Chinese General Practice ›› 2023, Vol. 26 ›› Issue (01): 113-117.DOI: 10.12114/j.issn.1007-9572.2022.0449
Special Issue: 心血管最新文章合集
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Received:
2022-06-24
Revised:
2022-10-20
Published:
2023-01-05
Online:
2022-11-03
Contact:
CHENG Xiaoshu
About author:
通讯作者:
程晓曙
作者简介:
基金资助:
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URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2022.0449
房颤筛查工具/方法 | 灵敏度 | 特异度 |
---|---|---|
触诊 | 87~97 | 70~81 |
自动血压监测仪 | 93~100 | 86~92 |
智能手机APP | 91.5~98.5 | 91.4~100.0 |
ECG可穿戴设备 | 94~98 | 76~95 |
MCG可穿戴设备 | 67 | 99 |
PPG可穿戴设备 | 97~99 | 83~94 |
Table 1 Comparison of sensitivity and specificity of six atrial fibrillation screening tools(with the sensitivity and specificity of the standard 12-lead ECG as the "gold standard")
房颤筛查工具/方法 | 灵敏度 | 特异度 |
---|---|---|
触诊 | 87~97 | 70~81 |
自动血压监测仪 | 93~100 | 86~92 |
智能手机APP | 91.5~98.5 | 91.4~100.0 |
ECG可穿戴设备 | 94~98 | 76~95 |
MCG可穿戴设备 | 67 | 99 |
PPG可穿戴设备 | 97~99 | 83~94 |
内置传感器技术类型 | 设备内置传感器技术 | 测量指标 | 临床应用 |
---|---|---|---|
运动类型 | 加速度计 | 步数、撞击力、速度、久坐时间、锻炼 | 房颤患者的风险评估[ |
气压计 | 爬楼梯数(根据海拔高度的变化测定) | ||
GPS | 运动距离、热量消耗等 | ||
生物识别 | PPG | HR、HRR、HRV、血压、血氧饱和度、心搏出量、每搏量、基于脉搏的节律检测、睡眠及其阶段 | 房颤患者相关疾病的风险预测、房颤筛查与管理[ |
ECG | 单导联和多导联ECG,连续或按需ECG,间隔测量QTc间期、心律失常情况、电解质异常改变等 | ||
MCG | 腕带血压 | ||
其他类型 | 生化传感器a | 有创式血糖、电解质异常连续监测,无创式(结合衣服/鞋子)汗液、唾液电解质和水合状态监测 | 电解质异常检测(如高钾血症)、连续血糖监测、房颤管理[ |
生物力学传感器 | 心搏出量、每搏量、身体振动、体质量等 |
Table 2 Application of several types of wearable devices classified by the type of built-in sensor in monitoring and management of atrial fibrillation
内置传感器技术类型 | 设备内置传感器技术 | 测量指标 | 临床应用 |
---|---|---|---|
运动类型 | 加速度计 | 步数、撞击力、速度、久坐时间、锻炼 | 房颤患者的风险评估[ |
气压计 | 爬楼梯数(根据海拔高度的变化测定) | ||
GPS | 运动距离、热量消耗等 | ||
生物识别 | PPG | HR、HRR、HRV、血压、血氧饱和度、心搏出量、每搏量、基于脉搏的节律检测、睡眠及其阶段 | 房颤患者相关疾病的风险预测、房颤筛查与管理[ |
ECG | 单导联和多导联ECG,连续或按需ECG,间隔测量QTc间期、心律失常情况、电解质异常改变等 | ||
MCG | 腕带血压 | ||
其他类型 | 生化传感器a | 有创式血糖、电解质异常连续监测,无创式(结合衣服/鞋子)汗液、唾液电解质和水合状态监测 | 电解质异常检测(如高钾血症)、连续血糖监测、房颤管理[ |
生物力学传感器 | 心搏出量、每搏量、身体振动、体质量等 |
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