岭南心血管病杂志2024,Vol.30Issue(2) :197-200.DOI:10.3969/j.issn.1007-9688.2024.02.13

心房颤动快速检测棒在门诊心房颤动机会性筛查的应用

Feasibility Study of Atrial Fibrillation Rapid Detection Device for Opportunis-tic Screening in Outpatient Service

邝慧薇 郑少红 杨秋娴 李浩平 曹钰芹 曾秋莲 陶沙
岭南心血管病杂志2024,Vol.30Issue(2) :197-200.DOI:10.3969/j.issn.1007-9688.2024.02.13

心房颤动快速检测棒在门诊心房颤动机会性筛查的应用

Feasibility Study of Atrial Fibrillation Rapid Detection Device for Opportunis-tic Screening in Outpatient Service

邝慧薇 1郑少红 1杨秋娴 1李浩平 1曹钰芹 1曾秋莲 1陶沙1
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作者信息

  • 1. 广东省人民医院南海医院,广东佛山 528251
  • 折叠

摘要

目的 探究心房颤动(房颤)快速检测棒用于房颤机会性筛查的可行性.方法 采用横断面研究,对2023年12月至2024年1月在广东省人民医院南海医院 5 169例门诊就诊患者进行房颤机会性筛查,筛查阳性患者进一步收集病史及进行12导联心电图检查对照,检验房颤快速检测棒在人群筛查中的应用情况.结果 根据被检者资料的完整性及单导联心电图的质量,4 971例被检测患者中男性2 501例(占50.3%),女性2 470例(占49.7%),年龄为(50.4+16.1)岁.有117例患者房颤机会性筛查为阳性,其中93例(占1.9%)患者诊断为房颤,在房颤患者中,68例(占1.4%)患者既往有房颤病史,25例(占0.5%)患者为新发房颤.结论 基于对门诊房颤机会性筛查的结果,房颤快速检测棒是一种较理想的新型房颤快速检测设备,适用于大规模人群房颤机会性筛查,对及时检出隐性房颤患者,进行及时干预,具有经济、便捷、快速的作用,后续可以在社区进行推广.

Abstract

Objectives This study explores the feasibility of using rapid atrial fibrillation(AF)detection sticks for opportunistic AF screening.Methods A cross-sectional study was conducted from December 2023 to January 2024 in Nanhai Hospital of Guangdong Provincial People's Hospital.A total of 5 169 outpatient visitors were screened for AF using the rapid detection sticks.Patients who tested positive were further assessed with a complete medical history and a 12-lead electrocardiogram(ECG)for validation of AF detection in a general population setting.Results Of the 4 971 patients with complete data and quality single-lead ECGs,2 501 were male(50.3%),and 2 470 were female(49.7%),with an average age of(50.4±16.1)years.The opportunistic screening identified 117 positive cases,of which 93(1.9%)were diagnosed with AF.Among these,68(1.4%)patients had a previous history of AF,and 25(0.5%)were newly diag-nosed cases.Conclusions Based on the results of the outpatient opportunistic AF screening,the rapid AF detection stick proves to be an ideal,novel tool for large-scale opportunistic AF screening.It is effective for the timely identification of latent AF cases,allowing for immediate intervention.Its economical,convenient,and rapid characteristics make it suitable for further deployment in community settings.

关键词

心房颤动/快速检测棒/筛查

Key words

atrial fibrillation/rapid detection sticks/screening

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出版年

2024
岭南心血管病杂志
广东省心血管病研究所

岭南心血管病杂志

CSTPCD
影响因子:0.872
ISSN:1007-9688
参考文献量5
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