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HOME HEART HOSPITAL (H3): A NEW HIGH-NEED AND COST CARE MODEL, FEASIBILITY & INITIAL 3-YEAR EXPERIENCE 家庭心脏医院(h3):一种新的高需求和高成本的护理模式,可行性和初步3年经验
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-01 DOI: 10.1016/j.cvdhj.2023.08.016
Kareem Osman, Kaelin DeMuth, Yi Xing Liu, Ahmed F. Osman, Michael Shen
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引用次数: 0
Validity and reliability of seismocardiography for the estimation of cardiorespiratory fitness 地震心动图评估心肺功能的有效性和可靠性。
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-01 Epub Date: 2023-09-11 DOI: 10.1016/j.cvdhj.2023.08.020
Mikkel T. Hansen MSc , Tue Rømer MSc , Amalie Højgaard BM , Karina Husted PhD , Kasper Sørensen PhD , Samuel E. Schmidt PhD, AP , Flemming Dela MD , Jørn W. Helge PhD

Background

Low cardiorespiratory fitness (ie, peak oxygen consumption [V.O2peak]) is associated with cardiovascular disease and all-cause mortality and is recognized as an important clinical tool in the assessment of patients. Cardiopulmonary exercise test (CPET) is the gold standard procedure for determination of V.O2peak but has methodological challenges as it is time-consuming and requires specialized equipment and trained professionals. Seismofit is a chest-mounted medical device for estimating V.O2peak at rest using seismocardiography.

Objective

The purpose of this study was to investigate the validity and reliability of Seismofit V.O2peak estimation in a healthy population.

Methods

On 3 separate days, 20 participants (10 women) underwent estimations of V.O2peak with Seismofit (×2) and Polar Fitness Test (PFT) in randomized order and performed a graded CPET on a cycle ergometer with continuous pulmonary gas exchange measurements.

Results

Seismofit V.O2peak showed a significant bias of –3.1 ± 2.4 mL·min–1·kg–1 (mean ± 95% confidence interval) and 95% limits of agreement (LoA) of ±10.8 mL·min–1·kg–1 compared to CPET. The mean absolute percentage error (MAPE) was 12.0%. Seismofit V.O2peak had a coefficient of variation of 4.5% ± 1.3% and an intraclass correlation coefficient of 0.95 between test days and a bias of 0.0 ± 0.4 mL·min–1·kg–1 with 95% LoA of ±1.6 mL·min–1·kg–1 in test–retest. In addition, Seismofit showed a 2.4 mL·min–1·kg–1 smaller difference in 95% LoA than PFT compared to CPET.

Conclusion

The Seismofit is highly reliable in its estimation of V.O2peak. However, based on the measurement error and MAPE >10%, the Seismofit V.O2peak estimation model needs further improvement to be considered for use in clinical settings.

背景:低心肺功能(即峰值耗氧量[V.O2peak])与心血管疾病和全因死亡率有关,被认为是评估患者的重要临床工具。心肺运动试验(CPET)是测定V.O2峰值的金标准程序,但由于耗时且需要专业设备和训练有素的专业人员,因此在方法上存在挑战。Seismfit是一种安装在胸部的医疗设备,用于使用地震心动图估计静息时的V.O2峰值。目的:本研究旨在探讨健康人群中Seismfit V.O2峰值估计的有效性和可靠性。方法:在3个不同的日子里,20名参与者(10名女性)按照随机顺序接受了Seismfit(×2)和Polar Fitness Test(PFT)对V.O2峰值的估计,并在循环测力计上进行了分级CPET,并进行了连续的肺气体交换测量。结果:与CPET相比,Seismfit V.O2峰值显示出-3.1±2.4 mL·min-1·kg-1的显著偏差(平均±95%置信区间)和±10.8 mL·min-1.kg-1的95%一致性极限(LoA)。平均绝对百分比误差(MAPE)为12.0%。Seismfit V.O2peak在测试日之间的变异系数为4.5%±1.3%,组内相关系数为0.95,在重新测试中的偏差为0.0±0.4 mL·min-1·kg-1,95%LoA为±1.6 mL·min-1·kg-1。此外,与CPET相比,Seismofit在95%LoA方面的差异比PFT小2.4 mL·min-1·kg-1。
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引用次数: 0
ECG-DERIVED METRICS FOR CONTINUOUS STRESS MONITORING IN VULNERABLE GROUPS: A PROSPECTIVE STUDY ON INFORMAL COMMUNITY-BASED CAREGIVERS 在弱势群体持续压力监测的心电图衍生指标:对非正式社区护理人员的前瞻性研究
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-01 DOI: 10.1016/j.cvdhj.2023.08.005
Stacey McKenna, Andrew Miller, Naomi McCord, Holly Easlea, Austin Gibbs
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引用次数: 0
POINT OF CARE AI DRIVEN ER2EP REFERRALS FOR NON-VALVULAR ATRIAL FIBRILLATION PATIENTS IN THE EMERGENCY DEPARTMENT 急诊部非瓣膜性房颤患者的急诊点护理驱动er2ep转诊
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-01 Epub Date: 2023-09-20 DOI: 10.1016/j.cvdhj.2023.08.004
Kim Schwab
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引用次数: 0
AI-ASSISTED SHORT-TERM FORECASTING OF IMPENDING ATRIAL FIBRILLATION EPISODES USING A WEARABLE ECG PATCH 使用可穿戴ecg贴片人工智能辅助短期预测即将发生的房颤发作
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-01 DOI: 10.1016/j.cvdhj.2023.08.012
Soonil Kwon, Jangwon Suh, Jungmin Ko, Hyo-Jeong Ahn, So-Ryoung Lee, Wonjong Rhee, Eue-Keun Choi, Seil Oh
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引用次数: 0
A MULTI-MODAL WORKFLOW FOR INTEGRATING AI-BASED CT SCAR IMAGING AND COMPUTATIONAL ECG MAPPING TARGETS FOR VENTRICULAR TACHYCARDIA ABLATION 结合基于人工智能的ct疤痕成像和计算心电标测靶标用于室性心动过速消融的多模式工作流
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-01 Epub Date: 2023-09-20 DOI: 10.1016/j.cvdhj.2023.08.018
Christopher Villongco, Christian D. Marton, Tony Moyeda, David E. Krummen, Gordon Ho
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引用次数: 0
INTEGRATED ACTIVITY AND RHYTHM DATA FOR PERSONALIZED ATRIAL FIBRILLATION MANAGEMENT FOLLOWING CATHETER ABLATION: A WEARABLE DEVICE APPROACH 导管消融后房颤个性化管理的综合活动和节律数据:可穿戴设备方法
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-01 DOI: 10.1016/j.cvdhj.2023.08.014
Nikhil Ahluwalia, Hakam Abbass, Richard J. Schilling
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引用次数: 0
12-LEAD MEDIAN BEAT IS ALL YOU NEED FOR STRUCTURAL HEART DISEASE SCREENING 12导联中位心跳是结构性心脏病筛查的全部条件
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-01 DOI: 10.1016/j.cvdhj.2023.08.015
Kathryn Mangold, Rickey Carter, Francisco Lopez-Jimenez, Paul A. Friedman, Zachi I. Attia
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引用次数: 0
Filtering of remote monitoring alerts transmitted by cardiac implantable electronic devices and reclassification of atrial fibrillation events by a new algorithm 对心脏植入式电子设备传输的远程监测警报进行过滤,并通过新算法对心房颤动事件进行重新分类。
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-01 Epub Date: 2023-09-09 DOI: 10.1016/j.cvdhj.2023.08.019
Arnaud Lazarus MD , Marika Gentils MS , Stefan Klaes PhD , Issam Ibnouhsein PhD , Arnaud Rosier MD, PhD , Ghassan Moubarak MD , Jean-Luc Bonnet PhD , Jagmeet P. Singh MD, PhD, FHRS , Pascal Defaye MD, PhD

Background

Cardiac implantable electronic devices (CIEDs) are an important means of atrial fibrillation (AF) detection. However, the AF burden measurements and notifications transmitted by CIEDs are not directly related to the clinical classification of paroxysmal, persistent, or permanent AF. Moreover, AF alerts are the most frequent form of notification, imposing a time-consuming review on caregivers.

Objective

The purpose of this study was to compare the incidence of standard AF burden-related notifications in remotely monitored (RM) patients with the incidence of events detected after filtering by a new proprietary algorithm implementing the standard European Society of Cardiology classification of AF.

Methods

Between 2017 and 2022, all RM patients with daily AF burden measurements available for ≥30 days and ≥1 AF burden-related alerts were enrolled at 68 medical centers. The incidence of CIED-transmitted alerts was compared to that of AF episodes detected by a new proprietary algorithm and classified as “first recorded episode of AF”, “paroxysmal AF”, “increased paroxysmal AF”, “persistent AF”, or “end of persistent AF back to paroxysmal AF or back to sinus rhythm.”

Results

Between January 2017 and September 2022, this retrospective study analyzed data from 4162 recipients of an Abbott, Biotronik, Boston Scientific, or Medtronic CIED, RM over mean follow-up of 605 ± 386 days. The algorithm broke down 67,883 AF burden-related alerts into 9728 (14.3%) clinically relevant AF events.

Conclusion

A new AF alert algorithm successfully identified clinically significant AF events in RM CIED recipients and would markedly limit the total number of transmitted alerts that require review by caregivers.

背景:心脏植入式电子设备(CIED)是检测心房颤动(AF)的重要手段。然而,CIED传输的房颤负担测量和通知与阵发性、持续性或永久性房颤的临床分类没有直接关系。此外,房颤警报是最常见的通知形式,给护理人员带来了耗时的审查。目的:本研究的目的是比较远程监测(RM)患者中标准房颤负担相关通知的发生率与通过实施欧洲心脏病学会标准房颤分类的新专有算法过滤后检测到的事件的发生率。方法:2017年至2022年间,在68个医疗中心登记了所有具有≥30天的每日AF负荷测量和≥1次AF负荷相关警报的RM患者。将CIED传输警报的发生率与一种新的专有算法检测到的AF发作的发生率进行比较,并将其分类为“首次记录的AF发作”、“阵发性AF”、“发作性AF增加”、“持续性AF”或“持续性房颤结束后回到阵发性AF或回到窦性心律”。结果:2017年1月至2022年9月,这项回顾性研究分析了4162名Abbott、Biotronic、Boston Scientific或Medtronic CIED、RM受试者的数据,平均随访605±386天。该算法将67883个AF负担相关警报分解为9728个(14.3%)临床相关AF事件。结论:一种新的房颤警报算法成功识别了RM CIED受试者中具有临床意义的房颤事件,并将显著限制需要护理人员审查的传播警报总数。
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引用次数: 0
ARTIFICIAL INTELLIGENCE-ENABLED ELECTROCARDIOGRAM ALGORITHM FOR SIMULTANEOUS ASSESSMENT OF LEFT VENTRICULAR SYSTOLIC AND DIASTOLIC DYSFUNCTION 同时评估左心室收缩和舒张功能障碍的人工智能心电图算法
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-01 Epub Date: 2023-09-20 DOI: 10.1016/j.cvdhj.2023.08.011
Eunjung Lee, Rahul Dhawan, Zachi Itzhak Attia, Francisco Lopez-Jimenez, Paul A. Friedman, Horng H. Chen, Jae K. Oh
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引用次数: 0
期刊
Cardiovascular digital health journal
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