Gu Kaien, Marshall Kirsten, Robertson-Stovel Quinn, Zieroth Shelley
Department of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Section of Cardiology, Department of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
CJC Open. 2021 Dec 16;4(4):424-427. doi: 10.1016/j.cjco.2021.12.003. eCollection 2022 Apr.
"Wearable" devices are a rapidly evolving technology that often can record and store personal healthcare data. We report the case of a 64-year-old woman who presented with a syncopal episode and subsequent cardiac arrest, ultimately requiring a dual-chamber implantable cardioverter defibrillator. Prior to hospitalization, she obtained electrocardiogram recordings using her Apple Watch, due to feeling unwell, and one showed nonsustained polymorphic ventricular tachycardia. Direct-to-consumer electrocardiogram monitors in "wearables" are increasing in popularity and may play a role in the work-up and diagnosis of patients' symptoms. However, they are not a replacement for healthcare expertise, and their misuse may result in undue anxiety and inappropriate healthcare utilization.
“可穿戴”设备是一种快速发展的技术,通常能够记录和存储个人医疗保健数据。我们报告了一例64岁女性病例,该患者出现晕厥发作及随后的心脏骤停,最终需要植入双腔植入式心脏复律除颤器。在住院前,她因感觉不适,使用苹果手表获取了心电图记录,其中一份显示为非持续性多形性室性心动过速。“可穿戴”设备中的直接面向消费者的心电图监测仪越来越受欢迎,可能在患者症状的检查和诊断中发挥作用。然而,它们并不能替代医疗专业知识,其滥用可能导致过度焦虑和不适当的医疗资源利用。