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Clinical Utility of the TRENDS Remote Monitoring Function Integrated into a Wearable Cardioverter-Defibrillator.

Clinical Utility of the TRENDS Remote Monitoring Function Integrated into a Wearable Cardioverter-Defibrillator.

期刊: Sensors (Basel, Switzerland) 日期: 2026-06-22 PMID: 42356925 DOI: 10.3390/s26123952 浏览: 40
作者: Ikeda Y, Kanai R, Terazaki Y, Mori H, Matsumoto K, Narita M, Sasaki W, Naganuma T, Tanaka N, Kato R
Y, I., R, K., Y, T., H, M., K, M., M, N., W, S., T, N., N, T., & R, K. (2026). Clinical Utility of the TRENDS Remote Monitoring Function Integrated into a Wearable Cardioverter-Defibrillator.. Sensors (Basel, Switzerland). https://doi.org/10.3390/s26123952
Y I, R K, Y T, H M, K M, M N, et al. Clinical Utility of the TRENDS Remote Monitoring Function Integrated into a Wearable Cardioverter-Defibrillator.. Sensors (Basel, Switzerland). 2026; doi: 10.3390/s26123952
Y I, R K, Y T, et al. Clinical Utility of the TRENDS Remote Monitoring Function Integrated into a Wearable Cardioverter-Defibrillator.[J]. Sensors (Basel, Switzerland). 2026. DOI: 10.3390/s26123952.
@article{y2026,
  author = {Ikeda Y and Kanai R and Terazaki Y and Mori H and Matsumoto K and Narita M and Sasaki W and Naganuma T and Tanaka N and Kato R},
  title = {Clinical Utility of the TRENDS Remote Monitoring Function Integrated into a Wearable Cardioverter-Defibrillator.},
  journal = {Sensors (Basel, Switzerland)},
  year = {2026},
  doi = {10.3390/s26123952},
  note = {PMID: 42356925},
}
TY  - JOUR
AU  - Ikeda Y
AU  - Kanai R
AU  - Terazaki Y
AU  - Mori H
AU  - Matsumoto K
AU  - Narita M
AU  - Sasaki W
AU  - Naganuma T
AU  - Tanaka N
AU  - Kato R
TI  - Clinical Utility of the TRENDS Remote Monitoring Function Integrated into a Wearable Cardioverter-Defibrillator.
T2  - Sensors (Basel, Switzerland)
PY  - 2026
DO  - 10.3390/s26123952
AN  - PMID:42356925
ER  - 

摘要

BACKGROUND: Wearable cardioverter-defibrillators (WCDs) are equipped with the TRENDS remote-monitoring system, enabling continuous assessment of arrhythmias, physiological parameters, and patient-reported outcomes. This study evaluated the clinical utility of TRENDS-integrated WCD management and compared it with a historical control. METHODS: We prospectively analyzed 36 consecutive patients who received a WCD with TRENDS between 2019 and 2024 and compared them with 30 historical controls treated before the implementation of TRENDS. RESULTS: The WCD indications were heart failure as primary prevention (64%) and acute coronary syndrome with ventricular arrhythmias (28%). Among 18 patients who met the criteria for an implantable cardioverter-defibrillator (ICD), including 1 patient with WCD shock, 9 ultimately underwent ICD implantation. The mean daily WCD wear-time was 21.3 h and did not differ significantly from that of the historical control. The response rate to health-related questionnaires was 89%. TRENDS detected symptom exacerbation in 31% of patients, weight gain in 19% of patients, and missed medication in 19% of patients. Daily step-count was significantly lower in patients with ICD indications than in those without (5012 ± 2980 steps vs. 7977 ± 3584 steps, p = 0.01). TRENDS data also aided in initiating anticoagulation therapy and optimizing beta-blocker therapy. CONCLUSIONS: TRENDS provided clinically actionable physiologic and patient-reported information that supported individualized cardiovascular management.

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