdh/ztae002. eCollection 2024 Mar.
9
The Reliability of the Apple Watch's Electrocardiogram.苹果手表心电图的可靠性。
Cureus. 2023 Dec 1;15(12):e49786. doi: 10.7759/cureus.49786. eCollection 2023 Dec.
10
Smart devices to measure and monitor QT intervals.用于测量和监测QT间期的智能设备。
Front Cardiovasc Med. 2023 Nov 27;10:1172666. doi: 10.3389/fcvm.2023.1172666. eCollection 2023.
本文引用的文献
1
Supraventricular tachycardia diagnosed by smartphone ECG.通过智能手机心电图诊断的室上性心动过速。
BMJ Case Rep. 2017 Sep 11;2017:bcr-2016-217197. doi: 10.1136/bcr-2016-217197.
2
Mobile digital health devices and the diagnosis in real-time of myocardial ischaemia.移动数字健康设备与心肌缺血的实时诊断
QJM. 2017 May 1;110(5):309-310. doi: 10.1093/qjmed/hcx046.
3
Crowd-Sourcing Syncope Diagnosis: Mobile Smartphone ECG Apps.众包晕厥诊断：移动智能手机心电图应用程序
Am J Med. 2016 Apr;129(4):e17-8. doi: 10.1016/j.amjmed.2015.11.022. Epub 2015 Dec 17.
4
2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.2013年美国心脏病学会基金会/美国心脏协会ST段抬高型心肌梗死管理指南：美国心脏病学会基金会/美国心脏协会实践指南工作组报告
Circulation. 2013 Jan 29;127(4):e362-425. doi: 10.1161/CIR.0b013e3182742cf6. Epub 2012 Dec 17.
5
Delay in seeking emergency care.寻求急诊治疗的延迟。
Acad Emerg Med. 2001 Feb;8(2):163-9. doi: 10.1111/j.1553-2712.2001.tb01282.x.
6
Patient delay in seeking care for heart attack symptoms: findings from focus groups conducted in five U.S. regions.心脏病发作症状患者寻求治疗的延迟：在美国五个地区进行的焦点小组研究结果
Prev Med. 2000 Sep;31(3):205-13. doi: 10.1006/pmed.2000.0702.
7
Delay in calling for help during myocardial infarction: reasons for the delay and subsequent pattern of accessing care.心肌梗死发作时呼叫急救的延迟：延迟原因及后续就医模式
Heart. 2000 Aug;84(2):137-41. doi: 10.1136/heart.84.2.137.
8
The physician's role in minimizing prehospital delay in patients at high risk for acute myocardial infarction: recommendations from the National Heart Attack Alert Program. Working Group on Educational Strategies To Prevent Prehospital Delay in Patients at High Risk for Acute Myocardial Infarction.医生在减少急性心肌梗死高危患者院前延误方面的作用：国家心脏病发作警报计划的建议。预防急性心肌梗死高危患者院前延误教育策略工作组。
Ann Intern Med. 1997 Apr 15;126(8):645-51. doi: 10.7326/0003-4819-126-8-199704150-00010.
9
The impact of the family and lay others on care-seeking during life-threatening episodes of suspected coronary artery disease.在疑似冠心病危及生命的发作期间，家庭及其他非专业人员对寻求治疗的影响。
Soc Sci Med. 1986;22(12):1297-311. doi: 10.1016/0277-9536(86)90093-6.
Zotero 插件