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首页> 外文期刊>Cureus. >Newer Diagnostic and Cost-Effective Ways to Identify Asymptomatic Atrial Fibrillation for the Prevention of Stroke
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Newer Diagnostic and Cost-Effective Ways to Identify Asymptomatic Atrial Fibrillation for the Prevention of Stroke

机译：较新的诊断和经济有效的方法，以识别无症状心房颤动以预防中风

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摘要

Atrial fibrillation (Afib) is the most common and underestimated cardiac arrhythmia with a lifetime risk of 35% after the age of 55 years and the risk continues to rise exponentially. Afib leads to stasis of blood within the atria allowing clot formation and increasing the risk for systemic embolization leading to strokes. Outcomes due to Afib can improve significantly with appropriate treatment. Thus, the need for convenient, well‐tolerated, cost‐effective cardiac monitoring for Afib is needed. The study aims to evaluate the various newer devices and compare them with traditional Holter monitoring, keeping diagnostic yield, cost-effectiveness, and patients' convenience in mind. Though Holter monitoring is simple and non-expensive, it has major limitations including limited recording capacity, inability for real-time recordings, and inconvenience to patients. Zio Patch (iRhythm Technologies, Inc;?San Francisco, CA) and other loop recording devices are patient-friendly, inexpensive, and can offer real-time data for longer days. More prospective studies are needed to evaluate the sensitivity, specificity, and the actual number of patients getting benefits from newer devices by diagnosing Afib sooner and start early prevention therapy.
机译：心房颤动（AFIB）是最常见和低估的心律失常，寿命风险为55岁后35％，风险继续呈指数级。 AFIB导致ATRIA内的血液瘀滞，允许凝块形成并增加导致行程的全身栓塞风险。由于AFIB引起的结果可以随适当的治疗而显着改善。因此，需要一种方便，耐受性良好，经济高效的心脏监测的需要。该研究旨在评估各种较新的设备，并将它们与传统的Holter监控，保持诊断产量，成本效益和患者的便利。虽然Holter Monitoring简单且不昂贵，但它具有主要的限制，包括有限的记录能力，无法进行实时记录，对患者的不便。 ZIO补丁（IFThythm Technologies，Inc;？旧金山，加利福尼亚州）和其他循环录音设备是耐用的，廉价的，并且可以提供更长时间的实时数据。需要更多的前瞻性研究来评估敏感性，特异性和通过诊断AFIB且开始早期预防治疗的患者从新设备获得益处的实际数量。

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