Smartpatch在心房颤动患者中的应用价值  

The clinical application value of Smartpatch in patients with atrial fibrillation

作　　者：汪蓉[1,2] 陈颖敏[1,2] 许向东[2] 张方亮[2] 陈霞[2] 李宏松[2] 张文赞 罗章源 何奔[1] 

机构地区：[1]上海交通大学医学院附属仁济医院心内科,上海200001 [2]上海健康医学院附属嘉定区中心医院,上海201800 [3]上海恩识医疗科技(上海)有限公司,上海201112

出　　处：《中国心脏起搏与心电生理杂志》2017年第2期126-130,共5页Chinese Journal of Cardiac Pacing and Electrophysiology

基　　金：上海市科学技术委员会上海市科技攻关计划(16441900502)

摘　　要：目的探讨Smartpatch贴附式超长时程动态心电图记录仪在心房颤动(简称房颤)患者中的临床应用价值。方法选取2015年11月到2016年8月嘉定区中心医院心内科门诊和住院的表现有胸闷心悸或黑矇、晕厥,心电图为房颤的患者30例,年龄(72±10.6)岁。同时予24h动态心电图检查和Smartpatch跟踪记录心电图14天,回顾分析两种方法记录的心电图结果。结果 Smartpatch贴附式超长时程心电图在房颤患者中额外心律失常检出11例,而24h动态心电图检出2例。结论 Smartpatch贴附式超长时程动态心电图在房颤患者中额外心律失常的检出率优于24h动态心电图。Objective To evaluate the clinical application value of Smartpatch attached super long term dynamic e- lectrocardiogram recorder in patients with atrial fibrillation（AF）. Methods Thirty outpatients and inpatients with the mean age of （72±10.6） years from November 2015 to August 2016 in the cardiology department of Jiading cen tral hospital were studied.All patients had symptoms of chest tightness, palpitations, amaurosis or syncope and were diagnosed as atrial fibrillation with electrocardiogram. Patients were given 24 h dynamic electrocardiogram examina- tion, and smartpatch super long-term electrocardiogram examination for 14 days. The electrocardiogram results of two methods were reviewed. Results Eleven cases of additional arrhythmia were detected arrhythmia by smart patch attached super long-term dynamic electrocardiogram recorder,which 2 cases were detected by 24 h dynamic e lectrocardiogram. Conclusion The detection rate of additional arrhythmia in Smartpatch attached super long-term dynamic electrocardiogram is superior to the 24 h dynamic electrocardiogram in patients with AF.

关 键 词：心血管病学 心房颤动 Smartpatch超长程心电图 24H动态心电图 

分 类 号：R541.75[医药卫生—心血管疾病] R540.41[医药卫生—内科学]