{"title":"穿戴式心电图仪对慢性非心源性缺血性脑卒中患者心律失常的检测和预测。","authors":"Yu Akimoto, Yoshiro Ito, Hideo Tsurushima, Hisayuki Hosoo, Aiki Marushima, Mikito Hayakawa, Kazuhiro Nakamura, Keishi Fujita, Toshitsugu Terakado, Hiroshi Yamagami, Yuji Matsumaru, Eiichi Ishikawa","doi":"10.1055/s-0045-1809050","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>The screening examination for arrhythmias in patients with chronic noncardioembolic ischemic stroke is limited. This study aimed to investigate the prevalence of arrhythmia in patients with chronic noncardioembolic ischemic stroke using a stick-on wearable device.</p><p><strong>Materials and methods: </strong>This was a prospective observational study conducted between July 2020 and February 2022 involving 176 patients with a history of noncardioembolic ischemic stroke. Patients receiving anticoagulant therapy were excluded. For the evaluation of arrhythmias, the patients wore a stick-on wearable device for a maximum of approximately 7 days. We investigated the prevalence of arrhythmia and its associated factors.</p><p><strong>Results: </strong>The mean measurement time was 121.3 ± 45.3 hours. Atrial fibrillation was present in 2 (1.1%) patients, frequent premature atrial contractions (PACs) in 69 (39.2%), and frequent premature ventricular contractions (PVCs) in 36 (20.5%). Regression analysis showed that the risk factors independently associated with frequent PACs were age (odds ratio [OR] 1.103, 95% confidence interval [CI] 1.055-1.153; <i>p</i> < 0.001) and cilostazol use (OR 2.681, 95% CI 1.338-5.371; <i>p</i> = 0.005). Regression analysis showed that the risk factors independently associated with frequent PVCs were age (OR 1.047, 95% CI 1.002-1.095; <i>p</i> = 0.043), male sex (OR 3.834, 95% CI 1.441-11.045; <i>p</i> = 0.013), and cilostazol use (OR 2.968, 95% CI 1.363-6.463; <i>p</i> = 0.006).</p><p><strong>Conclusion: </strong>The prevalence of frequent PVCs is higher in patients with chronic noncardioembolic ischemic stroke than in the general population. The stick-on wearable device is a useful screening tool for arrhythmia in patients with chronic noncardioembolic ischemic stroke.</p>","PeriodicalId":94300,"journal":{"name":"Asian journal of neurosurgery","volume":"20 3","pages":"549-555"},"PeriodicalIF":0.0000,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12370338/pdf/","citationCount":"0","resultStr":"{\"title\":\"Detection and Predictors of Arrhythmia in Patients with Chronic Noncardioembolic Ischemic Stroke on Wearable Electrocardiogram Device.\",\"authors\":\"Yu Akimoto, Yoshiro Ito, Hideo Tsurushima, Hisayuki Hosoo, Aiki Marushima, Mikito Hayakawa, Kazuhiro Nakamura, Keishi Fujita, Toshitsugu Terakado, Hiroshi Yamagami, Yuji Matsumaru, Eiichi Ishikawa\",\"doi\":\"10.1055/s-0045-1809050\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>The screening examination for arrhythmias in patients with chronic noncardioembolic ischemic stroke is limited. This study aimed to investigate the prevalence of arrhythmia in patients with chronic noncardioembolic ischemic stroke using a stick-on wearable device.</p><p><strong>Materials and methods: </strong>This was a prospective observational study conducted between July 2020 and February 2022 involving 176 patients with a history of noncardioembolic ischemic stroke. Patients receiving anticoagulant therapy were excluded. For the evaluation of arrhythmias, the patients wore a stick-on wearable device for a maximum of approximately 7 days. We investigated the prevalence of arrhythmia and its associated factors.</p><p><strong>Results: </strong>The mean measurement time was 121.3 ± 45.3 hours. Atrial fibrillation was present in 2 (1.1%) patients, frequent premature atrial contractions (PACs) in 69 (39.2%), and frequent premature ventricular contractions (PVCs) in 36 (20.5%). Regression analysis showed that the risk factors independently associated with frequent PACs were age (odds ratio [OR] 1.103, 95% confidence interval [CI] 1.055-1.153; <i>p</i> < 0.001) and cilostazol use (OR 2.681, 95% CI 1.338-5.371; <i>p</i> = 0.005). Regression analysis showed that the risk factors independently associated with frequent PVCs were age (OR 1.047, 95% CI 1.002-1.095; <i>p</i> = 0.043), male sex (OR 3.834, 95% CI 1.441-11.045; <i>p</i> = 0.013), and cilostazol use (OR 2.968, 95% CI 1.363-6.463; <i>p</i> = 0.006).</p><p><strong>Conclusion: </strong>The prevalence of frequent PVCs is higher in patients with chronic noncardioembolic ischemic stroke than in the general population. The stick-on wearable device is a useful screening tool for arrhythmia in patients with chronic noncardioembolic ischemic stroke.</p>\",\"PeriodicalId\":94300,\"journal\":{\"name\":\"Asian journal of neurosurgery\",\"volume\":\"20 3\",\"pages\":\"549-555\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-05-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12370338/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Asian journal of neurosurgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1055/s-0045-1809050\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/9/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asian journal of neurosurgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1055/s-0045-1809050","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目的:慢性非心栓塞性缺血性脑卒中患者心律失常的筛查检查是有限的。本研究旨在使用贴贴式可穿戴设备调查慢性非心源性缺血性卒中患者心律失常的患病率。材料和方法:这是一项前瞻性观察性研究,于2020年7月至2022年2月进行,涉及176名有非心栓塞性缺血性卒中史的患者。排除接受抗凝治疗的患者。为了评估心律失常,患者佩戴贴式可穿戴设备最多约7天。我们调查了心律失常的患病率及其相关因素。结果:平均测量时间121.3±45.3小时。房颤2例(1.1%),频繁心房早搏69例(39.2%),频繁室性早搏36例(20.5%)。回归分析显示,与PACs频繁发生独立相关的危险因素为年龄(优势比[OR] 1.103, 95%可信区间[CI] 1.055 ~ 1.153; p = 0.005)。回归分析显示,与频繁室性早搏相关的独立危险因素为年龄(OR 1.047, 95% CI 1.002 ~ 1.095, p = 0.043)、男性(OR 3.834, 95% CI 1.441 ~ 11.045, p = 0.013)和西洛他唑使用(OR 2.968, 95% CI 1.363 ~ 6.463, p = 0.006)。结论:慢性非心栓塞性缺血性脑卒中患者频发室性早搏的发生率高于一般人群。贴式可穿戴设备是慢性非心源性缺血性卒中患者心律失常的有效筛查工具。
Detection and Predictors of Arrhythmia in Patients with Chronic Noncardioembolic Ischemic Stroke on Wearable Electrocardiogram Device.
Objectives: The screening examination for arrhythmias in patients with chronic noncardioembolic ischemic stroke is limited. This study aimed to investigate the prevalence of arrhythmia in patients with chronic noncardioembolic ischemic stroke using a stick-on wearable device.
Materials and methods: This was a prospective observational study conducted between July 2020 and February 2022 involving 176 patients with a history of noncardioembolic ischemic stroke. Patients receiving anticoagulant therapy were excluded. For the evaluation of arrhythmias, the patients wore a stick-on wearable device for a maximum of approximately 7 days. We investigated the prevalence of arrhythmia and its associated factors.
Results: The mean measurement time was 121.3 ± 45.3 hours. Atrial fibrillation was present in 2 (1.1%) patients, frequent premature atrial contractions (PACs) in 69 (39.2%), and frequent premature ventricular contractions (PVCs) in 36 (20.5%). Regression analysis showed that the risk factors independently associated with frequent PACs were age (odds ratio [OR] 1.103, 95% confidence interval [CI] 1.055-1.153; p < 0.001) and cilostazol use (OR 2.681, 95% CI 1.338-5.371; p = 0.005). Regression analysis showed that the risk factors independently associated with frequent PVCs were age (OR 1.047, 95% CI 1.002-1.095; p = 0.043), male sex (OR 3.834, 95% CI 1.441-11.045; p = 0.013), and cilostazol use (OR 2.968, 95% CI 1.363-6.463; p = 0.006).
Conclusion: The prevalence of frequent PVCs is higher in patients with chronic noncardioembolic ischemic stroke than in the general population. The stick-on wearable device is a useful screening tool for arrhythmia in patients with chronic noncardioembolic ischemic stroke.