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将可穿戴设备整合到混合护理模式中:使用欧若拉戒指对一名频发室性早搏的糖尿病患者进行持续远程监测。

Integrating Wearables Into a Hybrid Care Model: Continuous Remote Monitoring of a Diabetic Patient With Frequent Premature Ventricular Contractions Using an ŌURA Ring.

作者信息

Zakaria Hala, Roman Idalys, Almarzooqi Ihsan, Hashemi Ali

机构信息

Research, GluCare.Health, Dubai, ARE.

Cardiology, GluCare.Health, Dubai, ARE.

出版信息

Cureus. 2025 Jun 16;17(6):e86174. doi: 10.7759/cureus.86174. eCollection 2025 Jun.

DOI:10.7759/cureus.86174
PMID:40677442
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12268106/
Abstract

This case report discusses the management of a male in his early 40s with type 2 diabetes and a history of smoking, evaluated for cardiac risk prior to beginning a half-marathon training program. The patient wore an ŌURA ring before, during, and after a treadmill stress test; however, data review was conducted retrospectively. Although asymptomatic, the patient exhibited frequent premature ventricular contractions and abnormal heart rate recovery during the test, prompting further evaluation. Managed through a hybrid care model that integrated traditional clinical assessment with digital health monitoring, this case highlights the valuable role of wearable technology in identifying and managing cardiac arrhythmias. It also demonstrates how real-time and remote data from the ŌURA ring enhanced clinical decision-making and patient care.

摘要

本病例报告讨论了一名40岁出头的男性患者的治疗情况,该患者患有2型糖尿病且有吸烟史,在开始半程马拉松训练计划之前接受了心脏风险评估。患者在跑步机压力测试前、测试期间和测试后都佩戴了欧若拉(ŌURA)戒指;不过,数据审查是回顾性进行的。尽管患者无症状,但在测试期间表现出频繁的室性早搏和异常的心率恢复,这促使进行进一步评估。通过将传统临床评估与数字健康监测相结合的混合护理模式进行管理,本病例突出了可穿戴技术在识别和管理心律失常方面的重要作用。它还展示了来自欧若拉戒指的实时和远程数据如何增强临床决策和患者护理。

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本文引用的文献

1
Measuring the effectiveness of hybrid diabetes care over 90 days through continuous data monitoring in type 2 diabetic patients.通过连续数据监测测量 90 天以上的 2 型糖尿病患者的混合式糖尿病护理的效果。
Front Endocrinol (Lausanne). 2024 May 7;15:1355792. doi: 10.3389/fendo.2024.1355792. eCollection 2024.
2
Effectiveness of a hybrid technology enabled care model as measured by ICHOM standard set on established and managed type 2 diabetes already using medications: A RWE retrospective study.采用国际健康结局测量联盟(ICHOM)针对已使用药物治疗的确诊和管理型2糖尿病的标准集衡量的混合技术支持护理模式的有效性:一项真实世界证据回顾性研究。
Metabol Open. 2023 Nov 11;20:100262. doi: 10.1016/j.metop.2023.100262. eCollection 2023 Dec.
3
A Review on Autonomic Functional Assessment in Diabetic Patients.
糖尿病患者自主神经功能评估综述
Cureus. 2023 Feb 3;15(2):e34598. doi: 10.7759/cureus.34598. eCollection 2023 Feb.
4
Accuracy Assessment of Oura Ring Nocturnal Heart Rate and Heart Rate Variability in Comparison With Electrocardiography in Time and Frequency Domains: Comprehensive Analysis.Oura 戒指夜间心率和心率变异性与心电图在时域和频域的准确性评估:综合分析。
J Med Internet Res. 2022 Jan 18;24(1):e27487. doi: 10.2196/27487.
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Diagnostic yield is dependent on monitoring duration. Insights from a full-disclosure mobile cardiac telemetry system.诊断产量取决于监测持续时间。来自全面披露移动心脏遥测系统的见解。
Kardiol Pol. 2022;80(1):49-55. doi: 10.33963/KP.a2021.0182. Epub 2021 Dec 16.
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Smart Wearables for Cardiac Monitoring-Real-World Use beyond Atrial Fibrillation.可穿戴式智能设备在心脏监测中的应用——除心房颤动外的实际应用。
Sensors (Basel). 2021 Apr 5;21(7):2539. doi: 10.3390/s21072539.
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Smart wearable devices in cardiovascular care: where we are and how to move forward.智能可穿戴设备在心血管护理中的应用:现状与展望。
Nat Rev Cardiol. 2021 Aug;18(8):581-599. doi: 10.1038/s41569-021-00522-7. Epub 2021 Mar 4.
8
Effect of a Home-Based Wearable Continuous ECG Monitoring Patch on Detection of Undiagnosed Atrial Fibrillation: The mSToPS Randomized Clinical Trial.基于家庭的可穿戴连续心电图监测贴片对无症状心房颤动检测的影响:mSToPS 随机临床试验。
JAMA. 2018 Jul 10;320(2):146-155. doi: 10.1001/jama.2018.8102.
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Passive Detection of Atrial Fibrillation Using a Commercially Available Smartwatch.使用市售智能手表进行心房颤动的被动检测。
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