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使用智能手表技术诊断出 31 岁患者的早期心肌炎:病例报告。

Early myopericarditis diagnosed in a 31-year-old patient using smartwatch technology: A case report.

机构信息

Emergency and Trauma Intensive Care Unit, Careggi University Hospital, Florence, Italy.

Emergency and Trauma Intensive Care Unit, Careggi University Hospital, Florence, Italy.

出版信息

Int Emerg Nurs. 2023 Nov;71:101365. doi: 10.1016/j.ienj.2023.101365. Epub 2023 Oct 3.

Abstract

INTRODUCTION

Smartwatches, wrist-mounted devices with computing capacity able to connect with other devices via short-range wireless networking, are today commonly used by the general population to monitor their health status using specific applications. Currently, these devices offer new possibilities in remote health care monitoring and integration with other applications, through alert notifications, collection of personal data by a variety of sensors and the storage of these data. Several companies are introducing smartwatches with "health status" monitoring software with multiple functions, i.e. electrocardiogram (ECG) sensors. Recently, detection of atrial fibrillation based on heart rate monitoring by optical sensors resulted to be feasible and reliable when using the Apple Watch® and its corresponding application. Indeed, previous case reports highlighted its sensitivity in detecting morphological changes typical of the Acute Coronary Syndrome.

CASE REPORT

We report the case of a healthcare worker, who experienced chest pain and diffuse myalgia, detected ECG alterations in the ST segment, and reached the Emergency Department Myopericarditis was diagnosed and treated promptly to prevent complications.

DISCUSSION

Acute viral myocarditis and pericarditis are clinical conditions, usually characterized by 21 a benign course that does not require medical evaluation. However, ventricular arrhythmias are also common in viral myocarditis, and the latter is associated with a large proportion of sudden cardiac deaths in the young population without previous structural heart disease. In this case report, smartwatch technology allowed the preventive implementation of interventions against potentially life-threatening complications. Further developments in smartwatch technology could lead to more sensitive and specific diagnostic algorithms for conditions that require immediate medical intervention.

摘要

简介

智能手表是一种戴在手腕上的计算设备,能够通过短距离无线联网与其他设备连接,如今已被大众广泛用于通过特定应用程序来监测健康状况。目前,这些设备通过警报通知、各种传感器收集个人数据以及存储这些数据,为远程医疗保健监测和与其他应用程序的集成提供了新的可能性。一些公司正在推出具有“健康状况”监测软件的智能手表,该软件具有多种功能,例如心电图 (ECG) 传感器。最近,基于光学传感器的心率监测来检测心房颤动已被证明是可行且可靠的,这在使用 Apple Watch®及其相应应用程序时尤为如此。实际上,之前的病例报告强调了其在检测急性冠状动脉综合征特征性形态变化方面的敏感性。

病例报告

我们报告了一名医疗工作者的病例,该工作者经历了胸痛和弥漫性肌肉痛,心电图 ST 段改变,并到达急诊室。诊断为心肌炎并及时治疗以预防并发症。

讨论

急性病毒性心肌炎和心包炎是临床病症,通常表现为良性病程,不需要进行医学评估。然而,室性心律失常在病毒性心肌炎中也很常见,而后者与年轻人群中无先前结构性心脏病的心脏性猝死比例较高有关。在本病例报告中,智能手表技术允许对潜在威胁生命的并发症进行预防性干预。智能手表技术的进一步发展可能会为需要立即进行医疗干预的病症提供更敏感和更具体的诊断算法。

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