手表式脉搏波监测：评估心房颤动导管消融术后的日常活动
Wristwatch pulse wave monitoring: assessing daily activity post-catheter ablation for atrial fibrillation.
作者信息
Nonoguchi Noriko Matsushita, Soejima Kyoko, Katsume Yumi, Hoshida Kyoko, Togashi Ikuko, Goda Ayumi, Ueda Akiko, Matsuo Seiichiro, Sato Toshiaki, Takano Yuichi, Koyama Fumio, Fujita Shin, Nishimura Kunihiro, Kohno Takashi
机构信息
Department of Cardiovascular Medicine, Kyorin University, 6-20-2, Shinkawa, Mitaka-city, Tokyo 181-8611, Japan.
Division of Advanced Arrhythmia Management, Kyorin University, School of Medicine, 6-20-2, Shinkawa, Mitaka-city, Tokyo 181-8611, Japan.
出版信息
Eur Heart J Digit Health. 2024 Nov 21;6(1):96-103. doi: 10.1093/ehjdh/ztae091. eCollection 2025 Jan.
AIMS
Atrial fibrillation (AF) leads to impaired exercise capacity, and catheter ablation (CA) for AF improves exercise capacity. However, the precise changes in daily activities after CA for AF remain unclear. The authors aimed to evaluate the changes in daily activities following CA for AF using a wristwatch-type pulse wave monitor (PWM), which tracks steps and exercise time, estimates burnt daily calories, and records sleep duration, in addition to establishing the rhythm diagnosis of AF or non-AF.
METHODS AND RESULTS
One hundred and twenty-three patients with AF (97 paroxysmal, 26 persistent) wore a wristwatch-type PWM for 1 week duration at three time points: before, 1 month after, and 3 months after ablation. Daily activity data were compared. Steps did not change in both groups, and the number of burnt daily calories and total exercise time increased after CA in patients with paroxysmal AF (burnt daily calories: before, 1591 kcal/day; 1 month, 1688 kcal/day; and 3 months, 1624 kcal/day; < 0.001 and exercise time: before, 45.8 min; 1 month, 51.2 min; and 3 months, 56.3 min; = 0.023). Sleep hours significantly increased (paroxysmal AF: before, 6.8 h; 1 month, 7.1 h; and 3 months, 7.1 h; = 0.039 and persistent AF: before, 6.0 h; 1 month, 7.0 h; and 3 months, 7.0 h; = 0.007).
CONCLUSION
Using a wristwatch-type PWM, we demonstrated changes in daily activities after CA in patients with AF.
TRIAL REGISTRATION NUMBER
jRCT1030210022.
目的
心房颤动（AF）会导致运动能力受损，而针对AF的导管消融术（CA）可改善运动能力。然而，AF患者接受CA治疗后日常活动的具体变化仍不明确。作者旨在使用一款可追踪步数和运动时间、估算每日消耗卡路里并记录睡眠时间的手表式脉搏波监测器（PWM），评估AF患者接受CA治疗后日常活动的变化，同时进行AF或非AF的节律诊断。
方法与结果
123例AF患者（97例阵发性，26例持续性）在三个时间点佩戴手表式PWM，持续1周：消融术前、消融术后1个月和消融术后3个月。比较日常活动数据。两组患者的步数均未改变，阵发性AF患者接受CA治疗后，每日消耗卡路里数和总运动时间增加（每日消耗卡路里数：术前1591千卡/天；1个月时1688千卡/天；3个月时1624千卡/天；<0.001；运动时间：术前45.8分钟；1个月时51.2分钟；3个月时56.3分钟；=0.023）。睡眠时间显著增加（阵发性AF：术前6.8小时；1个月时7.1小时；3个月时7.1小时；=0.039；持续性AF：术前6.0小时；1个月时7.0小时；3个月时7.0小时；=0.007）。
结论
使用手表式PWM，我们证明了AF患者接受CA治疗后日常活动的变化。
试验注册号
jRCT1030210022。
Zotero 插件