Monitoring Outside the Home of Older Adults at Risk for Sudden Cardiac Death

对有心源性猝死风险的老年人进行户外监测

基本信息

批准号：
8371284
负责人：
Timothy H. Riehle
金额：
$ 20.8万
依托单位：
KORONIS BIOMEDICAL TECHNOLOGIES CORPORAT
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-08-01 至 2014-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8371284
关键词：
Algorithms Ambulances Area Arrhythmia Automated External Defibrillator Automobile Driving Biomedical Technology Cardiac Cellular Phone Cessation of life Clinics and Hospitals Communities Consult Defibrillators Detection Development Devices Diagnostic Doctor of Medicine Doctor of Philosophy Elderly Electric Countershock Electronics Emergency Situation Engineering Epidemic Equipment Event Exercise Goals Health Hearing Aids Heart Heart Arrest Heart Diseases Home environment Human Resources Implantable Defibrillators Industry Jogging Lead Legal patent Life Link Location Medical Microprocessor Monitor Neurologic Patients Performance Phase Physician Executives Positioning Attribute Protocols documentation Radio Recovery Reporting Research Resuscitation Risk Risk Factors Saint Jude Children&apos s Research Hospital Science Services Solutions System Target Populations Technology Telephone Training Transportation Travel United States Ventricular Arrhythmia Ventricular Fibrillation Ventricular Tachycardia Walking Wireless Technology Workplace base cost cost effective design detector efficacy evaluation novel programs prophylactic prototype rapid detection response sudden cardiac death

项目摘要

DESCRIPTION (provided by applicant): Sudden cardiac death (SCD) results in approximately 450,000 deaths each year in the United States alone of older adults. Most fatal SCD events are caused by ventricular arrhythmias (ventricular tachycardia and ventricular fibrillation) in patients both with and without identified structural heart disease. Proposed is a personal ambulatory arrhythmia monitoring and automated alerting device for the many hundreds of thousands of patients in the U.S. known to be susceptible to death from arrhythmia but not deemed at high enough long-term risk for prophylactic therapy with an implantable cardioverter-defibrillator (ICD). Indoor arrhythmia monitoring and alarming devices presently exist that are connected to a land-line phone and call service centers to initiate a response. Unfortunately there exists no equivalent device for patients walking outdoors or in a car where they are at risk for unwitnessed cardiac arrest. The proposed rapid alert device is intended for patient use out of the home, when exercising or travelling alone in a car for example, to automatically detect arrhythmia events, alert locally, call 911, and report a victim's location. PUBLIC HEALTH RELEVANCE: Sudden cardiac death (SCD) results in approximately 450,000 deaths each year in the United States and represents a health problem of epidemic proportions. Currently, beyond ten minutes after victim collapse, the likelihood of complete physical and neurologic recovery with conventional resuscitation is very low and overall survival for arrest victims is less than ten percent. This project proposes to develop wearable technology to automatically identify life-threatening cardiac arrhythmia, alarm locally, call 911, and report the victim's location to enable responders to provide defibrillation therapy as quickly as possible.

描述（由申请人提供）：仅在美国，猝死（SCD）每年就会导致大约450,000人死亡。大多数致命的SCD事件是由心脏心律不齐的心律不齐（心室心动过速和心室纤颤）引起的，患有和没有鉴定出结构性心脏病的患者。提议的是个人的室内心律失常监测和自动化警报装置，适用于美国成千上万的患者，已知有许多因心律不齐而死亡，但并未被视为具有足够高的长期预防性治疗的可植入型心脏vers骨ver剂疗法的长期风险。目前存在连接到土地线电话并致电服务中心以启动响应的室内心律失常监测和警报设备。不幸的是，对于在户外行走的患者或有不愿心脏骤停风险的汽车中，没有同等设备。拟议的快速警报设备旨在供患者在家中使用，例如在汽车中锻炼或独自旅行，以自动检测心律不齐事件，在当地发出警报，致电911并报告受害者的位置。公共卫生相关性：猝死（SCD）在美国每年约450,000人死亡，代表了流行比例的健康问题。目前，在受害者崩溃后十分钟之后，传统复苏的完全身体和神经系统恢复的可能性非常低，逮捕受害者的总体生存率不到百分之十。该项目建议开发可穿戴技术，以自动识别威胁生命的心律失常，在当地警报，致电911，并报告受害者的位置使响应者能够尽快提供除颤疗法。