The last Sunday of September is "World Heart Day." On the occasion of this year's "World Heart Day", experts from the Fuwai Cardiovascular Hospital of the Chinese Academy of Medical Sciences actively advocated the high-risk groups of cardiovascular diseases to create the first line of defense against sudden cardiac death through continuous cardiac monitoring.
The "China Cardiovascular Disease Report 2014" published in August this year shows that there are about 290 million people with cardiovascular disease in China. The annual incidence of sudden cardiac death (SCD) in China exceeds 540,000, which is equivalent to about 1500 people suffering from sudden cardiac death every day. Passed away.
"Heavy cardiac death is an extremely dangerous cardiovascular disease. Sudden onset of severe arrhythmia, usually ventricular fibrillation or ventricular tachycardia, can lead to rapid death. In recent years, many public figures and medical services The staff died because of sudden cardiac death." Professor Zhang Wei, director of the Chinese Medical Association's Heart Rhythm Professional Committee and director of the Center for Arrhythmia of the Chinese Academy of Medical Sciences.
Professor Hua Wei, deputy director of the center, pointed out that ECG has a very important role in the diagnosis of sudden cardiac death, but because of the complex etiology of many patients, one-time standard ECG is difficult to capture accurate data effectively; Holter monitoring (Holter) Although it can provide continuous data for up to 24 hours, it is easy to be disturbed during the patient's work and life, thus affecting the accuracy of the monitoring data; the emergence of implantable heart monitors just completes the shortcomings of previous cardiac monitoring, can provide Effective and reliable clinical diagnostic data support.
According to reports, the new implantable heart monitor LINQ was approved to enter China in June this year. Subsequently, 5 cases were completed in Fuwai Hospital, Wuhan Asian Heart Hospital, First Affiliated Hospital of Sun Yat-sen University, and First Affiliated Hospital of Xinjiang Medical University. Implanted.
Professor Hua Wei said that this monitoring device is only half the size of chewing gum, about 1.2 cubic centimeters in volume and weighs about 2.5 grams. It can record atrial fibrillation, ventricular tachycardia, bradycardia, cardiac arrest and other events, and can be used to detect atrial fibrillation for 3 years. The doctor only needs to cut a small mouth about 1 cm under the skin of the patient's chest, and insert the heart monitor into the left chest by injection. The wound is small and the operation is simple, and the foreign clinic can be performed. Patients implanted with the device can safely receive 1.5 Tesla and 3.0 Tesla nuclear magnetic resonance (MRI) examinations.
Hua Wei stressed that unexplained syncope patients are the main application group of LINQ. Such patients have the characteristics of repeated episodes that are difficult to diagnose clearly. The cost of multiple stun admissions is also very large, so the clear diagnosis of LINQ can help reduce overall medical costs.
Professor Zhang Wei specially reminded: "People who have repeated unexplained syncope must seek medical treatment in time, such as coronary heart disease, myocardial infarction and other cardiovascular diseases, should pay more attention. Through continuous ECG monitoring, the cause of syncope is differentially diagnosed. Then make a scientific analysis of the risk of sudden death, and take appropriate measures to prevent recurrence of syncope and avoid sudden cardiac death."
Experts also suggested that "syncope" is essentially different from "fainting" and "dizziness". "Syncope" is accompanied by a loss of consciousness, manifested as relatively sudden, transient, self-terminating, and usually recovers quickly. "Dizziness" cannot be regarded as "syncope", which increases unnecessary psychological stress and mental burden.
Introduced by Medtronic, the new implantable heart monitor has entered more than 100,000 patients in 31 countries and regions.
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