Wearable technology and the cardiovascular system: the future of patient assessment.

Wearable technology and the cardiovascular system: the future of patient assessment.
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可穿戴技术和心血管系统:患者评估的未来。

DOI:
10.1016/s2589-7500(23)00087-0
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发表时间:
2023
期刊:
The Lancet. Digital health
影响因子:
--
通讯作者:
Williams GJ
Williams GJ
中科院分区:
--
文献类型:
--
作者:
Williams GJ

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过去十年,能够监测各种心血管参数的消费技术急剧增长。此类设备最初记录运动标记,但现在包括以生理和保健为重点的测量。公众热衷于采用这些设备,因为相信它们有助于识别和监测心血管疾病。因此,临床医生经常会收到健康应用程序数据以及各种担忧和疑问。在这里,我们评估这些设备是否准确,其输出是否经过验证,以及它们是否适合专业人员做出管理决策。我们回顾了基础方法和技术,并探讨了支持使用这些设备作为高血压、心律失常、心力衰竭、冠状动脉疾病、肺动脉高压和瓣膜性心脏病的诊断和监测工具的证据。如果使用得当,它们可能会改善医疗保健并支持研究。
The past decade has seen a dramatic rise in consumer technologies able to monitor a variety of cardiovascular parameters. Such devices initially recorded markers of exercise, but now include physiological and health-care focused measurements. The public are keen to adopt these devices in the belief that they are useful to identify and monitor cardiovascular disease. Clinicians are therefore often presented with health app data accompanied by a diverse range of concerns and queries. Herein, we assess whether these devices are accurate, their outputs validated, and whether they are suitable for professionals to make management decisions. We review underpinning methods and technologies and explore the evidence supporting the use of these devices as diagnostic and monitoring tools in hypertension, arrhythmia, heart failure, coronary artery disease, pulmonary hypertension, and valvular heart disease. Used correctly, they might improve health care and support research.
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