[1]古俊楠,张牧秋,王建强,等.可穿戴设备在心房颤动诊治中的应用[J].医学信息,2019,32(15):34-37,41.[doi:10.3969/j.issn.1006-1959.2019.15.012]
　GU Jun-nan,ZHANG Mu-qiu,WANG Jian-qiang,et al.Application of Wearable Devices in the Diagnosis and Treatment of Atrial Fibrillation[J].Journal of Medical Information,2019,32(15):34-37,41.[doi:10.3969/j.issn.1006-1959.2019.15.012]
点击复制

可穿戴设备在心房颤动诊治中的应用()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年15期
页码:
34-37,41
栏目:
综述
出版日期:
2019-08-01

文章信息/Info

Title:
Application of Wearable Devices in the Diagnosis and Treatment of Atrial Fibrillation
文章编号:
1006-1959（2019）15-0034-05
作者:
古俊楠1; 张牧秋1; 王建强1; 刘 瑜1; 李 超2
1.首都医科大学第四临床医学院，北京 100191； 2.首都医科大学附属北京同仁医院心血管中心，北京 100041
Author(s):
GU Jun-nan1; ZHANG Mu-qiu1; WANG Jian-qiang1; LIU Yu1; LI Chao2
1.the Fourth Clinical Medical College,The University of Capital Medical,Beijing 100191, China; 2.Cardiovascular Center,Beijing Tongren Hospital,The University of Capital Medical, Beijing 100041,China
关键词:
心房颤动; 可穿戴设备; 心律
Keywords:
Key words：Atrial fibrillation; Wearable device; Heart rhythm
分类号:
R541.75
DOI:
10.3969/j.issn.1006-1959.2019.15.012
文献标志码:
A
摘要:
心房颤动（房颤）是临床上最常见的持续性心律失常，随着人口老龄化的进展，房颤患者的发病率不断升高。房颤可增加患者缺血性脑卒中的风险，严重威胁着患者的身体健康。但由于临床上患者可表现为无症状或阵发性房颤，其发病隐匿，医院常规诊断较为困难。为寻求更为准确的诊断方法，可穿戴设备在其中的应用逐渐受到人们的关注。可穿戴设备可以长期监测收集患者的心律，并进行整合分析，得出更为准确的诊断。本文总结国内外可穿戴设备的现况和进展，并对其在房颤中的应用进行综述，探讨其在房颤诊断和治疗中的应用价值。
Abstract:
Abstract：Atrial fibrillation (AF) is the most common persistent arrhythmia in the clinic. As the population ages, the incidence of atrial fibrillation patients is increasing. Atrial fibrillation can increase the risk of ischemic stroke in patients and seriously threaten the health of patients. However, due to the clinical manifestations of patients with asymptomatic or paroxysmal atrial fibrillation, the incidence of the disease is concealed, and routine diagnosis in hospitals is more difficult. In order to find a more accurate diagnosis method, the application of wearable devices in it has gradually attracted people's attention. Wearable devices can monitor the collection of patients' heart rhythms for a long time and conduct integrated analysis to obtain a more accurate diagnosis. This paper summarizes the current status and progress of wearable devices at home and abroad, and summarizes its application in atrial fibrillation to explore its application value in the diagnosis and treatment of atrial fibrillation.

参考文献/References:

[1]黄从新,张澍,黄德嘉,等.心房颤动:目前的认识和治疗的建议-2018[J].中国心脏起搏与心电生理杂志,2018,32(4):315-368. [2]Lloyd-Jones DM,Wang TJ,Leip EP,et al.Lifetime risk for development of atrial fibrillation: the Framingham Heart Study[J].Circulation,2004,110(9):1042-1046. [3]Powers WJ,Rabinstein AA,Ackerson T,et al.2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke:A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association[J].Stroke,2018,49(3):e46-e110. [4]Salvatori V,Becattini C,Laureti S,et al.Holter monitoring to detect silent atrial fibrillation in high-risk subjects:the Perugia General Practitioner Study[J].Intern Emerg Med,2015,10(5):595-601. [5]Bersohn MM,Waldo AL,Halperin JL.Subclinical Atrial Fibrillation and the Risk of Stroke[J].N Engl J Med,2012,366(14):1352. [6]Passman R,Leong-Sit P,Andrei AC,et al.Targeted Anticoagulation for Atrial Fibrillation Guided by Continuous Rhythm Assessment With an Insertable Cardiac Monitor:The Rhythm Evaluation for Anticoagulation With Continuous Monitoring(REACT.COM)Pilot Study[J].J Cardiovasc Electrophysiol,2016,27(3):264-270. [7]Chen LY,Chung MK,Allen LA,et al.Atrial Fibrillation Burden: Moving Beyond Atrial Fibrillation as a Binary Entity:A Scientific Statement From the American Heart Association[J].Circulation,2018,137(20):e623-e644. [8]January CT,Wann LS,Calkins H,et al.2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation[J].Circulation,2019:R665. [9]Link MS,Giugliano RP,Ruff CT,et al.Stroke and Mortality Risk in Patients With Various Patterns of Atrial Fibrillation:Results From the ENGAGE AF-TIMI 48 Trial(Effective Anticoagulation With Factor Xa Next Generation in Atrial Fibrillation-Thrombolysis in Myocardial Infarction 48)[J].Circ Arrhythm Electrophysiol,2017,10(1):e004267. [10]Go AS,Reynolds K,Yang J,et al.Association of Burden of Atrial Fibrillation With Risk of Ischemic Stroke in Adults With Paroxysmal Atrial Fibrillation:The KP-RHYTHM Study[J].JAMA Cardiol,2018,3(7):601-608. [11]Chiang CE,Naditch-Brule L,Murin J,et al.Distribution and risk profile of paroxysmal, persistent,and permanent atrial fibrillation in routine clinical practice:insight from the real-life global survey evaluating patients with atrial fibrillation international registry[J].Circ Arrhythm Electrophysiol,2012,5(4):632-639. [12]Ganesan AN,Chew DP,Hartshorne T,et al.The impact of atrial fibrillation type on the risk of thromboembolism,mortality,and bleeding:a systematic review and meta-analysis[J].Eur Heart J,2016,37(20):1591-1602. [13]Boriani G,Pettorelli D.Atrial fibrillation burden and atrial fibrillation type:Clinical significance and impact on the risk of stroke and decision making for long-term anticoagulation[J].Vascul Pharmacol,2016(83):26-35. [14]Boriani G,Glotzer TV,Santini M,et al.Device-detected atrial fibrillation and risk for stroke: an analysis of >10,000 patients from the SOS AF project(Stroke preventiOn Strategies based on Atrial Fibrillation information from implanted devices)[J].Eur Heart J,2014,35(8):508-516. [15]Cheung CC,Krahn AD,Andrade JG.The Emerging Role of Wearable Technologies in Detection of Arrhythmia[J].Can J Cardiol,2018,34(8):1083-1087. [16]张天淼,朱兰·I·谢尔盖.光体积描记术原理及应用[J].中国医疗器械杂志,2016,40(3):186-190,211. [17]苏晞,张劲林,韩宏伟,等.单导联心电图记录系统进行心房颤动机会性筛查的首个国内经验[J].中华心律失常学杂志,2017,21(6):485-488. [18]White RD,Flaker G.Smartphone-based Arrhythmia Detection:Should we encourage patients to use the ECG in their pocket[J].J Atr Fibrillation,2017,9(6):1605. [19]Bumgarner JM,Lambert CT,Hussein AA,et al.Smartwatch Algorithm for Automated Detection of Atrial Fibrillation[J].J Am Coll Cardiol,2018,71(21):2381-2388. [20]Rosenfeld LE,Amin AN,Hsu JC,et al.The Heart Rhythm Society/American College of Physicians Atrial Fibrillation Screening and Education Initiative[J].Heart Rhythm,2019. [21]Nemati S,Ghassemi MM,Ambai V,et al.Monitoring and detecting atrial fibrillation using wearable technology[J].Conf Proc IEEE Eng Med Biol Soc,2016(2016):3394-3397. [22]Bansal A,Joshi R.Portable out-of-hospital electrocardiography:A review of current technologies[J].J Arrhythm,2018,34(2):129-138. [23]Lobodzinski SS.ECG patch monitors for assessment of cardiac rhythm abnormalities[J].Prog Cardiovasc Dis,2013,56(2):224-229. [24]Fung E,Jarvelin MR,Doshi RN,et al.Electrocardiographic patch devices and contemporary wireless cardiac monitoring[J].Front Physiol,2015(6):149. [25]Balsam P,Lodzinski P,Tyminska A,et al.Study design and rationale for biomedical shirt-based electrocardiography monitoring in relevant clinical situations:ECG-shirt study[J].Cardiol J,2018,25(1):52-59. [26]Lacquaniti A,Donato V,Lucisano S,et al.A biotechnological T-shirt monitors the patient's heart during hemodialysis[J].Ren Fail,2012,34(6):818-820. [27]Park EB,Heo JC,Lee JH.Novel smart clothing with dry electrode biosensor for real-time automatic diagnosis of cardiovascular diseases[J].Biomed Mater Eng,2018,29(5):587-599. [28]Steinberg BA,Piccini JP.Screening for Atrial Fibrillation With a Wearable Device[J].JAMA,2018,320(2):139-141. [29]Lau DH,Nattel S,Kalman JM,et al.Modifiable Risk Factors and Atrial Fibrillation[J].Circulation,2017,136(6):583-596. [30]Steinhubl SR,Waalen J,Edwards AM,et al.Effect of a Home-Based Wearable Continuous ECG Monitoring Patch on Detection of Undiagnosed Atrial Fibrillation:The mSToPS Randomized Clinical Trial[J].JAMA,2018,320(2):146-155. [31]Halcox J,Wareham K,Cardew A,et al.Assessment of Remote Heart Rhythm Sampling Using the AliveCor Heart Monitor to Screen for Atrial Fibrillation:The REHEARSE-AF Study[J].Circulation,2017,136(19):1784-1794. [32]Pradhan S,Robinson JA,Shivapour JK,et al.Ambulatory Arrhythmia Detection with ZIO(R)XT Patch in Pediatric Patients:A Comparison of Devices[J].Pediatr Cardiol,2019,40(5):921-924. [33]Bolourchi M,Batra AS.Diagnostic yield of patch ambulatory electrocardiogram monitoring in children(from a national registry)[J].Am J Cardiol,2015,115(5):630-634. [34]Newham WG,Tayebjee MH.Excellent symptom rhythm correlation in patients with palpitations using a novel Smartphone based event recorder[J].J Atr Fibrillation,2017,10(1):1514. [35]Svennberg E,Engdahl J,Al-Khalili F,et al.Mass Screening for Untreated Atrial Fibrillation:The STROKESTOP Study[J].Circulation,2015,131(25):2176-2184. [36]陈涵. Apple心脏研究--智能手表“看病”是否靠谱?[J].心电与循环,2019,38(2):164.

相似文献/References:

[1]姜亦瑶,王 凯,施 超.心肌纤维化引发心房颤动的研究进展[J].医学信息,2018,31(12):28.[doi:10.3969/j.issn.1006-1959.2018.12.010]
　JIANG Yi-yao,WANG Kai,SHI Chao.Research Progress of Atrial Fibrillation Caused by Myocardial Fibrosis[J].Journal of Medical Information,2018,31(15):28.[doi:10.3969/j.issn.1006-1959.2018.12.010]
[2]张定欣,林先和.经食道三维超声在房颤二尖瓣结构变化对其 返流程度影响中的应用[J].医学信息,2018,31(12):76.[doi:10.3969/j.issn.1006-1959.2018.12.023]
　ZHANG Ding-xin,LIN Xian-he.Application of Transesophageal Three-dimensional Ultrasound in the Influence of Mitral Valve Structure Changes on the Degree of Reflux in Atrial Fibrillation[J].Journal of Medical Information,2018,31(15):76.[doi:10.3969/j.issn.1006-1959.2018.12.023]
[3]王淑娟,林祥灿.血浆NT-proBNP水平与同型半胱氨酸对 糖尿病合并心房颤动的相关性研究[J].医学信息,2018,31(14):169.[doi:10.3969/j.issn.1006-1959.2018.14.053]
　WANG Shu-juan,LIN Xiang-can.Correlation between Plasma NT-proBNP level and Homocysteine in Patients with Diabetes Mellitus Complicated with Atrial Fibrillation[J].Journal of Medical Information,2018,31(15):169.[doi:10.3969/j.issn.1006-1959.2018.14.053]
[4]陶春艳.柔性护理在胺碘酮治疗心房颤动护理中的应用研究[J].医学信息,2018,31(24):154.[doi:10.3969/j.issn.1006-1959.2018.24.046]
　TAO Chun-yan.Application of Flexible Nursing in the Treatment of Atrial Fibrillation with Amiodarone[J].Journal of Medical Information,2018,31(15):154.[doi:10.3969/j.issn.1006-1959.2018.24.046]
[5]张千彧.基于技术成熟的可穿戴设备发展分析[J].医学信息,2019,32(06):16.[doi:10.3969/j.issn.1006-1959.2019.06.006]
　ZHANG Qian-yu.Analysis of the Development of Wearable Devices Based on Technology Maturity[J].Journal of Medical Information,2019,32(15):16.[doi:10.3969/j.issn.1006-1959.2019.06.006]
[6]刘 瑜,王建强,古俊楠,等.房颤合并功能性二尖瓣返流研究[J].医学信息,2019,32(15):51.[doi:10.3969/j.issn.1006-1959.2019.15.017]
　LIU Yu,WANG Jian-qiang,GU Jun-nan,et al.Study on Atrial Fibrillation Combined with Functional Mitral Regurgitation[J].Journal of Medical Information,2019,32(15):51.[doi:10.3969/j.issn.1006-1959.2019.15.017]
[7]张牧秋,古俊楠,刘 瑜,等.NOACS治疗房颤合并急性冠脉综合征的研究[J].医学信息,2019,32(13):28.[doi:10.3969/j.issn.1006-1959.2019.13.010]
　ZHANG Mu-qiu,GU Jun-nan,LIU Yu,et al.Study of NOACS in the Treatment of Atrial Fibrillation Complicated with Acute Coronary Syndrome[J].Journal of Medical Information,2019,32(15):28.[doi:10.3969/j.issn.1006-1959.2019.13.010]
[8]王建强,刘 瑜,张牧秋,等.房颤伴ACS患者经皮冠状动脉介入术后抗栓研究[J].医学信息,2019,32(14):35.[doi:10.3969/j.issn.1006-1959.2019.14.013]
　WANG Jian-qiang,LIU Yu,ZHANG Mu-qiu,et al.Study on Antithrombotic after Percutaneous Coronary Intervention in Patients with Atrial Fibrillation and ACS[J].Journal of Medical Information,2019,32(15):35.[doi:10.3969/j.issn.1006-1959.2019.14.013]
[9]梁桂琤,钟国强,李金轶.心房颤动与认知障碍的相关性研究[J].医学信息,2020,33(20):21.[doi:10.3969/j.issn.1006-1959.2020.20.007]
　LIANG Gui-cheng,ZHONG Guo-qiang,LI Jin-yi.Study on the Correlation Between Atrial Fibrillation and Cognitive Impairment[J].Journal of Medical Information,2020,33(15):21.[doi:10.3969/j.issn.1006-1959.2020.20.007]
[10]陈启松,何海军,谷光敏,等.IL-6基因多态性与心房颤动相关性的Meta分析[J].医学信息,2020,33(23):73.[doi:10.3969/j.issn.1006-1959.2020.23.021]
　CHEN Qi-song,HE Hai-jun,GU Guang-min,et al.Meta Analysis of the Correlation Between IL-6 Gene Polymorphism and Atrial Fibrillation[J].Journal of Medical Information,2020,33(15):73.[doi:10.3969/j.issn.1006-1959.2020.23.021]

更新日期/Last Update: 2019-08-01