مورد إلكتروني

Smart watches for heart rate assessment in atrial arrhythmias.

التفاصيل البيبلوغرافية
العنوان: Smart watches for heart rate assessment in atrial arrhythmias.
بيانات النشر: Elsevier Ireland Ltd Ireland 2018-06-19
تفاصيل مُضافة: Nerlekar N.
Brown A.J.
Rajakariar K.
Zureik M.
Wong M.C.
Roberts L.
Street M.
Sajeev J.K.
Cooke J.
Teh A.W.
Koshy A.N.
نوع الوثيقة: Electronic Resource
مستخلص: Background: Despite studies demonstrating the accuracy of smart watches (SW) and wearable heart rate (HR) monitors in sinus rhythm, no data exists regarding their utility in arrhythmias. Method(s): 102 hospitalized patients were evaluated at rest using continuous electrocardiogram (ECG) monitoring with concomitant SW-HR (FitBit, FB, Apple Watch, AW) for 30 min. Result(s): Across all devices, 38,616 HR values were recorded. Sinus rhythm cohort demonstrated strong agreement for both devices with a low bias (FB & AW Bias = 1 beat). In atrial arrhythmias, AW demonstrated a stronger correlation than FB (AW rs = 0.83, FB rs = 0.56, both p < 0.01) with a lower bias (Bias AW = -5 beats, FB = -18 beats). Atrial flutter demonstrated strongest agreement in both devices with a mean bias <1 beat. However, in AF, there was significant HR underestimation (Bias FB = -28 beats, AW-8 beats) with wide limits of agreement. Despite HR underestimation in AF, when SW recorded HR >= 100 in arrhythmias, 98% of values were within +/-10-beats of ECG-HR. Conclusion(s): SW demonstrate strong agreement for HR estimation in sinus rhythm and atrial flutter but underestimates HR in AF. Tachycardic episodes recorded at rest on a SW may be suggestive of an underlying atrial tachyarrhythmia and warrant further clinical evaluation. Clinical trial registration: Australian New Zealand Clinical Trials Registry (www.anzctr.org.au) ACTRN: 12616001374459.Copyright © 2018 Elsevier B.V.
مصطلحات الفهرس: smart watch/dc [Device Comparison], smart watch/ct [Clinical Trial], heart atrium flutter, accuracy, adult, aged, article, cardiovascular disease assessment, clinical effectiveness, clinical evaluation, cohort analysis, controlled clinical trial, controlled study, electrocardiography monitoring, female, heart atrium arrhythmia, heart rate, hospital patient, human, major clinical study, male, priority journal, sinus rhythm, tachycardia, cardiovascular monitoring device/dc [Device Comparison], cardiovascular monitoring device/ct [Clinical Trial], Article
URL: https://repository.monashhealth.org/monashhealthjspui/handle/1/37377
International Journal of Cardiology
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الإتاحة: Open access content. Open access content
Copyright 2018 Elsevier B.V., All rights reserved.
أرقام أخرى: AUSHL oai:repository.monashhealth.org:1/37377
International Journal of Cardiology. 266 (pp 124-127), 2018. Date of Publication: 1 September 2018.
0167-5273
https://repository.monashhealth.org/monashhealthjspui/handle/1/37377
Rajakariar, Kevin; ORCID: http://orcid.org/0000-0002-3886-8214 Zureik, Mark; ORCID: http://orcid.org/0000-0002-6811-6937 Roberts, Louise; ORCID: http://orcid.org/0000-0003-3456-7104 Nerlekar, Nitesh; ORCID: http://orcid.org/0000-0002-3437-8648 Street, Maryann; ORCID: http://orcid.org/0000-0002-5615-141X
29887428 [http://www.ncbi.nlm.nih.gov/pubmed/?term=29887428]
2000827926
(Koshy, Sajeev, Rajakariar, Zureik, Wong, Roberts, Street, Cooke, Teh) Monash University, Eastern Health Clinical School, Department of Cardiology, Box Hill Hospital, Victoria, Australia (Nerlekar, Brown) Monash Cardiovascular Research Centre, Department of Medicine, Monash University and Monash Heart, Monash Health, Clayton, Victoria, Australia (Street) Deakin University, Geelong, Victoria, Australia (Teh) Melbourne University, Austin Hospital Clinical School, Department of Cardiology, Heidelberg, Victoria, Australia
Teh A.W.; Andrew.teh@easternhealth.org.au
1305131972
المصدر المساهم: MONASH HEALTH LIBRS
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رقم الأكسشن: edsoai.on1305131972
قاعدة البيانات: OAIster