基于印度尼西亚三级医院调查的心房颤动患病率：基于智能手机的诊断

IF 2.2 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Arrhythmia Pub Date : 2024-08-22 DOI:10.1002/joa3.13137

Yoga Yuniadi MD PhD, Alice I. Supit MD, Dicky A. Hanafy MD PhD, Sunu B. Raharjo MD PhD, Dony Y. Hermanto MD, Faris Basalamah MD PhD, Benny Hartono MD, Reynold Agustinus MD, Agung F. Chandranegara MD, Chaerul Ahmad MD PhD, Mohammad Iqbal MD PhD, Alexander E. Tondas MD PhD, Hauda El-Rasyid MD, Haryadi Haryadi MD, Antonia A. Lukito MD PhD, Daniel Tanubudi MD, Ignatius Yansen MD, Erika Maharani MD, Rerdin Julario MD, Ardian Rizal MD, Putra S. Antara MD, Muzakkir Amir MD PhD

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摘要

目的心房颤动（AF）是全球最常见的心律失常疾病之一。本研究旨在使用与智能手机应用程序相连接的单导联手持心电图，描述心房颤动在印度尼西亚不同城市的流行情况。方法这是一项横断面流行病学研究，于 2018 年 1 月至 2019 年 7 月期间在印度尼西亚主要城市的三级医院进行。AliveCor Kardia™ 移动系统设备被用作房颤筛查工具，并与心脏病专家的临床诊断结果相印证。结果共有 9773 名受试者参加了这项研究。设备和心脏病专家报告的房颤患病率分别为 3.2% 和 3.5%。男性心房颤动患病率与女性相同。大多数受试者（56%）的中风或全身血栓栓塞风险较低。心房颤动患者中心力衰竭、高血压、糖尿病和中风病史等危险因素的患病率分别为 50%、22.9%、31.9%、13.5% 和 5.8%。结论印度尼西亚转诊医院的心房颤动患病率为 3.2%，而这些患者是通过智能手机诊断出来的。

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Prevalence of atrial fibrillation based on tertiary hospital survey in Indonesia: A smartphone-based diagnosis

Objective

Atrial fibrillation (AF) is one of the most common arrhythmic disorders worldwide. This study aims to describe the prevalence of AF in various cities in Indonesia using single-lead hand held electrocardiography linked to a smartphone-based application.

Methods

This is a cross-sectional epidemiological study conducted at tertiary hospital of major cities in Indonesia, between January 2018 and July 2019. The AliveCor Kardia™ Mobile system device was used as a screening tool for AF and confirmed its finding with clinical diagnoses made by cardiologists.

Results

A total of 9773 subjects were enrolled in this study. The prevalence of AF reported by the device and cardiologist was 3.2% and 3.5%, respectively. AF prevalences are equal in men than women. The majority of subjects (56%) are having low risk for stroke or systemic thromboembolism. Prevalence of risk factors such as heart failure, hypertension, diabetes, and history of stroke among AF patients were 50%, 22.9%, 31.9%, 13.5%, and 5.8%, respectively.