Chinese General Practice

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Updated Progress and Challenges in the Application of Wearable/Mobile Devices in the Management of Silent Atrial Fibrillation

  

  1. 1.Center for General Practice,West China Hospital of Sichuan University,Chengdu,610041,China 2.Department of Cardiology,West China Hospital of Sichuan University,Chengdu,610041,China
  • Contact: SHEN Can,Assistant research fellow,171265186@qq.com LIAO Xiaoyang,Chief physician/Professor,Email:625880796@qq.com

可穿戴/移动设备在隐匿性心房颤动管理中的应用进展和挑战

  

  1. 1.610041 四川大学华西医院全科医学中心,四川省成都市 2.610041 四川大学华西医院心脏内科,四川省成都市
  • 通讯作者: 沈灿,助理研究员,E-mail:171265186@qq.com 廖晓阳,主任医师/教授,E-mail:625880796@qq.com
  • 基金资助:
    四川大学华西医院临床研究 1.3.5 孵化项目(2019HXFH059)

Abstract: Atrial fibrillation(AF)is among the most prevalent types of arrhythmia,leading to severe complications such as heart failure and stroke,thus increasing rates of mortality and disability. Silent AF,which lacks clinical symptoms and has irregular onset,tends to have a low diagnosis rate and often experiences delays in receiving standardized treatments,resulting in negative clinical outcomes. Recent clinical studies highlight the significant benefits of wearable devices in the screening and management of silent AF. In this article,we review the clinical outcomes,cost-effectiveness,challenges and future application prospects of wearable devices in the detection and management of silent AF based on relevant domestic and international literature of recent years to provide more evidence-based support for its further applications.

Key words: Wearable electronic devices, Mobile, Silent atrial fibrillation, Management, Progress

摘要: 心房颤动(房颤)是最常见的心律失常之一,可引起心力衰竭、脑卒中等严重并发症,导致患者致死率、致残率增加。隐匿性房颤无明显临床症状,且发作不规律,漏诊率高,无法及时规范诊疗,更易导致不良临床结局。近期临床研究表明可穿戴设备在隐匿性房颤的筛查和管理中有显著优势。本文基于国内外近年相关文献复习,对可穿戴设备在隐匿性房颤筛查与管理中的最新研究现状、临床结局、成本效益、应用挑战及前景进行综述,以期为其在隐匿性房颤管理中的进一步应用提供更多循证证据支持。

关键词: 可穿戴电子设备, 可移动, 隐匿性心房颤动, 管理, 进展

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