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数字医疗与心律失常:2020年韩国一例预激综合征病例

Digital health care and arrhythmia: a case of WPW syndrome in South Korea, 2020.

作者信息

Mun Eunchan, Hong Jihee, Kwon Sunggu, Lee Sung Ho, Kim Wonsool, Lee Changhwan

机构信息

Department of Occupational and Environmental Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

Department of Innovation Healthcare Planning, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

Ann Occup Environ Med. 2021 Mar 24;33:e8. doi: 10.35371/aoem.2021.33.e8. eCollection 2021.

DOI:10.35371/aoem.2021.33.e8
PMID:34754469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8075737/
Abstract

BACKGROUND

The digital health care field is expanding from the daily monitoring of chronic diseases to the detection of acute diseases, such as arrhythmia. Wolff-Parkinson-White (WPW) syndrome, a congenital cardiac disorder due to accessory pathways, causes tachycardia, syncope, and even sudden death.

CASE PRESENTATION

We presented a 26-year-old female office worker with WPW syndrome managing the disease with a wearable device and discussed its significance in occupational medicine. After reviewing the worker's electrocardiogram results, symptoms, and pulse rate records extracted from the wearable device, we referred the worker to a cardiologist for further evaluations such as electrophysiology study. The worker monitors her symptom recurrence with the wearable device following successful radiofrequency catheter ablation of the bypass tract.

CONCLUSIONS

A case of an office worker with WPW syndrome managing the disease using a smart watch is presented. Further research is required to ensure its scientific validity, and we suggest policymakers promptly introduce digital health care to occupational environments.

摘要

背景

数字医疗领域正在从慢性病的日常监测扩展到急性疾病的检测,如心律失常。预激综合征(WPW)是一种由于附加通路导致的先天性心脏疾病,可引起心动过速、晕厥甚至猝死。

病例报告

我们介绍了一名患有WPW综合征的26岁女性上班族,她使用可穿戴设备管理该疾病,并讨论了其在职业医学中的意义。在查看了该上班族从可穿戴设备中提取的心电图结果、症状和脉搏率记录后,我们将她转诊给心脏病专家进行进一步评估,如电生理研究。在成功进行旁路通道的射频导管消融术后,该上班族使用可穿戴设备监测症状复发情况。

结论

本文介绍了一例使用智能手表管理WPW综合征的上班族病例。需要进一步研究以确保其科学有效性,并且我们建议政策制定者迅速将数字医疗引入职业环境。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f2d/8075737/990e5f502a13/aoem-33-e8-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f2d/8075737/a43878af54e4/aoem-33-e8-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f2d/8075737/990e5f502a13/aoem-33-e8-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f2d/8075737/a43878af54e4/aoem-33-e8-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f2d/8075737/990e5f502a13/aoem-33-e8-g002.jpg

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Photoplethysmography based atrial fibrillation detection: a review.基于光电容积脉搏波描记术的心房颤动检测:综述
NPJ Digit Med. 2020 Jan 10;3:3. doi: 10.1038/s41746-019-0207-9. eCollection 2020.
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How useful is the smartwatch ECG?智能手表心电图的作用有多大?
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Advances in photoplethysmography: beyond arterial oxygen saturation.光电容积脉搏波描记术的进展:超越动脉血氧饱和度
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