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一种新型可穿戴无线心电图监测设备(Spyder)在疑似心律失常患者中检测心律失常的适用性。

Applicability of a Novel Wearable Wireless Electrocardiogram Monitoring Device (Spyder) for Arrhythmia Detection in Patients with Suspected Cardiac Arrhythmias.

作者信息

Van Chien Do, Thanh Binh Nguyen, Dung Nguyen, Truong Son Pham

机构信息

Department of Cardiology, Heart Institute, 108 Military Central Hospital, Hanoi, Vietnam.

出版信息

Cardiol Res Pract. 2021 Nov 26;2021:8496351. doi: 10.1155/2021/8496351. eCollection 2021.

DOI:10.1155/2021/8496351
PMID:34868676
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8642027/
Abstract

INTRODUCTION

In clinical practice, many cardiovascular symptoms can be caused by arrhythmias that are not detected by electrocardiography (ECG) or 24-48 h Holter ECG monitoring.

AIMS

To describe the efficacy and applicability of a new device (Spyder) in detecting cardiac arrhythmias with midterm ECG monitoring.

METHODS

A descriptive, prospective study was performed on 26 consecutive patients who underwent midterm ECG monitoring with the novel ECG patch device (Spyder). The study was conducted over a 6-month period from August 2020 to February 2021.

RESULTS

Twenty-six patients (mean age, 57.8 ± 12.5 years; men, 77%) wearing a Spyder wireless ECG-monitoring device were recruited. The mean wearing time was 84 hours. The main indications for using the device were detection of recurrent atrial fibrillation after radiofrequency ablation (30.7%) and screening for atrial fibrillation after cryptogenic stroke (23.1%). All ECG monitor recordings obtained during the study period were of good quality. The device detected 12 episodes of atrial fibrillation in eight patients, one episode of ventricular tachycardia, one supraventricular tachycardia event, one case of paroxysmal third-degree atrioventricular block, and five cases of frequent premature ventricular contraction. The time to detection of the first episodes of atrial fibrillation and ventricular and supraventricular tachycardia was 28.8 and 47 hours, respectively.

CONCLUSIONS

The new wearable wireless ECG-monitoring device (Spyder) is a feasible and effective method for the detection of cardiac arrhythmias.

摘要

引言

在临床实践中,许多心血管症状可能由心电图(ECG)或24 - 48小时动态心电图监测未检测到的心律失常引起。

目的

描述一种新设备(Spyder)在中期心电图监测中检测心律失常的有效性和适用性。

方法

对26例连续接受新型心电图贴片设备(Spyder)中期心电图监测的患者进行了描述性前瞻性研究。该研究于2020年8月至2021年2月的6个月期间进行。

结果

招募了26例佩戴Spyder无线心电图监测设备的患者(平均年龄57.8±12.5岁;男性占77%)。平均佩戴时间为84小时。使用该设备的主要指征是检测射频消融术后复发性心房颤动(3

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