智能可穿戴设备在心血管护理中的应用与展望:聚焦心电监测、心房颤动及心律失常管理
The Application and Prospects of Smart Wearable Devices in Cardiovascular Care: Focusing on Electrocardiogram Monitoring, Atrial Fibrillation, and Arrhythmia Management
摘要: 心房颤动(AF)是最常见的心律失常,早期筛查与持续监测可显著降低卒中及心力衰竭风险。近年来,移动健康技术的兴起,一些智能穿戴设备如智能手表、运动手环等因其无创性、便携性以及持续性监测的优势,为心律失常患者的长期管理提供了技术支持。本文基于国内外近年相关文献复习,对可穿戴设备在心电监测方面作一综述,并分析目前所面临的挑战,以期为医护人员更好地利用现代技术,为其在心律失常管理中的应用提供循证证据支持。
Abstract: Atrial fibrillation (AF) is the most common type of arrhythmia. Early screening and continuous monitoring can significantly reduce the risk of stroke and heart failure. In recent years, the rise of mobile health technology has led to the development of smart wearable devices such as smartwatches and fitness bands. These devices offer non-invasive, portable, and continuous monitoring advantages, providing technical support for the long-term management of arrhythmia patients. This article reviews the use of wearable devices in electrocardiogram monitoring based on a review of relevant domestic and international literature in recent years, analyzes the current challenges, and aims to provide evidence-based support for healthcare professionals to better utilize modern technology in the management of arrhythmias.
文章引用:王宁, 孙梦云, 郝琴. 智能可穿戴设备在心血管护理中的应用与展望:聚焦心电监测、心房颤动及心律失常管理[J]. 临床医学进展, 2025, 15(9): 1154-1160. https://doi.org/10.12677/acm.2025.1592605

参考文献

[1] 刘明波, 何新叶, 杨晓红, 等. 《中国心血管健康与疾病报告2024》要点解读[J]. 实用医学杂志, 2025, 41(14): 2111-2131.
[2] Wolf, P.A., Abbott, R.D. and Kannel, W.B. (1991) Atrial Fibrillation as an Independent Risk Factor for Stroke: The Framingham Study. Stroke, 22, 983-988. [Google Scholar] [CrossRef] [PubMed]
[3] Dilaveris, P.E. and Kennedy, H.L. (2017) Silent Atrial Fibrillation: Epidemiology, Diagnosis, and Clinical Impact. Clinical Cardiology, 40, 413-418. [Google Scholar] [CrossRef] [PubMed]
[4] Siontis, K.C., Gersh, B.J., Killian, J.M., Noseworthy, P.A., McCabe, P., Weston, S.A., et al. (2016) Typical, Atypical, and Asymptomatic Presentations of New-Onset Atrial Fibrillation in the Community: Characteristics and Prognostic Implications. Heart Rhythm, 13, 1418-1424. [Google Scholar] [CrossRef] [PubMed]
[5] Kirchhof, P. (2017) The Future of Atrial Fibrillation Management: Integrated Care and Stratified Therapy. The Lancet, 390, 1873-1887. [Google Scholar] [CrossRef] [PubMed]
[6] Lane, D.A. and Lip, G.Y.H. (2012) Use of the CHA(2)DS(2)-VASc and HAS-BLED Scores to Aid Decision Making for Thromboprophylaxis in Nonvalvular Atrial Fibrillation. Circulation, 126, 860-865. [Google Scholar] [CrossRef] [PubMed]
[7] 王颖, 张嵩, 许伟. 便携式和穿戴式心电测量设备在心房颤动筛查中的应用[J]. 中国医刊, 2020, 55(6): 592-593.
[8] 牛雪松, 韩琥, 山世光. 基于rPPG的生理指标测量方法综述[J]. 中国图象图形学报, 2020, 25(11): 2321-2336.
[9] Tison, G.H., Sanchez, J.M., Ballinger, B., et al. (2018) Passive Detection of Atrial Fibrillation Using a Commercially Available Smartwatch. JAMA Cardiology, 3, 409-416.
[10] 余莎莎, 刘曼, 刘鸣. 智能穿戴设备在心房颤动检测中的应用价值[J]. 实用心电学杂志, 2024, 33(3): 243-249.
[11] Siddeek, H., Fisher, K., McMakin, S., Bass, J.L. and Cortez, D. (2020) AVNRT Captured by Apple Watch Series 4: Can the Apple Watch Be Used as an Event Monitor? Annals of Noninvasive Electrocardiology, 25, e12742. [Google Scholar] [CrossRef] [PubMed]
[12] 袁志权, 邬娜, 焦惠艳, 等. 穿戴式长程动态心电监测仪在社区居家老年人群中的监测研究[J]. 陆军军医大学学报, 2024, 46(11): 1316-1322.
[13] 高晨曦, 陈德芳, 陈清勇, 等. 可穿戴/移动设备在隐匿性心房颤动管理中的应用进展和挑战[J]. 中国全科医学, 2024, 27(30): 3835-3840.
[14] 李龙雨, 林文华. 智能手表监测到的室上性心动过速2例[J]. 实用心电与临床诊疗, 2025, 34(3): 451-454.
[15] 郭光耀, 张郁澜, 张志国, 等. 穿戴式远程实时心电监测仪与传统动态心电图在居家老年心血管疾病患者中的监测效果[J]. 医疗装备, 2022, 35(15): 9-12.
[16] Fine, J., Branan, K.L., Rodriguez, A.J., Boonya-Ananta, T., Ajmal, Ramella-Roman, J.C., et al. (2021) Sources of Inaccuracy in Photoplethysmography for Continuous Cardiovascular Monitoring. Biosensors, 11, Article No. 126. [Google Scholar] [CrossRef] [PubMed]
[17] 殷燕高, 黄洋琴, 王渝, 等. 光学体积描记术用于心房颤动检测的研究进展[J]. 心血管病学进展, 2024, 45(6): 498-501.
[18] 吕海洋, 杨孟云, 李玉秋, 等. 智能手表自动诊断心房颤动准确性的Meta分析[J]. 中国循证心血管医学杂志, 2024, 16(8): 932-938.