中长时程动态心电监测应用于心律失常的新进展
摘要
<正>12导联心电图是临床中最简便、最常用的心电检测方法,在10 s内提供多个导联的心率、节律、传导和复极化等信息,还可以发现心肌缺血、心肌梗死、左心室肥大和遗传性心律不齐等病理生理状态。由于受到检测时间的限制,常规心电图难以发现非持续性心律失常。从20世纪80年代起,24 h动态心电图(24 h Holter)监测成为临床上常用的心律失常动态诊断技术,其可了解24 h内患者心电变化的情况,但由于其监测时间仅为24 h,非频发的心律失常患者在
引文
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[2] TSANG J P,MOHAN S.Benefits of monitoring patients with mobile cardiac telemetry(MCT) compared with the event or Holter monitors[J].Med Devices (Auckl),2013,7:1-5.
[3] SCHREIBER D,SATTAR A,DRIGALLA D,et al.Ambulatory cardiac monitoring for discharged emergency department patients with possible cardiac arrhythmias[J].West J Emerg Med,2014,15(2):194-198.
[4] BARRETT P M,KOMATIREDDY R,HAASER S,et al.Comparison of 24-hour Holter monitoring with 14-day novel adhesive patch electrocardiographic monitoring[J].Am J Med,2014,127(1):95.e11-e17.
[5] TURAKHIA M P,HOANG D D,ZIMETBAUM P,et al.Diagnostic utility of a novel leadless arrhythmia monitoring device[J].Am J Cardiol,2013,112(4):520-524.
[6] CHEUNG C C,KERR C R,KRAHN A D.Comparing 14-day adhesive patch with 24-h Holter monitoring[J].Future Cardiol,2014,10(3):319-322.
[7] HEALEY J S,NAIR G M.Does catheter ablation for atrial fibrillation increase or reduce neurological insult?[J].Curr Opin Cardiol,2012,27(1):36-40.
[8] LIAO J,KHALID Z,SCALLAN C,et al.Noninvasive cardiac monitoring for detecting paroxysmal atrial fibrillation or flutter after acute ischemic stroke:a systematic review[J].Stroke,2007,38(11):2935-2940.
[9] ALHADRAMY O,JEERAKATHIL T J,MAJUMDAR S R,et al.Prevalence and predictors of paroxysmal atrial fibrillation on Holter monitor in patients with stroke or transient ischemic attack[J].Stroke,2010,41(11):2596-2600.
[10] MITTAL S,MOVSOWITZ C,STEINBERG J S.Ambulatory external electrocardiographic monitoring:focus on atrial fibrillation[J].J Am Coll Cardiol,2011,58(17):1741-1749.
[11] EISENBERG E E,CARLSON S K,DOSHI R N,et al.Chronic ambulatory monitoring:results of a large single-center experience[J].J Innov Card Rhythm Manag,2014,5:1818-1823.
[12] DAGRES N,KOTTKAMP H,PIORKOWSKI C,et al.Influence of the duration of Holter monitoring on the detection of arrhythmia recurrences after catheter ablation of atrial fibrillation:implications for patient follow-up[J].Int J Cardiol,2010,139(3):305-306.
[13] ROSENBERG M A,SAMUEL M,THOSANI A,et al.Use of a noninvasive continuous monitoring device in the management of atrial fibrillation:a pilot study[J].Pacing Clin Electrophysiol,2013,36(3):328-333.
[14] BJ?RCK S,PALASZEWSKI B,FRIBERG L,et al.Atrial fibrillation,stroke risk,and warfarin therapy revisited:a population-based study[J].Stroke,2013,44(11):3103-3108.
[15] GLADSTONE D J,SPRING M,DORIAN P,et al.Atrial fibrillation in patients with cryptogenic stroke[J].N Engl J Med,2014,370(26):2467-2477.
[16] SANNA T,DIENER H C,PASSMAN R S,et al.Cryptogenic stroke and underlying atrial fibrillation[J].N Engl J Med,2014,370(26):2478-2486.
[17] TUNG C E,SU D,TURAKHIA M P,et al.Diagnostic yield of extended cardiac patch monitoring in patients with stroke or TIA[J/OL].Front Neurol,2015,5:266[2017-12-12].https://doi.org/10.3389/fneur.2014.00266.
[18] 万征,李永乐.晕厥的诊治进展(上) ——2009 ESC晕厥诊断和治疗指南的解读[J].中国循证心血管医学杂志,2010,2(4):202-207.
[19] SOLBIATI M,CASAZZA G,DIPAOLA F,et al.The diagnostic yield of implantable loop recorders in unexplained syncope:a systematic review and meta-analysis[J].Int J Cardiol,2017,231:170-176.
[20] KRAHN A D,KLEIN G J,YEE R,et al.Randomized assessment of syncope trial:conventional diagnostic testing versus a prolonged monitoring strategy[J].Circulation,2001,104(1):46-51.
[21] EDVARDSSON N,FRYKMAN V,VAN MECHELEN R,et al.Use of an implantable loop recorder to increase the diagnostic yield in unexplained syncope:results from the PICTURE registry[J].Europace,2011,13(2):262-269.
[22] BLOCH THOMSEN P E,JONS C,RAATIKAINEN M J,et al.Long-term recording of cardiac arrhythmias with an implantable cardiac monitor in patients with reduced ejection fraction after acute myocardial infarction:the cardiac arrhythmias and risk stratification after acute myocardial infarction (CARISMA) study[J].Circulation,2010,122(13):1258-1264.
[23] BOLOURCHI M,BATRA A S.Diagnostic yield of patch ambulatory electrocardiogram monitoring in children (from a national registry)[J].Am J Cardiol,2015,115(5):630-634.