实用心电与临床诊疗2025，Vol.34Issue(5)：625-630,6.DOI:10.13308/j.issn.2097-5716.2025.05.001
可穿戴心电设备对冠心病患者PCI术后心脏风险的应用价值
Application value of wearable electrocardiogram devices in monitoring post-PCI cardiac risk among patients with coronary heart disease
摘要
Abstract
Objective To assess the feasibility and application value of wearable electrocardiogram(ECG)devices in the remote dynamic monitoring of ECG abnormalities among patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI),and to explore the dynamic change characteristics and clinical significance of various kinds of arrhythmias.Methods A total of 124 CHD patients after PCI from three primary hospitals separately in Kuche City,Shawan City,and Shache County of Xinjiang Uygur Autonomous Region were enrolled.Village doctors were trained to assist patients in wearing wearable ECG devices,and a 12-lead resting ECG was recorded weekly for these patients one month after discharge.Basic clinical information during hospitalization and ECG data for four consecutive weeks after discharge were collected.Line charts were plotted,and the Cochran-Armitage trend test was used to analyze the changes in the detection rates of various kinds of arrhythmias monitored by the wearable devices over the four weeks.Results During the one-month continuous dynamic monitoring,the wearable ECG devices demonstrated high capabilities in detecting various kinds of arrhythmias,including rhythm abnormalities(41 cases,33.06％),conduction blocks(29 cases,23.39％),ST-segment changes(71 cases,57.26％),electrical axis deviation(18 cases,14.52％),ventricular hypertrophy(8 cases,6.54％),and QT interval abnormalities(88 cases,70.97％).The cumulative detection rate of rhythm abnormalities,ST-segment changes,electrical axis deviation,ventricular hypertrophy,and QT interval abnormalities all showed a weekly increasing trend(Cochran-Armitage trend test P＜0.05).Some patients experienced the same type of arrhythmia multiple times during the follow-up,suggesting that electrophysiological abnormalities exhibited dynamic fluctuations or a persistent state.Conclusion Wearable ECG devices could effectively achieve remote dynamic ECG monitoring for post-PCI patients,with good feasibility and clinical utility.关键词
可穿戴心电设备/冠心病/经皮冠状动脉介入/心律失常Key words
wearable ECG device/coronary heart disease/percutaneous coronary intervention/arrhythmia分类
临床医学引用本文复制引用
印婷婷,杨龙,门莉,刘万萍,汤舒琴,王晓,范平..可穿戴心电设备对冠心病患者PCI术后心脏风险的应用价值[J].实用心电与临床诊疗,2025,34(5):625-630,6.基金项目
天山英才医药卫生高层次人才项目——医药卫生领军人才(TSYC202401A069) （TSYC202401A069）
