University of Michigan/St Joseph Mercy Emergency Medicine Residency, United States of America.
University of Michigan Medical School, United States of America.
Am J Emerg Med. 2019 Oct;37(10):1989.e5-1989.e7. doi: 10.1016/j.ajem.2019.158357. Epub 2019 Jul 21.
Wearable technology has advanced significantly, and the proposed health benefits have been widely touted. Most of the discussion has been surrounding the identification and diagnosis of asymptomatic atrial fibrillation. However, the heart monitoring functions of the wearable technology can also identify other abnormalities as well. We present the first case of wearable technology identified bradycardia diagnosed as the primary presentation of complete heart block. Wearable technology has advanced significantly, but still poses questions regarding its use in screening for rare conditions. One remaining challenge is balancing the desire to screen for rare asymptomatic conditions without overburdening emergency departments with patients responding to alarms on their devices.
可穿戴技术已经取得了显著的进步，其提出的健康益处也得到了广泛的宣传。大多数讨论都集中在识别和诊断无症状性心房颤动上。然而，可穿戴技术的心脏监测功能也可以识别其他异常情况。我们报告了首例可穿戴技术识别出的心动过缓，诊断为完全性心脏阻滞的主要表现。可穿戴技术已经取得了显著的进步，但在其用于筛查罕见疾病方面仍存在问题。一个遗留的挑战是平衡在不使急诊科患者负担过重的情况下筛查罕见无症状疾病的愿望，以及患者对设备报警的反应。
