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首页> 外文期刊>JMIR cardio. >Monitoring Patients With Implantable Cardioverter Defibrillators Using Mobile Phone Electrocardiogram: Case Study
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Monitoring Patients With Implantable Cardioverter Defibrillators Using Mobile Phone Electrocardiogram: Case Study

机译：使用手机心电图监测植入式心脏复律除颤器患者：案例研究

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Background: Preventable poor health outcomes associated with atrial fibrillation continue to make early detection a priority. A one-lead mobile electrocardiogram (mECG) device given to patients with an implantable cardioverter defibrillator (ICD) allowed users to receive real-time ECG readings in 30 seconds. Objective: Three cases were selected from an institutional review board-approved clinical trial aimed at assessing mECG device usage and satisfaction, patient engagement, quality of life (QoL), and cardiac anxiety. These three specific cases were selected to examine a variety of possible patient presentations and user experiences. Methods: Three ICD patients with mobile phones who were being seen in an adult device clinic were asked to participate. The participants chosen represented individuals with varying degrees of reported education and patient engagement. Participants were instructed to use the mECG device at least once per day for 30 days. Positive ECGs for atrial fibrillation were evaluated in clinic. At follow-up, information was collected regarding their frequency of use of the mECG device and three psychological outcomes in the domains of patient engagement, QoL, and cardiac anxiety. Results: Each patient used the technology approximately daily or every other day as prescribed. At the 30-day follow-up, usage reports indicated an average of 32 readings per month per participant. At 90-day follow-up, usage reports indicated an average of 34 readings per month per participant. Two of the three participants self-reported a significant improvement in their physical QoL from baseline to completion, while simultaneously self-reporting a significant decrease in their mental QoL. All three participants reported high levels of device acceptance and technology satisfaction. Conclusions: This case study demonstrates that ICD patients with varying degrees of education and patient engagement were relatively active in their use of mECGs. All three participants using the mECG technology reported high technology satisfaction and device acceptance. High sensitivity, specificity, and accuracy of mECG technology may allow routine atrial fibrillation screening at lower costs, in addition to improving patient outcomes.
机译：背景：与房颤相关的可预防的不良健康后果继续使早期发现成为重中之重。带植入式心脏复律除颤器（ICD）的患者使用的一种单导联移动心电图（mECG）设备使用户可以在30秒内接收实时心电图读数。目的：从机构审查委员会批准的一项临床试验中选择3例，旨在评估mECG设备的使用和满意度，患者的参与程度，生活质量（QoL）和心脏焦虑症。选择这三个特定案例来检查各种可能的患者表现和用户体验。方法：邀请三名在成人器械诊所看病的ICD手机患者参加。选择的参与者代表了不同程度的报告的教育程度和患者参与度。参与者被指示每天至少一次使用mECG设备，持续30天。在临床中评估了心房颤动的阳性心电图。在随访中，收集了有关其使用mECG装置的频率以及患者参与度，生活质量和心脏焦虑方面的三种心理结果的信息。结果：每个患者大约每天或按规定每隔一天使用该技术。在30天的跟踪调查中，使用情况报告显示每个参与者每月平均32次读数。在90天的跟踪调查中，使用情况报告显示每个参与者每月平均34次读数。从基线到完成，三位参与者中的两位自我报告了自己的身体QoL显着改善，同时自我报告了他们的心理QoL显着降低。这三位参与者均表示设备接受度和技术满意度很高。结论：该案例研究表明，受过不同程度的教育和患者参与的ICD患者在使用mECG方面相对活跃。使用mECG技术的所有三名参与者均表示对技术的高度满意和对设备的认可。 mECG技术的高灵敏度，特异性和准确性可以提高患者的预后，还可以以较低的成本进行常规房颤筛查。

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