Wang Yu-Chiang, Xu Xiaobo, Hajra Adrija, Apple Samuel, Kharawala Amrin, Duarte Gustavo, Liaqat Wasla, Fu Yiwen, Li Weijia, Chen Yiyun, Faillace Robert T
Department of Medicine, New York City Health + Hospitals/Jacobi, Albert Einstein College of Medicine, The Bronx, New York, NY 10461, USA.
Department of Medicine, Kaiser Permanente Santa Clara Medical Center, Santa Clara, CA 95051, USA.
Diagnostics (Basel). 2022 Mar 11;12(3):689. doi: 10.3390/diagnostics12030689.
Atrial fibrillation (AF) is a common arrhythmia affecting 8-10% of the population older than 80 years old. The importance of early diagnosis of atrial fibrillation has been broadly recognized since arrhythmias significantly increase the risk of stroke, heart failure and tachycardia-induced cardiomyopathy with reduced cardiac function. However, the prevalence of atrial fibrillation is often underestimated due to the high frequency of clinically silent atrial fibrillation as well as paroxysmal atrial fibrillation, both of which are hard to catch by routine physical examination or 12-lead electrocardiogram (ECG). The development of wearable devices has provided a reliable way for healthcare providers to uncover undiagnosed atrial fibrillation in the population, especially those most at risk. Furthermore, with the advancement of artificial intelligence and machine learning, the technology is now able to utilize the database in assisting detection of arrhythmias from the data collected by the devices. In this review study, we compare the different wearable devices available on the market and review the current advancement in artificial intelligence in diagnosing atrial fibrillation. We believe that with the aid of the progressive development of technologies, the diagnosis of atrial fibrillation shall be made more effectively and accurately in the near future.
心房颤动(AF)是一种常见的心律失常,影响着80岁以上人群的8%-10%。由于心律失常会显著增加中风、心力衰竭和心动过速性心肌病伴心功能降低的风险,心房颤动早期诊断的重要性已得到广泛认可。然而,由于临床无症状性心房颤动以及阵发性心房颤动的高发生率,心房颤动的患病率常常被低估,而这两种情况都很难通过常规体格检查或12导联心电图(ECG)发现。可穿戴设备的发展为医疗保健提供者在人群中发现未被诊断的心房颤动提供了一种可靠的方法,尤其是那些风险最高的人群。此外,随着人工智能和机器学习的进步,该技术现在能够利用数据库协助从设备收集的数据中检测心律失常。在本综述研究中,我们比较了市场上不同的可穿戴设备,并回顾了人工智能在诊断心房颤动方面的当前进展。我们相信,借助技术的不断发展,在不久的将来,心房颤动的诊断将更加有效和准确。