Current and Potential Applications of Wearables in Sports Cardiology.
Current and Potential Applications of Wearables in Sports Cardiology.
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可穿戴设备在运动心脏病学中的当前和潜在应用。
DOI：
10.1007/s11936-021-00942-1
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发表时间：
2021
影响因子：
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通讯作者：
Hsu,JeffreyJ
中科院分区：
文献类型：
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作者：
Rao,Prashant;Seshadri,DhruvR;Hsu,JeffreyJ
审查目的商业可穿戴生物传感器在运动员和高度活跃的个人中普遍使用，尽管它们在运动心脏病学中的价值尚未得到充分证实。在这篇综述中，我们讨论了可穿戴设备当前应用的证据，并对这一新兴领域有前景的未来方向进行了展望。最近的发现将生理参数、活动数据和心电图记录等功能的常规评估相结合，使可穿戴设备在帮助诊断和监测心血管疾病方面的作用令人兴奋。然而，目前存在限制其常规临床使用的重大挑战。虽然研究表明可穿戴设备产生的数据可能有助于指导训练，但缺乏使用可穿戴设备指导心血管疾病患者锻炼方案的证据。此外，缺乏数据证明其在检测运动相关心律失常或心源性猝死相关病症方面的功效。尽管如此，未来的技术发展可能会导致可穿戴设备在辅助运动心脏病学实践方面发挥更大的潜力。总结收集大量生理信息的能力可以帮助运动员个性化训练方案。然而，对这些数据的解释以及将信号与噪声分开至关重要，尤其是在临床环境中使用时。虽然目前在运动心脏病学中使用可穿戴设备衍生的数据还没有标准化的方法，但我们概述了它们可以在未来指导运动员护理的三个领域：（1）优化运动表现（2）指导患有已知心血管疾病的运动员的锻炼，以及（3）筛查心血管疾病。
Purpose of the reviewCommercial wearable biosensors are commonly used among athletes and highly active individuals, although their value in sports cardiology is not well established. In this review, we discuss the evidence for the current applications of wearables and provide our outlook for promising future directions of this emerging field.Recent findingsThe integration of routine assessment of physiological parameters, activity data, and features such as electrocardiogram recording has generated excitement over a role for wearables to help diagnose and monitor cardiovascular disease. Presently, however, there are significant challenges limiting their routine clinical use. While studies suggest that wearable-derived data may help guide training, evidence for the use of wearables in guiding exercise regimens for individuals with cardiovascular disease is lacking. Further, there is a paucity of data to demonstrate its efficacy in detecting exercise-related arrhythmias or conditions associated with sudden cardiac death. Nevertheless, future technological developments may lead to a greater potential for wearables to aid in sports cardiology practice.SummaryThe ability to collect vast amounts of physiological information can help athletes personalize training regimens. However, interpretation of these data and separating the signal from the noise are paramount, especially when used in a clinical setting. While there are currently no standardized approaches for the use of wearable-derived data in sports cardiology, we outline three domains in which they could guide the care of athletes in the future: (1) optimizing athletic performance (2) guiding exercise in athletes with known cardiovascular disease, and (3) screening for cardiovascular disease.