Kamga Paola, Mostafa Rasik, Zafar Saba
Michigan State University College of Osteopathic Medicine, Detroit, Michigan, MI USA.
Curr Emerg Hosp Med Rep. 2022;10(3):67-72. doi: 10.1007/s40138-022-00248-x. Epub 2022 Jun 25.
This review investigates the use of wearable electrocardiograms (ECGs) in the clinic and acute care setting, and their impact on patient care, particularly pertaining to the management of cardiac arrhythmias.
Wearable ECGs have consistently demonstrated their non-inferiority in detecting arrhythmias when compared to the current standard of care. Different studies have highlighted their ability to improve patient care and reduce healthcare costs, while more devices are being created to work as a screening tool at a larger scale or to fit the physical abilities of a variety of patients.
The use of wearable cardiac monitoring devices demonstrated considerable symptom-rhythm correlation in various clinical settings, which often resulted in a reduction in time to diagnosis and lower rates of ED visits. However, this relatively new technology raised concerns for patient accessibility and privacy among others. Further research is needed to assess their sensitivity and specificity in the clinical setting, as well as their limitations.
本综述探讨了可穿戴心电图（ECG）在临床和急性护理环境中的应用，以及它们对患者护理的影响，特别是在心律失常管理方面。
与当前的护理标准相比，可穿戴ECG在检测心律失常方面一直表现出非劣效性。不同的研究强调了它们改善患者护理和降低医疗成本的能力，同时正在开发更多设备以作为大规模筛查工具或适应各种患者的身体能力。
可穿戴心脏监测设备的使用在各种临床环境中显示出显著的症状-节律相关性，这通常导致诊断时间缩短和急诊就诊率降低。然而，这项相对较新的技术引发了对患者可及性和隐私等问题的担忧。需要进一步研究来评估它们在临床环境中的敏感性和特异性以及局限性。
