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首页> 外文期刊>International Journal of Gerontology >Utilization and Clinical Feasibility of a Handheld Remote Electrocardiography Recording Device in Cardiac Arrhythmias and Atrial Fibrillation: A Pilot Study
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Utilization and Clinical Feasibility of a Handheld Remote Electrocardiography Recording Device in Cardiac Arrhythmias and Atrial Fibrillation: A Pilot Study

机译：手持式远程心电图记录设备在心律失常和心房颤动中的利用和临床可行性：一项先导研究

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Background: Remote cardiac rhythm monitoring and diagnosis has been well incorporated in the telehealth service model. The prevalence and incidence of abnormal ventricular beats, based on utilizing a symptom-driven portable remote electrocardiography (ECG) device, remains less well explored. Methods: We studied 339 consecutive study participants, which included 192 individuals from outpatient clinics who were enrolled via a symptom-driven protocol; 147 participated in a heart rhythm screening program. All participants underwent 24-hour data transfer using a handheld portable electrocardiogram (ECG) device (DailyCare Biomedical Inc., Taoyuan City, Taiwan) with automatic ECG wavelet data extraction software (InstantCheck, version 4.0; DailyCare Biomedical Inc., Taoyuan City, Taiwan). Results: Among 1152 data transferred (98.4% success rate), we noticed 32.5% of the study participants had evidence of cardiac arrhythmias with permanent or paroxysmal atrial fibrillation (AF) constituting 50.9% of arrhythmias. Individuals with a history of heart failure (odds ratio [OR], 3.37; 95% confidence interval [CI], 1.69-6.74), diabetes (OR, 3.03; 95% CI, 1.67-5.49), and cardiovascular disease (OR, 3.71; 95% CI, 2.05-6.7) had a higher AF risk. Both populations had an age-related increase in AF, even in multivariate models (OR, 1.72; 95% CI, 1.31-2.24 per +decade). Conclusion: The handheld ECG device shows clinical feasibility with high rate for AF detection with a similar trend toward a higher prevalence with aging from different settings. These data suggested that portable ECG device via remote care system may aid in clinical diagnosis, therapeutic interventions, or patient referral for cardiac arrhythmias.
机译：背景：远程心律监测和诊断已很好地纳入远程医疗服务模型中。基于利用症状驱动的便携式远程心电图（ECG）设备的异常心室搏动的患病率和发病率仍未得到很好的研究。方法：我们研究了339位连续的研究参与者，其中包括192名通过症状驱动方案招募的门诊患者。 147人参加了心律筛查计划。所有参与者使用手持式便携式心电图（ECG）设备（台湾桃园市DailyCare Biomedical Inc.）和自动ECG小波数据提取软件（InstantCheck，版本4.0;台湾桃园市DailyCare Biomedical Inc.）进行24小时数据传输。 ）。结果：在转移的1152份数据中（成功率为98.4％），我们注意到32.5％的研究参与者有永久性或阵发性房颤（AF）导致的心律不齐的证据，占心律不齐的50.9％。具有心力衰竭史（赔率[OR]，3.37; 95％置信区间[CI]，1.69-6.74），糖尿病（OR，3.03; 95％CI，1.67-5.49）和心血管疾病（OR， 3.71; 95％CI（2.05-6.7）有较高的房颤风险。甚至在多变量模型中，两个人群的房颤均与年龄相关（OR，1.72; 95％CI，每10年1.31-2.24）。结论：手持式ECG设备显示出具有很高的临床可行性，适用于房颤检测，并且在不同环境下随着年龄的增长患病率也呈上升趋势。这些数据表明，通过远程护理系统的便携式ECG设备可能有助于临床诊断，治疗干预或患者因心律不齐而转诊。

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