BP3GU1-7B
AFIB專利心房顫動偵測技術
在家中測量血壓時最可靠的心房顫動 (AF) 檢測
心房顫動 AFIB
心房顫動是最致命的一種心律不整現象
百略醫學的AFIB心房顫動偵測專利技術能有效篩檢出最危險致命的心律不整 -心房顫動，排除其他因生理與人為因素造成的心律不整。經由百略醫學的專利技術可以在血壓測量過程中自動偵測心房顫動，使用者在MAM三次平均模式下進行測量，如發現心房顫動，屏幕會顯示圖標，做為及早就醫確診與醫療咨詢的方法，幫助病患瞭解自身健康狀況。
準確專注篩檢心房顫動
臨床證實Microlife的心房顫動偵測具有高度敏感性(98%)與高度特異性(92%)
靈敏度
98%
臨床研究累計超過 10,000 名樣本，並發表於國際知名期刊。
特異性
92%
經臨床實證，在基礎醫療及居家量測血壓，同時偵測心房顫動，可作為 AF 初篩的可靠工具。
獲英國國家健康與照顧卓越研究院NICE官方正式推薦
醫師專業推薦 ： No.1 的心房顫動偵測技術！
百略醫學專利心房顫動偵測技術，經臨床實驗證明準確度，研究也顯示在第一線臨床使用，有助於篩檢出新的AFIB個案。「建議使用於可能罹患高血壓的高危險群＆高血壓族群的血壓管理。」
國際臨床實證列表
| Patients (n) | Setting | Average age (y) | AF n (%) | Non-AF arrhythmia (n) | Sinus (n) | Sensitivity (%) | Specificity (%) | |
|---|---|---|---|---|---|---|---|---|
| Wiesel 2004 | 450 | Hospital | 69 | 53 | (12) 1 | 396 | 100 | 92 |
| Stergiou 2009 | 73 | Hospital | 71 | 27 | (37) 23 | 23 | 100 | 89 |
| Wiesel 2009 | 405 | Hospital | 73 | 93 | (23) 64 | 248 | 97 | 89 |
| Wiesel 2013 (Tripps) | 139 | Home | 67 | 14 (10) | 125 | 99* | 93* | |
| Oxford trial 2014 | 999 | Primary care | 80 | 79 (8 | n.s. | 920 | 95 | 90 |
| Wiesel 2014 | 183 | Hospital | 74 | 30 (15) | n.s | 153 | 100 | 92 |
| Gandolfo 2015 | 207 | Hospital | 78 | 38 (18.4) | n.s. | 169 | 90 | 99 |
2013 Oxford Trail牛津臨床試驗
著名的英國牛津大學在2013年，針對1,000名家醫科患者進行了一項隨機臨床試驗 ，研究結果表明:
百略醫學的AFIB對於心房顫動的初步篩檢來說是最好的選擇，量血壓同時量測，操作簡單不需專業解釋，且準確度可媲美診間使用的單導ECG。
「所以在基層醫療與居家使用上，Microlife AFIB比ECG更適合做為房顫的篩檢工具。這些資料建議使用心房顫動技術進行居家血壓量測，有優異的診斷準確度，因此於初期診斷時可用來作為可靠的篩檢試驗。 」- Dr. George S. Stergiou（（ESH成員，歐洲著名高血壓專家，已發表5本著作＆超過１５０篇相關研究）
國內外參考文獻
- Nichols M TN, Luengo-Fernandez R, Leal J, Gray A, Scarborough P, Rayner M European Cardiovascular Disease Statistics 2012. European Heart Network, Brussels, European Society of Cardiology, Sophia Antipolis 2012.
- Boriani G, Laroche C, Diemberger I, Fantecchi E, Popescu MI, Rasmussen LH et al.: Asymptomatic atrial fibrillation: clinical correlates, management, and outcomes in the EORP-AF Pilot General Registry. Am J Med 2015; 128:509-518 e502.
- Zoni-Berisso M, Lercari F, Carazza T, Domenicucci S: Epidemiology of atrial fibrillation: European perspective. Clin Epidemiol 2014; 6:213-220.
- Sanna T, Diener HC, Passman RS, Di Lazzaro V, Bernstein RA, Morillo CA et al.: Cryptogenic stroke and underlying atrial fibrillation. N Engl J Med 2014; 370:2478-2486.
- Gladstone DJ, Spring M, Dorian P, Panzov V, Thorpe KE, Hall J et al.: Atrial fibrillation in patients with cryptogenic stroke. N Engl J Med 2014; 370:2467-2477.
- Camm AJ, Lip GY, De Caterina R, Savelieva I, Atar D, Hohnloser SH et al.: 2012 focused update of the ESC Guidelines for the management of atrial fibrillation: an update of the 2010 ESC Guidelines for the management of atrial fibrillation–developed with the special contribution of the European Heart Rhythm Association. Europace 2012; 14:1385-1413.
- Hart RG, Benavente O, McBride R, Pearce LA: Antithrombotic therapy to prevent stroke in patients with atrial fibrillation: a meta-analysis. Ann Intern Med 1999; 131:492-501.
- Ruff CT, Giugliano RP, Braunwald E, Hoffman EB, Deenadayalu N, Ezekowitz MD et al.: Comparison of the efficacy and safety of new oral anticoagulants with warfarin in patients with atrial fibrillation: a meta-analysis of randomised trials. Lancet 2014; 383:955-962.
- Verberk WJ, Omboni S, Kollias A, Stergiou GS: Screening for atrial fibrillation with automated blood pressure measurement: Research evidence and practice recommendations. Int J Cardiol 2016; 203:465-473.
- Wiesel J, Wiesel D, Suri R, Messineo FC: The use of a modified sphygmomanometer to detect atrial fibrillation in outpatients. Pacing Clin Electrophysiol 2004; 27:639-643.
- Wiesel J, Wiesel D, Suri R, Messineo FC: The use of a modified sphygmomanometer to detect atrial fibrillation in outpatients. Pacing Clin Electrophysiol 2004; 27:639-643.
- Stergiou GS, Karpettas N, Protogerou A, Nasothimiou EG, Kyriakidis M: Diagnostic accuracy of a home blood pressure monitor to detect atrial fibrillation. J Hum Hypertens 2009; 23:654-658.
- Wiesel J, Fitzig L, Herschman Y, Messineo FC: Detection of atrial fibrillation using a modified microlife blood pressure monitor. Am J Hypertens 2009; 22:848-852.
- Wiesel J, Abraham S, Messineo FC: Screening for asymptomatic atrial fibrillation while monitoring the blood pressure at home: trial of regular versus irregular pulse for prevention of stroke (TRIPPS 2.0). Am J Cardiol 2013; 111:1598-1601.
- Kearley K, Selwood M, Van den Bruel A, Thompson M, Mant D, Hobbs FR et al.: Triage tests for identifying atrial fibrillation in primary care: a diagnostic accuracy study comparing single-lead ECG and modified BP monitors. BMJ Open 2014; 4:e004565.
- Wiesel J, Arbesfeld B, Schechter D: Comparison of the Microlife blood pressure monitor with the Omron blood pressure monitor for detecting atrial fibrillation. Am J Cardiol 2014; 114:1046-1048.
- Gandolfo C, Balestrino M, Bruno C, Finocchi C, Reale N: Validation of a simple method for atrial fibrillation screening in patients with stroke. Neurol Sci 2015; 36:1675-1678.
- Chan PH, Wong CK, Pun L, Wong YF, Wong MM, Chu DW et al.: Head-to-Head Comparison of the AliveCor Heart Monitor and Microlife WatchBP Office AFIB for Atrial Fibrillation Screening in a Primary Care Setting. Circulation 2017; 135:110-112.
- Chan PH, Wong CK, Pun L, Wong YF, Wong MM, Chu DW et al.: Diagnostic performance of an automatic blood pressure measurement device, Microlife WatchBP Home A, for atrial fibrillation screening in a real-world primary care setting. BMJ Open 2017; 7:e013685.
- Alpert BS, Quinn D, Gallick D: Oscillometric blood pressure: a review for clinicians. J Am Soc Hypertens 2014; 8:930-938.
- NICE: WatchBP Home A for opportunistically detecting atrial fibrillation during diagnosis and monitoring of hypertension http://guidance.nice.org.uk/MTG13. 2013; Assessed 18 Aug. 2015.
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