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首页> 外文期刊>Europace: European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology >Automatic analysis of pacemaker diagnostic data in the identification of atrial tachyarrhythmias in patients with no prior history of them.
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Automatic analysis of pacemaker diagnostic data in the identification of atrial tachyarrhythmias in patients with no prior history of them.

机译：对起搏器诊断数据的自动分析，可用于确定无心律失常史的患者的房性心律失常。

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AIMS: Modern pacemakers provide a large amount of diagnostic data. Given the limited time available during a pacemaker follow-up visit essential information may be overlooked. This registry was conducted to assess the utility of an expert system that analyses the diagnostic data collected by an implanted pacing device and notifies and advises the physician about suspected technical issues and arrhythmias that need further attention. METHODS: Patients with various standard indications for pacing were included in this registry and received single or dual chamber pacemakers. Data were collected and analysed by the expert system during at least two subsequent follow-up visits. The evaluation of this system focused on data obtained from patients with a dual chamber pacing device without prior history of atrial arrhythmias. RESULTS: A total number of 239 patients without prior history of atrial tachyarrhythmias were included in this analysis. Atrial tachyarrhythmias were detected in 73 (31%) of these patients. The highest incidence of newly detected arrhythmias occurred in the group of patients with high-degree AV block and VDD pacemakers. Furthermore, newly detected arrhythmias predominantly occurred in the period shortly after implantation. Device programming suggestions by the expert system were adopted in 30% of the cases. Following detection of atrial tachyarrhythmias by the expert system, pharmacological management was adjusted at 71% of the first follow-up visits and at 27% of later follow-up visits. CONCLUSION: Results of this registry show that this expert system provides a valuable tool for the detection of atrial tachyarrhythmias during pacemaker follow-up visits.
机译：目的：现代起搏器可提供大量诊断数据。考虑到起搏器随访期间的可用时间有限，可能会忽略基本信息。进行该注册以评估专家系统的实用性，该专家系统分析由植入式起搏设备收集的诊断数据，并向医生告知有关可疑的技术问题和心律不齐，并需要进一步注意。方法：具有各种起搏标准指征的患者均包括在该注册表中，并接受了单腔或双腔起搏器。在至少两次后续随访期间，专家系统收集并分析了数据。该系统的评估侧重于从没有双房起搏装置的患者获得的数据，而这些患者没有房性心律失常的病史。结果：总共239例无房性快速性心律失常病史的患者纳入该分析。这些患者中有73名（31％）检测到房性心律失常。新发现的心律不齐的发生率最高，发生在高度房室传导阻滞和VDD起搏器的患者组中。此外，新发现的心律不齐主要发生在植入后不久。 30％的案例采用了专家系统的设备编程建议。通过专家系统检测到房性快速性心律失常后，首次随访的药理管理调整为71％，以后随访的药理管理调整为27％。结论：该登记的结果表明，该专家系统为起搏器随访期间的房性快速性心律失常提供了有价值的工具。

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