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JAHA：使用心脏植入装置测量身体活动

2018-05-18 xiangting MedSci原创

加速计心血管植入式电子设备身体活动植入式心律转复除颤器
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目前的证据表明，当与其他装置参数结合使用时，D-PA可用于评估身体活动并预测植入了心血管电子设备患者的临床结局。

身体活动可以预测植入了心血管电子设备患者的心血管预后，但在常规护理中并未对身体活动进行定期评估。然而，目前的心血管植入式电子设备可以通过内置的加速计持续监测患者的活动，这为远程评估患者活动、检测临床状态变化并将这些数据纳入风险分层模型提供了新的机会。这篇文章综述了关于装置测量身体活动（D- PA）的文献，研究重点是确定可能影响研究结果解释的方法学问题。

研究人员对1995年1月1日至2017年12月30日间发表的D- PA研究进行了系统评价，确定了29项符合纳入标准的研究，其中5项为验证报告。很少有关于D- PA传感器的技术细节被报道，并且分析和解释D-PA数据的程序存在异质性。22项研究报告了D-PA随时间的变化趋势及其与临床结局的相关性。在7项研究中，危险分层模型结合了D-PA和其他装置参数，在预测急性心衰失代偿、住院和死亡率时，敏感性为适度至良好。

目前的证据表明，当与其他装置参数结合使用时，D-PA可用于评估身体活动并预测植入了心血管电子设备患者的临床结局。未来的工作必须解决与D-PA数据测量、解释和统一性有关的挑战，以扩大该项技术的临床应用。

原始出处：

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    2018-06-03 wxl882001

    学习一下

    0

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    2018-05-22 wxl882001

    学习一下

    0

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    2018-05-20 zhaohui6731

    #AHA#

    0

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    2018-05-20 smlt2009

    #身体活动#

    0

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    2018-05-20 jiyangfei

    #植入#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=321199, encodeId=d2f6321199de, content=学习一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Sun Jun 03 19:28:43 CST 2018, time=2018-06-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=317571, encodeId=bccd31e571d9, content=学习一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Tue May 22 17:47:00 CST 2018, time=2018-05-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267823, encodeId=863f126e8236a, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Sun May 20 08:05:00 CST 2018, time=2018-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1410667, encodeId=d6ff141066ed0, content=<a href='/topic/show?id=f22193211c8' target=_blank style='color:#2F92EE;'>#身体活动#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93211, encryptionId=f22193211c8, topicName=身体活动)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=746d2763332, createdName=smlt2009, createdTime=Sun May 20 08:05:00 CST 2018, time=2018-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1520480, encodeId=7cb7152048089, content=<a href='/topic/show?id=7a736264553' target=_blank style='color:#2F92EE;'>#植入#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62645, encryptionId=7a736264553, topicName=植入)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=832411313664, createdName=jiyangfei, createdTime=Sun May 20 08:05:00 CST 2018, time=2018-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=316704, encodeId=973a316e0429, content=学习一下谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Sat May 19 22:08:11 CST 2018, time=2018-05-19, status=1, ipAttribution=)]
    2018-05-19 changjiu

    学习一下谢谢

    0