By Anuja Vaidya

作者：Anuja Vaidya

December 20, 2023 - The Apple Watch can record arrhythmias in children, including arrhythmias that were not identified by traditional ambulatory monitors, according to recently published research.

2023年12月20日，根据最近发表的研究，苹果手表可以记录儿童心律失常，包括传统动态监护仪无法识别的心律失常。

Arrhythmia, or irregular heartbeat, can cause chest pain, dizziness, fatigue, and heart palpitations in children. Cardiomyopathy, congenital health disease, certain medications, and inherited conditions like long QT syndrome are some of the causes of arrhythmias in children.

心律失常或不规则心跳可导致儿童胸痛、头晕、疲劳和心悸。心肌病、先天性健康疾病、某些药物以及长QT综合征等遗传性疾病是儿童心律失常的一些原因。

“These irregular heartbeats are not life-threatening, but they make kids feel terrible,” said senior study author Scott Ceresnak, MD, professor of pediatrics at the Lucile Packard Children’s Hospital Stanford, in a press release. “They can be a problem and they’re scary, and if wearable devices can help us get to the bottom of what this arrhythmia is, that’s super helpful.”.

斯坦福大学卢西尔·帕卡德儿童医院儿科教授、高级研究作者斯科特·切雷斯纳克医学博士在新闻稿中说：“这些不规则的心跳不会危及生命，但会让孩子们感觉很糟糕。”。“它们可能是一个问题，而且很可怕，如果可穿戴设备可以帮助我们弄清这种心律失常是什么，那将非常有用。”。

Dig Deeper

深入挖掘

Fewer than 1 in 5 Heart Disease Patients Use Wearables

不到五分之一的心脏病患者使用可穿戴设备

How Wearables Can Enhance Cardiac Care, Boost Patient Engagement

可穿戴设备如何增强心脏护理，提高患者参与度

mHealth Wearables Increase Healthcare Use Among Arrhythmia Patients

mHealth可穿戴设备增加了心律失常患者的医疗保健使用

The study, published in the journal Communications Medicine, aims to examine the efficacy of wearable devices like smartwatches in heart monitoring among children. Prior research shows that the Apple Watch can detect a variety of arrhythmias in adults, the study states. But, whether wearables could effectively monitor heart issues in children is less clear, as children have higher heart rates and activity levels than adults..

这项研究发表在《通讯医学》杂志上，旨在研究智能手表等可穿戴设备在儿童心脏监测中的功效。研究表明，之前的研究表明，苹果手表可以检测成年人的各种心律失常。但是，可穿戴设备能否有效监测儿童的心脏问题尚不清楚，因为儿童的心率和活动水平高于成年人。。

Thus, researchers from Stanford University, Lucile Packard Children’s Hospital Stanford, and the Stanford Byers Center for Biodesign set out to investigate whether the Apple Watch can detect and characterize arrhythmias in children.

因此，斯坦福大学、斯坦福大学卢西尔·帕卡德儿童医院和斯坦福拜尔斯生物设计中心的研究人员开始调查苹果手表是否可以检测和表征儿童心律失常。

The research team used data for all patients 18 or younger whose arrhythmia was documented by an Apple Watch between 2018 and 2022 and who received a formal arrhythmia diagnosis at Lucille Packard Children’s Hospital Stanford. They collected various data, including patient demographics, the type of arrhythmia identified, and the Apple Watch's role in arrhythmia diagnosis..

该研究小组使用了所有18岁或18岁以下的患者的数据，这些患者的心律失常在2018年至2022年间由Apple Watch记录，并且在斯坦福大学露西尔·帕卡德儿童医院接受了正式的心律失常诊断。他们收集了各种数据，包括患者的人口统计学特征，确定的心律失常类型以及Apple Watch在心律失常诊断中的作用。。

Of 145 EHR documentations of Apple Watch use, researchers identified 41 patients with confirmed arrhythmia.

在145份苹果手表使用的EHR文件中，研究人员确定了41名确诊的心律失常患者。

The pediatric patients used their Apple Watch for arrhythmia characterization either through a patient-initiated ECG using the Apple Watch ECG App (44 percent) or the high heart rate notification feature of the Apple Watch ECG App (56 percent).

儿科患者通过使用Apple Watch ECG应用程序（44%）或Apple Watch ECG应用程序（56%）的高心率通知功能通过患者启动的ECG来使用Apple Watch进行心律失常表征。

Thirty-six patients had an arrhythmia diagnosis of supraventricular tachycardia (88 percent), three had ventricular tachycardia (7 percent), one had a heart block (2.5 percent), and one a wide complex tachycardia (2.5 percent).

36例心律失常诊断为室上性心动过速（88%），3例室性心动过速（7%），1例心脏传导阻滞（2.5%），1例广泛复杂心动过速（2.5%）。

Invasive electrophysiology studies confirmed arrhythmia diagnosis in 34 of 36 patients with supraventricular tachycardia (94 percent). However, 35 patients (85 percent) also underwent a workup involving a traditional ambulatory cardiac rhythm monitor, and the traditional monitor did not detect an arrhythmia in 10 (29 percent) patients..

侵入性电生理学研究证实，36例室上性心动过速患者中有34例（94%）诊断为心律失常。然而，35名患者（85%）也接受了涉及传统动态心律监护仪的检查，传统监护仪在10名（29%）患者中未检测到心律失常。。

The Apple Watch led to a workup resulting in a new arrhythmia diagnosis for 29 patients (71 percent). Seventy-three patients used the Apple Watch for recreational or self-directed heart rate monitoring, of which 18 (25 percent) sought care after receiving abnormal heart rate or rhythm notifications..

苹果手表对29名患者（71%）进行了新的心律失常诊断。73名患者使用Apple Watch进行休闲或自我指导的心率监测，其中18名（25%）在收到异常心率或节律通知后寻求护理。。

“This data demonstrates that consumer wearables such as the Apple Watch may play an important role in arrhythmia diagnosis and surveillance in children,” the researchers concluded.

研究人员得出结论：“这些数据表明，苹果手表等消费者可穿戴设备可能在儿童心律失常诊断和监测中发挥重要作用。”。

While research on using the Apple Watch in cardiac care is ongoing, a patent dispute has halted the sale of the latest version of the device.

虽然关于在心脏护理中使用苹果手表的研究正在进行中，但一项专利纠纷已经停止了该设备最新版本的销售。

The company has confirmed to several news outlets that it will stop selling its Apple Watch Series 9 and Apple Watch Ultra 2. The new version of the device includes a feature that enables blood oxygen readings, as well as atrial fibrillation (AFib) history recording and medication tracking capabilities..

该公司已向多家新闻媒体证实，将停止销售Apple Watch Series 9和Apple Watch Ultra 2。该设备的新版本包括一项功能，可实现血氧读数，以及心房颤动（AFib）病史记录和药物跟踪功能。。

However, medical technology company Masimo has alleged that Apple infringed on its blood oxygen sensor patent, NPR reports. The U.S. International Trade Commission ruled in favor of Masimo in October, stating that some Apple Watches violated Masimo's patents. It also issued an import ban on the watches that include the blood oxygen reading capability.

然而，据NPR报道，医疗技术公司Masimo指控苹果侵犯了其血氧传感器专利。10月，美国国际贸易委员会（U.S.International Trade Commission）裁定支持Masimo，称一些苹果手表侵犯了Masimo的专利。它还对具有血氧读数功能的手表发出了进口禁令。

Though the ban will take effect on Dec. 26, Apple has acted early..

虽然禁令将于12月26日生效，但苹果已提前采取行动。。

Tagged

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Apple

苹果

mHealth Devices

mHealth设备

mHealth Strategies

mHealth策略

Pediatric Healthcare

儿科保健

Wearable Devices

可穿戴设备