[1]殷燕高 黄洋琴 王渝 张大勇.光电容积脉搏波描记法用于心房颤动检测的研究进展[J].心血管病学进展,2024,(6):498.[doi:10.16806/j.cnki.issn.1004-3934.2024.06.005]
 YIN Yangao,HUANG Yangqin,WANG Yu,et al.Photoplethysmography in the Detection of Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2024,(6):498.[doi:10.16806/j.cnki.issn.1004-3934.2024.06.005]
点击复制

光电容积脉搏波描记法用于心房颤动检测的研究进展()
分享到:

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2024年6期
页码:
498
栏目:
综述
出版日期:
2024-06-25

文章信息/Info

Title:
Photoplethysmography in the Detection of Atrial Fibrillation
作者:
殷燕高1 黄洋琴 1 王渝 1 张大勇2
(1.川北医学院临床医学系,四川 南充 637000;2.四川绵阳四〇四医院心血管内科,四川 绵阳 621000)
Author(s):
YIN Yangao1HUANG Yangqin1WANG Yu1ZHANG Dayong2
(1.Department of Clinical Medicine,North Sichuan Medical College,Nanchong 637000, Sichuan,China;2.Department of Cardiovascular Medicine,Mianyang 404 Hospital,Mianyang 621000,Sichuan,China)
关键词:
心房颤动流行病学特征筛查光电容积脉搏波描记法应用现状
Keywords:
Atrial fibrillationEpidemiologic characteristicsScreeningPhotoplethysmographyCurrent status of application
DOI:
10.16806/j.cnki.issn.1004-3934.2024.06.005
摘要:
心房颤动是临床常见的心律失常,发病率随着年龄增长而增加,同时房颤也是心源性脑卒中的常见原因,所以进行房颤检测并早期干预,对减轻社会医疗负担起着至关重要的作用。但传统的心电图检测耗时、耗力,并不适合在大规模人群筛查中使用。基于光电容积脉搏波描记法的可穿戴设备具有无创、便捷、准确性高等特点,为早期发现和科学管理房颤创造了技术条件,其可行性、高灵敏度和高特异度正逐步得到验证,现从房颤的流行病学、光电容积脉搏波描记法、可穿戴设备应用现状及局限性等方面进行综述,供临床参考。
Abstract:
Atrial fibrillation is a common clinical arrhythmia,the incidence of which increases with age,and atrial fibrillation is also a common cause of cardiac stroke,so atrial fibrillation detection and early intervention play a crucial role in reducing the healthcare burden on society. However,traditional electrocardiogram testing is time-consuming,labor-intensive,and not suitable for use in large-scale population screening. Wearable devices based on photoplethysmography technology are non-invasive,convenient,and highly accurate,creating technical conditions for early detection and scientific management of atrial fibrillation,and their feasibility,high sensitivity,and high specificity have been gradually verified. This article will review the epidemiology of atrial fibrillation,optical volumetric pulse wave tracing,and the application of wearable devices and their limitations for clinical reference

参考文献/References:

[1] Hindricks G,Potpara T,Dagres N,et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): The Task Force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology (ESC) Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC[J]. Eur Heart J,2021,42(5):373-498.

[2] 马长生,吴书林,刘少稳,等.心房颤动诊断和治疗中国指南[J].中华心血管病杂志,2023,51(6):572-617.

[3] Schnabel RB,Yin X,Gona P,et al. 50 year trends in atrial fibrillation prevalence,incidence,risk factors,and mortality in the Framingham Heart Study:a cohort study[J]. Lancet,2015,386(9989):154-162.

[4] Shi S,Tang Y,Zhao Q,et al. Prevalence and risk of atrial fibrillation in China:a national cross-sectional epidemiological study [J]. Lancet Reg Health West Pac,2022,23:100439.

[5] Du X,Guo L,Xia S,et al. Atrial fibrillation prevalence,awareness and management in a nationwide survey of adults in China[J]. Heart,2021,107(7):535-541.

[6] Kornej J,Borschel CS,Benjamin EJ,et al.Epidemiology of atrial fibrillation in the 21st century: novel methods and new insights[J]. Circ Res,2020,127(1):4-20.

[7] Lee E,Choi EK,Han KD,et al. Mortality and causes of death in patients with atrial fibrillation: A nationwide population-based study[J]. PLoS One,2018,13(12):e0209687.

[8] Wolf PA,Abbott RD,Kannel WB. Atrial fibrillation as an independent risk factor for stroke: the Framingham Study[J]. Stroke,1991,22(8):983-988.

[9] Sposato LA,Cipriano LE,Saposnik G,et al. Diagnosis of atrial fibrillation after stroke and transient ischaemic attack: a systematic review and meta-analysis[J]. Lancet Neurol,2015,14(4):377-387.

[10] Tayal AH,Tian M,Kelly KM,et al. Atrial fibrillation detected by mobile cardiac outpatient telemetry in cryptogenic TIA or stroke[J]. Neurology,2008,71(21):1696-1701.

[11] Vanassche T,Lauw MN,Eikelboom JW,et al. Risk of ischaemic stroke according to pattern of atrial fibrillation: analysis of 6563 aspirin-treated patients in ACTIVE-A and AVERROES[J]. Eur Heart J,2015,36(5):281-287a.

[12] Taggar JS,Coleman T,Lewis S,et al.Accuracy of methods for detecting an irregular pulse and suspected atrial fibrillation:a systematic review and meta-analysis [J]. Eur J Prev Cardiol,2016,23(12):1330-1338.

[13] Yang TY,Huang L,Malwade S,et al.Diagnostic accuracy of ambulatory devices in detecting atrial fibrillation:systematic review and meta-analysis[J]. JMIR Mhealth Uhealth,2021,9(4):e26167.

[14] Giancaterino S,Lupercio F,Nishimura M,et al.Current and future use of insertable cardiac monitors[J]. JACC Clin Electrophysiol,2018,4(11):1383-1396.

[15] Kavsao?lu AR,Polat K,Hariharan M. Non-invasive prediction of hemoglobin level using machine learning techniques with the PPG signal’s characteristics features[J]. Applied Soft Computing,2015,37:983-991.

[16] Pereira T,Tran N,Gadhoumi K,et al. Photoplethysmography based atrial fibrillation detection:a review[J]. NPJ Digit Med,2020,3:3.

[17] 牛雪松,韩琥,山世光.基于rPPG的生理指标:综述[J].中国图象图形学报,2020,25(11):2321-2336.

[18] Tamura T. Current progress of photoplethysmography and SPO2 for health monitoring [J]. Biomed Eng Lett,2019,9(1):21-36.

[19] Herranz Olazábal J,Wieringa F,Hermeling E,et al.Camera-derived photoplethysmography (rPPG) and speckle plethysmography (rSPG):comparing reflective and transmissive mode at various integration times using LEDs and lasers[J]. Sensors,2022,22(16):6059.

[20] Moco AV,Stuijk S,de Haan G. New insights into the origin of remote PPG signals in visible light and infrared[J]. Sci Rep,2018,8(1):8501.

[21] Pankaj,Kumar A,Komaragiri R,et al. Reference signal less Fourier analysis based motion artifact removal algorithm for wearable photoplethysmography devices to estimate heart rate during physical exercises[J]. Comput Biol Med,2022,141:105081.

[22] Tamura T,Maeda Y,Sekine M,et al.Wearable photoplethysmographic sensors—past and present[J]. Electronics,2014,3(2):282-302.

[23] Hartmann V,Liu H,Chen F,et al. Quantitative comparison of photoplethysmographic waveform characteristics:effect of measurement site[J]. Front Physiol,2019,10:198.

[24] Brasier N,Raichle CJ,Dorr M,et al. Detection of atrial fibrillation with a smartphone camera:first prospective,international,two-centre,clinical validation study (DETECT AF PRO)[J]. Europace,2019,21(1):41-47.

[25] Kwon S,Hong J,Choi EK,et al. Detection of atrial fibrillation using a ring-type wearable device (CardioTracker) and deep learning analysis of photoplethysmography signals: prospective observational proof-of-concept study[J]. J Med Internet Res,2020,22(5):e16443.

[26] Azudin K,Gan KB,Jaafar R,et al.The principles of hearable photoplethysmography analysis and applications in physiological monitoring-a review[J]. Sensors (Basel),2023,23(14):6484.

[27] Vescio B,Salsone M,Gambardella A,et al.Comparison between electrocardiographic and earlobe pulse photoplethysmographic detection for evaluating heart rate variability in healthy subjects in short- and long-term recordings[J]. Sensors (Basel),2018,18(3):844.

[28] Conroy T,Guzman JH,Hall B,et al.Detection of atrial fibrillation using an earlobe photoplethysmographic sensor[J]. Physiol Meas,2017,38(10):1906-1918.

[29] Guo Y,Wang H,Zhang H,et al. Mobile photoplethysmographic technology to detect atrial fibrillation[J]. J Am Coll Cardiol,2019,74(19):2365-2375.

[30] Turakhia MP,Desai M,Hedlin H,et al. Rationale and design of a large-scale,app-based study to identify cardiac arrhythmias using a smartwatch: The Apple Heart Study[J]. Am Heart J,2019,207:66-75.

[31] Jacobsen M,Dembek TA,Ziakos AP,et al. Reliable detection of atrial fibrillation with a medical wearable during inpatient conditions[J]. Sensors (Basel),2020,20(19):5519.

[32] Stockwell SJ,Kwok TC,Morgan SP,et al.Forehead monitoring of heart rate in neonatal intensive care[J]. Front Physiol,2023,14:1127419.

[33] Fine J,Branan KL,Rodriguez AJ,et al. Sources of inaccuracy in photoplethysmography for continuous cardiovascular monitoring[J]. Biosensors (Basel),2021,11(4):126.

[34] Chong JW,Cho CH,Tabei F,et al. Motion and noise artifact-resilient atrial fibrillation detection using a smartphone[J]. IEEE J Emerg Sel Top Circuits Syst,2018,8(2):230-239.

[35] Poh MZ,Poh YC,Chan PH,et al. Diagnostic assessment of a deep learning system for detecting atrial fibrillation in pulse waveforms[J]. Heart,2018,104(23):1921-1928.

[36] Hermans ANL,Gawalko M,Dohmen L,et al. Mobile health solutions for atrial fibrillation detection and management:a systematic review[J]. Clin Res Cardiol,2022,111(5):479-491.

[37] Shi Y,Ma D,Zhang J,et al.In the digital age:a systematic literature review of the e-health literacy and influencing factors among Chinese older adults[J]. Z Gesundh Wiss,2023,31(5):679-687.

相似文献/References:

[1]贺鹏康,周菁.心房颤动治疗新技术——冷冻球囊消融[J].心血管病学进展,2016,(1):1.[doi:10.16806/j.cnki.issn.1004-3934.2016.01.001]
 HE Pengkang,ZHOU Jing.Cryoballoon Ablation, A Novel Technology for Atrial Fibrillation Treatment[J].Advances in Cardiovascular Diseases,2016,(6):1.[doi:10.16806/j.cnki.issn.1004-3934.2016.01.001]
[2]都明辉,施海峰*,佟佳宾,等.心房颤动消融相关性无症状性脑缺血[J].心血管病学进展,2016,(1):3.[doi:10.16806/j.cnki.issn.1004-3934.2016.01.002]
 DU Minghui,SHI Haifeng*,TONG Jiabin,et al.Silent Cerebral Ischemia Related to Atrial Fibrillation Ablation[J].Advances in Cardiovascular Diseases,2016,(6):3.[doi:10.16806/j.cnki.issn.1004-3934.2016.01.002]
[3]郑环杰,综述,肖骅,等.心房颤动抗栓治疗研究进展[J].心血管病学进展,2016,(2):142.[doi:10.16806/j.cnki.issn.1004-3934.2016.02.012]
 ZHENG Huanjie,XIAO Hua.Progress of Antithrombotic Therapy in Patients with Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2016,(6):142.[doi:10.16806/j.cnki.issn.1004-3934.2016.02.012]
[4]张清,综述,罗素新,等.新型Xa 因子抑制剂———依度沙班在心房颤动患者抗凝治疗中的研究进展[J].心血管病学进展,2016,(2):151.[doi:10.16806/j.cnki.issn.1004-3934.2016.02.014]
 ZHANG Qing,LUO Suxin,TANG Jiong.Novel Factor Xa Inhibitors—Edoxaban in Prevention of Stroke in Patients with Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2016,(6):151.[doi:10.16806/j.cnki.issn.1004-3934.2016.02.014]
[5]胡红玲,综述,罗素新,等.预防非瓣膜性心房颤动性脑卒中的治疗新进展[J].心血管病学进展,2016,(3):250.[doi:10.16806/j.cnki.issn.1004-3934.2016.03.009]
 HU Hongling,LUO Suxin.New Progress in the Treatment for Cerebral Apoplexy of Nonvalvular Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2016,(6):250.[doi:10.16806/j.cnki.issn.1004-3934.2016.03.009]
[6]王超,杨国澍,综述,等.关附甲素治疗心房颤动的研究进展[J].心血管病学进展,2016,(3):254.[doi:10.16806/j.cnki.issn.1004-3934.2016.03.010]
 WANG Chao,YANG Guoshu,CAI Lin,et al.Research Progress of the Treatment of Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2016,(6):254.[doi:10.16806/j.cnki.issn.1004-3934.2016.03.010]
[7]徐小东,综述,杨东辉,等.决奈达隆治疗心房颤动的现状及展望[J].心血管病学进展,2016,(4):368.[doi:10.16806/j.cnki.issn.1004-3934.2016.04.011]
 XU Xiaodong,YANG Donghui.Status and Prospect of Dronedarone in Treating Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2016,(6):368.[doi:10.16806/j.cnki.issn.1004-3934.2016.04.011]
[8]张莎,储国俊,吴弘.经导管左心耳封堵术的临床应用进展[J].心血管病学进展,2015,(5):547.[doi:10.3969/j.issn.1004-3934.2015.05.006]
 ZHANG Sha,CHU Guojun,WU Hong.Clinial Application Advances in Left Atrial Appendage Closure[J].Advances in Cardiovascular Diseases,2015,(6):547.[doi:10.3969/j.issn.1004-3934.2015.05.006]
[9]汪俊,杨浩.心房颤动射频消融的术式演变[J].心血管病学进展,2015,(5):574.[doi:10.3969/j.issn.1004-3934.2015.05.013]
 WANG Jun,YANG Hao.Evolution of Radiofrequency Ablation of Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2015,(6):574.[doi:10.3969/j.issn.1004-3934.2015.05.013]
[10]赵璐,苏立.心房颤动与离子通道重构研究进展[J].心血管病学进展,2015,(5):580.[doi:10.3969/j.issn.1004-3934.2015.05.014]
 ZHAO Lu,SU Li.Research Progress of Atrial Fibrillation and Ion Channel Remodeling[J].Advances in Cardiovascular Diseases,2015,(6):580.[doi:10.3969/j.issn.1004-3934.2015.05.014]

更新日期/Last Update: 2024-07-26