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智能手表检测到一名复发性晕厥患者出现多形性室性心动过速。

Polymorphic Ventricular Tachycardia Detected by a Smartwatch in a Patient With Recurrent Syncope.

作者信息

Avidan Yuval, Tabachnikov Vsevolod, Danon Asaf, Schliamser Jorge E

机构信息

Department of Cardiology, Lady Davis Carmel Medical Center, Haifa, Israel.

Ruth and Bruce Rappaport Faculty of Medicine, Technion- Israel Institute of Technology, Haifa, Israel.

出版信息

JACC Case Rep. 2024 Oct 2;29(19):102606. doi: 10.1016/j.jaccas.2024.102606.

DOI:10.1016/j.jaccas.2024.102606
PMID:39484328
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11522799/
Abstract

The diagnosis of vasospastic angina remains challenging. It may present with syncope and life-threatening arrhythmia. Patients with syncope usually require automatic modes of recording. We describe a patient with recurrent syncope and polymorphic ventricular tachycardia documented by a smartwatch. Eventually, the arrhythmia was attributed to vasospasm and effectively managed with pharmacotherapy.

摘要

变异性心绞痛的诊断仍然具有挑战性。它可能表现为晕厥和危及生命的心律失常。晕厥患者通常需要自动记录模式。我们描述了一名通过智能手表记录到复发性晕厥和多形性室性心动过速的患者。最终，心律失常被归因于血管痉挛，并通过药物治疗得到有效控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4c7/11522799/db03c23e1a6c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4c7/11522799/afb58bba5882/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4c7/11522799/eeaa43359b30/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4c7/11522799/639385cfe5f5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4c7/11522799/db03c23e1a6c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4c7/11522799/afb58bba5882/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4c7/11522799/eeaa43359b30/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4c7/11522799/639385cfe5f5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4c7/11522799/db03c23e1a6c/gr3.jpg

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本文引用的文献

1
Vasospastic Angina: A Contemporary Review of its Pathophysiology, Diagnosis and Management.血管痉挛性心绞痛：其病理生理学、诊断与管理的当代综述
Heart Int. 2022 Jul 26;16(2):99-104. doi: 10.17925/HI.2022.16.2.99. eCollection 2022.
2
2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death.2022年欧洲心脏病学会室性心律失常患者管理和心脏性猝死预防指南
Eur Heart J. 2022 Oct 21;43(40):3997-4126. doi: 10.1093/eurheartj/ehac262.
3
Polymorphic Ventricular Tachycardia: Terminology, Mechanism, Diagnosis, and Emergency Therapy.
多形性室性心动过速：术语、机制、诊断和紧急治疗。
Circulation. 2021 Sep 7;144(10):823-839. doi: 10.1161/CIRCULATIONAHA.121.055783.
4
Diagnostic Accuracy of Smartwatches for the Detection of Cardiac Arrhythmia: Systematic Review and Meta-analysis.智能手表诊断心律失常的准确性：系统评价和荟萃分析。
J Med Internet Res. 2021 Aug 27;23(8):e28974. doi: 10.2196/28974.
5
2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes.2019年欧洲心脏病学会慢性冠状动脉综合征诊断和管理指南
Eur Heart J. 2020 Jan 14;41(3):407-477. doi: 10.1093/eurheartj/ehz425.
6
Rationale and design of a large-scale, app-based study to identify cardiac arrhythmias using a smartwatch: The Apple Heart Study.基于应用程序的大型研究，使用智能手表识别心律失常的原理和设计：Apple Heart Study。
Am Heart J. 2019 Jan;207:66-75. doi: 10.1016/j.ahj.2018.09.002. Epub 2018 Sep 8.
7
2018 ESC Guidelines for the diagnosis and management of syncope.2018年欧洲心脏病学会晕厥诊断和管理指南。
Eur Heart J. 2018 Jun 1;39(21):1883-1948. doi: 10.1093/eurheartj/ehy037.
8
2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.2017年美国心脏协会/美国心脏病学会/心律学会室性心律失常患者管理和心脏性猝死预防指南：美国心脏病学会/美国心脏协会临床实践指南工作组和心律学会的报告
J Am Coll Cardiol. 2018 Oct 2;72(14):e91-e220. doi: 10.1016/j.jacc.2017.10.054. Epub 2018 Aug 16.
9
International standardization of diagnostic criteria for vasospastic angina.血管痉挛性心绞痛诊断标准的国际化。
Eur Heart J. 2017 Sep 1;38(33):2565-2568. doi: 10.1093/eurheartj/ehv351.