摘要
目的研究AliveCor^(TM)智能仪对急性缺血性卒中患者阵发性心房颤动(PAF)的筛查情况以及是否可以提高其筛查阳性率。方法选择大连市友谊医院神经内科一病房自2016年4月至2020年12月急性缺血性卒中病例数共582例。用12导联心电图检查,筛查出房颤患者81例。同意应用AliveCor^(TM)及能配合此仪器检查的共182例为研究组,该组均行24 h动态心电图检查;余319例患者中,同意行24 h动态心电图检查者为255例入对照组。观察2组人群24 h动态心电图有无统计学差异,比较研究组中AliveCor^(TM)与24 h动态心电图对急性缺血性卒中患者阵发性房颤检出率。结果 2组年龄、性别、高血压、糖尿病、冠心病、吸烟、饮酒、脑梗死或短暂性脑缺血发作(TIA)史、血糖、血脂、D二聚体、美国国立卫生研究院卒中量表(NIHSS评分)及动态心电图发现PAF的数目比较,差异均无统计学意义(P>0.05)。研究组中AliveCor^(TM)筛查PAF的比率高于24 h动态心电图(11.5%比3.2%,P=0.005),差异有统计学意义。结论 AliveCor^(TM)智能仪可以明显提高急性缺血性脑卒中患者的阵发性房颤检出率。
Objective To investigate the screening of paroxysmal atrial fibrillation(PAF)in patients with acute ischemic stroke by AliveCor^(TM) intelligent instrument and whether the screening positive rate can be improved. Methods A total of582 cases of acute ischemic stroke from April 2016 to December 2020 in the first ward of the Department of Neurology of Dalian Friendship Hospital were selected. A 12-lead electrocardiogram was used to screen 81 patients with AF,and the application of AliveCor^(TM)was agreed. And a total of 182 patients who can cooperate with this instrument are in the case group. Among the remaining 319 patients,255 patients who agreed to undergo 24 h Holter examination were included in the control group. Observe whether there is any statistical difference in the medical history of the 24 h Holter ECG group between the two groups. If there is no statistical difference,the case group can be used to represent the screening rate of Holter,and compare the incidence of paroxysmal atrial fibrillation in the case group with AliveCor^(TM)and 24 h Holter. Results 2 groups of age,gender,hypertension,diabetes,coronary heart disease,smoking,drinking,history of cerebral infarction or transient ischemic attack(TIA),blood sugar,blood lipids,D dimer,National Institutes of Health stroke scale(NIHSS score)and the number of PAF found in Holter,there was no significant difference(P>0.05). In the experimental group,the rate of PAF screening by AliveCor^(TM)was higher than that of 24 h Holter screen(11.5% vs. 3.2%,P=0.005),and there was significant statistical difference. Conclusion AliveCor^(TM)intelligent instrument can significantly improve the detection rate of paroxysmal atrial fibrillation in acute ischemic stroke.
作者
于蕾
李航
温瑶
任丹
郑文旭
YU Lei;LI Hang;WEN Yao;REN Dan;ZHENG Wen-xu(Department of Geriatrics,Dalian Friendship Hospital(Dalian Red Cross Hospital),Dalian 116100,China)
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2021年第7期629-633,共5页
Chinese Journal of Practical Internal Medicine
基金
大连市医学科学研究计划项目(1911056)。
