Feasibility of a T-Shirt-Type Wearable Electrocardiography Monitor for Detection of Covert Atrial Fibrillation in Young Healthy Adults
Feasibility of a T-Shirt-Type Wearable Electrocardiography Monitor for Detection of Covert Atrial Fibrillation in Young Healthy Adults
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DOI：
10.1038/s41598-019-48267-1
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发表时间：
2019-08-13
影响因子：
4.6
通讯作者：
Ohe, Kazuhiko
中科院分区：
文献类型：
--
作者：
Fukuma, Nobuaki;Hasumi, Eriko;Ohe, Kazuhiko
隐性房颤（AF）是老年患者和年轻人群中原因不明的卒中病因。然而，无症状房颤很难根据短的心电图（ECG）记录进行诊断。我们评估了自我应用连续心电图监测设备的可行性，该设备可以在年轻人群中自动，轻松，无创地记录。我们调查了社区筛查无症状房颤使用无线单导联心电图与电极嵌入在T恤。100名CHADS 2评分>= 1的男性无房颤，10名参与者（10.0%）检测到房颤持续时间> 30秒。2名参与者（2.0%）检测到房颤持续时间>6分钟。T恤型穿戴式心电监护系统适合于高体力活动的年轻人连续、日常长期使用，具有明显的识别隐性AF的能力。
Covert atrial fibrillation (AF) accounts for cryptogenic stroke aetiology in elderly patients and in younger populations. However, asymptomatic AF is difficult to diagnose based on a short electrocardiography (ECG) recording. We evaluated the feasibility of a self-applied continuous ECG monitoring device that can record automatically, easily, and noninvasively in a younger population. We investigated community screening for asymptomatic AF using a wireless single-lead ECG with an electrode embedded in a T-shirt. One hundred men with a CHADS2 score >= 1 who were free from AF and 30 seconds was detected in 10 participants (10.0%). AF continuing for >6 minutes was detected in 2 participants (2.0%). The T-shirt-type wearable ECG monitoring system was suitable for continuous, daily long-term use among young people with high physical activity, and it had the distinct capability of identifying covert AF.