评估可穿戴式心电图监护仪在心脏手术后检测心律失常方面的诊断性能和效果。

Q4 Medicine
Seungji Hyun, Seungwook Lee, Yu Sun Hong, Sang-Hyun Lim, Do Jung Kim
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引用次数: 0

摘要

背景:术后心房颤动(A-fib)是心脏手术的一种严重并发症,与死亡率和发病率的增加有关。传统的 24 小时 Holter 监护仪有其局限性,这促使人们开发创新的可穿戴心电图(ECG)监测设备。本研究评估了贴片式可穿戴心电图设备(MobiCARE-MC100)对心脏手术患者心房颤动的监测效果,并将其与 24 小时 Holter 心电图监测进行了比较:这是一项由研究者发起的单中心前瞻性队列研究,共纳入了 39 名在 2021 年 7 月至 2022 年 6 月期间接受心脏手术的患者。患者在 24 小时内同时接受传统 Holter 和贴片式心电图设备的监测。然后移除 Holter 设备,贴片式监测再持续 48 小时,以确定延长监测时间是否有利于发现心房颤动:这项 72 小时心电图监测研究包括 39 名患者,平均年龄 62.2 岁,其中男性 29 名(74.4%),女性 10 名(25.6%)。在最初的 24 小时内,两种监测技术在 39 名患者中的 7 人中发现了相同数量的阵发性心房颤动。监测 24 小时后,在使用贴片式心电图设备进行 48 小时的额外评估期间,观察到 1 名患者的 A-fib 负担增加(9%→38%)。大多数患者在使用 MobiCARE 设备时没有明显不适:结论:在接受心脏手术的患者中,MobiCARE 设备显示出与传统 Holter 监测系统相当的诊断准确性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of the Diagnostic Performance and Efficacy of Wearable Electrocardiogram Monitoring for Arrhythmia Detection after Cardiac Surgery.

Background: Postoperative atrial fibrillation (A-fib) is a serious complication of cardiac surgery that is associated with increased mortality and morbidity. Traditional 24-hour Holter monitors have limitations, which have prompted the development of innovative wearable electrocardiogram (ECG) monitoring devices. This study assessed a patch-type wearable ECG device (MobiCARE-MC100) for monitoring A-fib in patients undergoing cardiac surgery and compared it with 24-hour Holter ECG monitoring.

Methods: This was a single-center, prospective, investigator-initiated cohort study that included 39 patients who underwent cardiac surgery between July 2021 and June 2022. Patients underwent simultaneous monitoring with both conventional Holter and patchtype ECG devices for 24 hours. The Holter device was then removed, and patch-type monitoring continued for an additional 48 hours, to determine whether extended monitoring provided benefits in the detection of A-fib.

Results: This 72-hour ECG monitoring study included 39 patients, with an average age of 62.2 years, comprising 29 men (74.4%) and 10 women (25.6%). In the initial 24 hours, both monitoring techniques identified the same number of paroxysmal A-fib in 7 out of 39 patients. After 24 hours of monitoring, during the additional 48-hour assessment using the patch-type ECG device, an increase in A-fib burden (9%→38%) was observed in 1 patient. Most patients reported no significant discomfort while using the MobiCARE device.

Conclusion: In patients who underwent cardiac surgery, the mobiCARE device demonstrated diagnostic accuracy comparable to that of the conventional Holter monitoring system.

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来源期刊
Journal of Chest Surgery
Journal of Chest Surgery Medicine-Surgery
CiteScore
0.80
自引率
0.00%
发文量
76
审稿时长
7 weeks
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