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推进心律失常管理:可穿戴技术与远程监测的整合。

Advancing cardiac arrhythmia management: The integration of wearable technology and remote monitoring.

作者信息

Bokhari Syed Faqeer Hussain, Waseem Ali Bin, Raza Hassan, Iqbal Asma, Javaid Saad, Idrees Beya, Saad Khawaja Allah Ditta, Bakht Danyal, Dost Wahidullah

机构信息

Department of Medicine and Surgery, King Edward Medical University, Lahore 54000, Punjab, Pakistan.

Department of Medicine and Surgery, Lahore Medical & Dental College, Lahore 5340, Punjab, Pakistan.

出版信息

World J Cardiol. 2025 Jul 26;17(7):106841. doi: 10.4330/wjc.v17.i7.106841.

Abstract

The integration of wearable technology and remote monitoring (RM) has significantly transformed the early detection, continuous monitoring, and management of cardiac arrhythmias. These conditions, characterized by irregular heart rhythms, arise from various etiological factors, including congenital, structural, immunological, metabolic, and infectious diseases, with atrial fibrillation being the most prevalent type. Diagnosing arrhythmias remains challenging due to variable clinical presentations and episodic symptom manifestations, necessitating individualized management strategies. Recent advances in wearable technology offer scalable, cost-effective solutions for real-time arrhythmia monitoring. These devices are equipped with sophisticated sensors and data analytics that enable early detection and personalized interventions, while empowering patients to actively engage in their healthcare. Integrating RM systems enhances diagnostic accuracy and facilitates timely medical interventions. Despite their potential, regulatory, legal, privacy, security, and infrastructural challenges hinder the widespread adoption of wearable technology and RM. Addressing these barriers requires collaboration among stakeholders and rigorous clinical trials to assess their efficacy and feasibility. Future research should focus on refining wearable technology, improving user experience, and integrating these innovations into existing healthcare frameworks. Overcoming these challenges will maximize the potential of wearable technology and RM, ultimately enhancing the management of cardiac arrhythmias and improving patient outcomes.

摘要

可穿戴技术与远程监测(RM)的整合显著改变了心律失常的早期检测、持续监测及管理。这些以心律不齐为特征的病症由多种病因引起,包括先天性、结构性、免疫性、代谢性和感染性疾病,其中房颤是最常见的类型。由于临床表现多样且症状呈发作性,心律失常的诊断仍然具有挑战性,因此需要个性化的管理策略。可穿戴技术的最新进展为实时心律失常监测提供了可扩展且经济高效的解决方案。这些设备配备了先进的传感器和数据分析功能,能够实现早期检测和个性化干预,同时使患者能够积极参与自身的医疗保健。整合RM系统可提高诊断准确性并促进及时的医疗干预。尽管具有潜力,但监管、法律、隐私、安全和基础设施方面的挑战阻碍了可穿戴技术和RM的广泛应用。解决这些障碍需要利益相关者之间的合作以及严格的临床试验来评估其有效性和可行性。未来的研究应专注于改进可穿戴技术、提升用户体验,并将这些创新融入现有的医疗保健框架。克服这些挑战将最大限度地发挥可穿戴技术和RM的潜力,最终加强心律失常的管理并改善患者预后。

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