{"id":1128,"date":"2025-09-28T00:47:22","date_gmt":"2025-09-27T22:47:22","guid":{"rendered":"https:\/\/blogosercu.pl\/?p=1128"},"modified":"2025-09-28T00:47:27","modified_gmt":"2025-09-27T22:47:27","slug":"niejednoznaczna-inconclusive-automatyczna-ocena-rytmu-ekg-w-urzadzeniach-konsumenckich","status":"publish","type":"post","link":"https:\/\/blogosercu.pl\/index.php\/2025\/09\/28\/niejednoznaczna-inconclusive-automatyczna-ocena-rytmu-ekg-w-urzadzeniach-konsumenckich\/","title":{"rendered":"Niejednoznaczna (inconclusive) &#8211; automatyczna ocena rytmu EKG w urz\u0105dzeniach konsumenckich."},"content":{"rendered":"\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Spis Tre\u015bci<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Prze\u0142\u0105cznik Spisu Tre\u015bci\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/blogosercu.pl\/index.php\/2025\/09\/28\/niejednoznaczna-inconclusive-automatyczna-ocena-rytmu-ekg-w-urzadzeniach-konsumenckich\/#Badanie_Isenegger_2025\" >Badanie Isenegger (2025)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/blogosercu.pl\/index.php\/2025\/09\/28\/niejednoznaczna-inconclusive-automatyczna-ocena-rytmu-ekg-w-urzadzeniach-konsumenckich\/#Bibliografia\" >Bibliografia:<\/a><\/li><\/ul><\/nav><\/div>\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Badanie_Isenegger_2025\"><\/span>Badanie Isenegger (2025)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Badanie Isenegger i in. (2025) ocenia\u0142o wp\u0142yw anomalii zapisu EKG na zdolno\u015b\u0107 automatycznej klasyfikacji rytmu przez pi\u0119\u0107 komercyjnie dost\u0119pnych urz\u0105dze\u0144 typu smart (AliveCor KardiaMobile, Apple Watch 6, Fitbit Sense, Samsung Galaxy Watch 3, Withings ScanWatch). Do badania w\u0142\u0105czono 256 pacjent\u00f3w (\u015bredni wiek 66 lat, 29% kobiet), kt\u00f3rym wykonano \u0142\u0105cznie 1280 pojedynczo-odprowadzeniowych zapis\u00f3w EKG (SL-ECG).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Wyniki pokaza\u0142y, \u017ce 19% zapis\u00f3w zosta\u0142o zakwalifikowanych przez urz\u0105dzenia jako \u201eniejednoznaczne\u201d. Anomalie EKG (takie jak stymulacja komorowa, op\u00f3\u017anienia przewodzenia, niskie napi\u0119cie, artefakty, pobudzenia przedwczesne) wyst\u0119powa\u0142y istotnie cz\u0119\u015bciej w zapisach niejednoznacznych (74%) ni\u017c jednoznacznych (42%). Najsilniejszymi predyktorami niejednoznacznej klasyfikacji by\u0142y stymulacja komorowa (OR 6,35), powa\u017cne artefakty (OR 10,62) oraz niski wolta\u017c QRS (OR 2,37). Czu\u0142o\u015b\u0107 i swoisto\u015b\u0107 automatycznej interpretacji mala\u0142y wraz ze wzrostem liczby anomalii \u2013 od 85%\/86% przy braku anomalii do 23%\/36% przy \u22653 anomaliach.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"828\" height=\"657\" src=\"https:\/\/blogosercu.pl\/wp-content\/uploads\/2025\/09\/2025-09-27-23_41_36-Inconclusive-Single-Lead-ECGs-From-Smart-Devices-isenegger-et-al-2025-inconclu.png\" alt=\"\" class=\"wp-image-1129\" srcset=\"https:\/\/blogosercu.pl\/wp-content\/uploads\/2025\/09\/2025-09-27-23_41_36-Inconclusive-Single-Lead-ECGs-From-Smart-Devices-isenegger-et-al-2025-inconclu.png 828w, https:\/\/blogosercu.pl\/wp-content\/uploads\/2025\/09\/2025-09-27-23_41_36-Inconclusive-Single-Lead-ECGs-From-Smart-Devices-isenegger-et-al-2025-inconclu-300x238.png 300w, https:\/\/blogosercu.pl\/wp-content\/uploads\/2025\/09\/2025-09-27-23_41_36-Inconclusive-Single-Lead-ECGs-From-Smart-Devices-isenegger-et-al-2025-inconclu-768x609.png 768w\" sizes=\"auto, (max-width: 828px) 100vw, 828px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Autorzy konkluduj\u0105, \u017ce algorytmy automatycznej klasyfikacji rytmu w urz\u0105dzeniach ubieralnych s\u0105 bardzo podatne na obecno\u015b\u0107 anomalii EKG. Oznacza to konieczno\u015b\u0107 ostro\u017cnego doboru pacjent\u00f3w do monitorowania arytmii przy pomocy smart-watchy oraz potrzeb\u0119 udoskonalenia algorytm\u00f3w i edukacji pacjent\u00f3w w zakresie jako\u015bci nagrania.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Bibliografia\"><\/span>Bibliografia:<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Isenegger, C., Mannhart, D., Weidlich, S., Br\u00fcgger, J., Serban, T., Jordan, F., Krisai, P., Knecht, S., Schaerli, N., Subin, B., Mosher, L., du Fay de Lavallaz, J., Schaer, B., Mahfoud, F., K\u00fchne, M., Sticherling, C. and Badertscher, P. (2025) \u2018Inconclusive single-lead ECGs from smart-devices: Impact of baseline ECG anomalies\u2019, <em>JACC: Clinical Electrophysiology<\/em>, 11(9), pp. 2003\u20132011. doi:10.1016\/j.jacep.2025.04.027.<\/p>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/blogosercu.pl\/wp-content\/uploads\/2025\/09\/isenegger-et-al-2025-inconclusive-single-lead-ecgs-from-smart-devices.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Osadzone z isenegger-et-al-2025-inconclusive-single-lead-ecgs-from-smart-devices.\"><\/object><a id=\"wp-block-file--media-8ac7d349-3ae2-4fec-8921-29d9f7180dd8\" href=\"https:\/\/blogosercu.pl\/wp-content\/uploads\/2025\/09\/isenegger-et-al-2025-inconclusive-single-lead-ecgs-from-smart-devices.pdf\">isenegger-et-al-2025-inconclusive-single-lead-ecgs-from-smart-devices<\/a><a href=\"https:\/\/blogosercu.pl\/wp-content\/uploads\/2025\/09\/isenegger-et-al-2025-inconclusive-single-lead-ecgs-from-smart-devices.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-8ac7d349-3ae2-4fec-8921-29d9f7180dd8\">Pobierz<\/a><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Badanie Isenegger (2025) Badanie Isenegger i in. (2025) ocenia\u0142o wp\u0142yw anomalii zapisu EKG na zdolno\u015b\u0107 automatycznej klasyfikacji rytmu przez pi\u0119\u0107 komercyjnie dost\u0119pnych urz\u0105dze\u0144 typu smart (AliveCor KardiaMobile, Apple Watch 6, Fitbit Sense, Samsung Galaxy Watch 3, Withings ScanWatch). Do badania w\u0142\u0105czono 256 pacjent\u00f3w (\u015bredni wiek 66 lat, 29% kobiet), kt\u00f3rym wykonano \u0142\u0105cznie 1280 pojedynczo-odprowadzeniowych zapis\u00f3w [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1129,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[60,131,79],"class_list":["post-1128","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ciekawostki","tag-ekg","tag-ekg-na-zegarku","tag-zegarki"],"_links":{"self":[{"href":"https:\/\/blogosercu.pl\/index.php\/wp-json\/wp\/v2\/posts\/1128","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogosercu.pl\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogosercu.pl\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogosercu.pl\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blogosercu.pl\/index.php\/wp-json\/wp\/v2\/comments?post=1128"}],"version-history":[{"count":1,"href":"https:\/\/blogosercu.pl\/index.php\/wp-json\/wp\/v2\/posts\/1128\/revisions"}],"predecessor-version":[{"id":1131,"href":"https:\/\/blogosercu.pl\/index.php\/wp-json\/wp\/v2\/posts\/1128\/revisions\/1131"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogosercu.pl\/index.php\/wp-json\/wp\/v2\/media\/1129"}],"wp:attachment":[{"href":"https:\/\/blogosercu.pl\/index.php\/wp-json\/wp\/v2\/media?parent=1128"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogosercu.pl\/index.php\/wp-json\/wp\/v2\/categories?post=1128"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogosercu.pl\/index.php\/wp-json\/wp\/v2\/tags?post=1128"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}