[Characterization of atrial fibrillation burden using wearables].

Q4 Medicine Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2024-06-01 Epub Date: 2024-02-09 DOI:10.1007/s00399-024-00995-2
Konstanze Betz, Dominik Linz, David Duncker, Henrike A K Hillmann
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Abstract

The characterization of atrial fibrillation (AF) according to current guidelines categorically refers to the differentiation between paroxysmal, persistent, and permanent AF. A more precise characterization of AF, including the evaluation of AF burden, is playing an increasingly significant role in both scientific research and clinical practice. Digital devices, especially those with the capability of passive (semi-)continuous recording, can contribute to a more accurate quantification of AF burden. Particularly in patients with an already established diagnosis of AF, the evaluation of AF burden can be used to monitor the success of antiarrhythmic therapy including antiarrhythmic drugs or pulmonary vein isolation. However, important questions remain unanswered: In addition to a uniform, evidence-based definition of AF burden, clinically relevant cut-offs for AF burden and resulting therapeutic consequences (e.g., subclinical AF) need to be elaborated. Furthermore, the establishment and evaluation of care structures for assessing and integrating AF burden in clinical care, especially by incorporating data from wearable medical devices, should take place.

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[利用可穿戴设备确定心房颤动负担的特征]。
根据现行指南,心房颤动(AF)的特征描述是指阵发性、持续性和永久性心房颤动之间的区别。对心房颤动进行更精确的定性,包括对心房颤动负荷的评估,在科学研究和临床实践中发挥着越来越重要的作用。数字设备,尤其是具有被动(半)连续记录功能的设备,有助于更准确地量化房颤负荷。特别是对于已经确诊为房颤的患者,房颤负荷的评估可用于监测抗心律失常治疗(包括抗心律失常药物或肺静脉隔离)的成功与否。然而,一些重要的问题仍未得到解答:除了房颤负荷的统一循证定义外,还需要详细制定与临床相关的房颤负荷临界值以及由此产生的治疗后果(如亚临床房颤)。此外,还应建立和评估用于评估心房颤动负担并将其纳入临床护理的护理结构,特别是通过纳入可穿戴医疗设备的数据。
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来源期刊
Herzschrittmachertherapie und Elektrophysiologie
Herzschrittmachertherapie und Elektrophysiologie Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.10
自引率
0.00%
发文量
76
期刊介绍: Mit wissenschaftlichen Original- und Übersichtsarbeiten, Berichten über moderne Operationstechniken und experimentelle Methoden ist die Zeitschrift Herzschrittmachertherapie + Elektrophysiologie ein Diskussionsforum für Themen wie: - Zelluläre Elektrophysiologie - Theoretische Elektrophysiologie - Klinische Elektrophysiologie - Angewandte Herzschrittmachertherapie - Bradykarde und tachykarde Herzrhythmusstörungen - Plötzlicher Herztod und Risikostratifikation - Elektrokardiographie - Elektromedizinische Technologie - Experimentelle und klinische Pharmakologie - Herzchirurgie bei Herzrhythmusstörungen Mitteilungen der Arbeitsgruppen Herzschrittmacher und Arrhythmie der Deutschen Gesellschaft für Kardiologie - Herz und Kreislaufforschung e.V. (DGK) sowie Stellungnahmen und praktische Hinweise runden das breite Spektrum dieser Zeitschrift ab. Interessensgebiete: Kardiologie, Herzschrittmachertherapie, Herzschrittmachertechnologie, klinische Elektrophysiologie
期刊最新文献
[Controversies in rhythmology]. [Atrial fibrillation in combination with severe mitral regurgitation : Which should be treated first, the atrial fibrillation or the mitral valve?] [Initial ablation of atrial fibrillation-Is pulmonary vein isolation sufficient? : Pro and contra]. [(LV)EF is a poor predictor of sudden cardiac death : Pro/Contra]. Erratum zu: Herzrhythmusstörungen bei Erwachsenen mit angeborenen Herzfehlern.
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