Agreement analysis of oscillometric devices in the measure of resting heart rate in breast cancer survivors

Palma, Mariana Romanholi; Vanderlei, Luiz Carlos Marques; Ribeiro, Fernanda Elisa; Andrade, Rafaela Campos; Fregonesi, Cristina Elena Prado Teles; Júnior, Ismael Forte Freitas; Christófaro, Diego Giulliano Destro

doi:10.1097/mbp.0000000000000303

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…First, RHR measurements were obtained by a nurse or nurse assistant using electronic or automated oscillometric sphygmomanometers rather than an echocardiogram. However, oscillometric devices have shown good agreement with cardiac monitors in RHR measurement for patients with cancer and reflect clinical practice [24]. Second, although we carefully evaluated medication status, which might influence RHR, we cannot completely rule out the possible confounding effects of individual lifestyle-related factors, including diet, physical activity, and smoking.…”

Section: Discussionmentioning

confidence: 99%

Association between Resting Heart Rate and Oncological Outcomes in Patients with Early-Stage Cervical Cancer Who Have Undergone Radical Hysterectomy with Pelvic Lymphadenectomy

Dhanaworavibul¹,

Leetanaporn²,

Wattanapaisal³

et al. 2023

Oncol Res Treat

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Introduction: A few studies have explored the association of resting heart rate (RHR) with mortality and/or other oncological outcomes in patients with specific cancers such as breast, colorectal, and lung cancer. This study aimed to evaluate the association between the RHR and oncological outcomes in patients with early-stage cervical cancer (CC) who underwent radical surgical resection. Methods: We included 622 patients with early-stage CC (stage IA2–IB1). The patients were divided into four groups based on the RHR as follows: quartile 1, ≤ 64; quartile 2, 65–70; quartile 3, 71–76; and quartile 4, >76 beats per min [bpm], with the lowest quartile being the reference group. We evaluated the associations of the RHR and clinicopathological features with oncological outcomes using Cox proportional-hazards regression. Results: There were clear among-group differences. Further, there was a significant positive correlation of RHR with tumor size and deep stromal invasion. Multivariate analysis revealed that RHR was an independent prognostic factor for disease-free survival (DFS) and overall survival (OS). Compared with patients with an RHR ≤ 70 bpm, those with an RHR of 71–76 bpm had a 1.84- and 3.05-times higher likelihood of DFS (p = 0.016) and OS (p = 0.030), respectively, while those with RHR > 76 bpm had a 2.20-times higher likelihood of DFS (p = 0.016). Conclusion: This is the first study to demonstrate that RHR may be an independent prognostic factor for oncological outcomes in patients with CC.

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Section: Discussionmentioning

confidence: 99%

Association between Resting Heart Rate and Oncological Outcomes in Patients with Early-Stage Cervical Cancer Who Have Undergone Radical Hysterectomy with Pelvic Lymphadenectomy

Dhanaworavibul¹,

Leetanaporn²,

Wattanapaisal³

et al. 2023

Oncol Res Treat

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“…In a previous study, Palma et al [16] tested the reliability of the Omron HEM 742, an oscillometric electronic arm device, in a group of women. The authors found good agreement between HR measured with the oscillometric device and HR obtained with the Polar RS800 CX, a device whose reliability for measuring HR had been questioned by several authors [17,18].…”

Section: Discussionmentioning

confidence: 99%

Accuracy of the oscillometric method for the measurement of heart rate at rest and during mild exercise

Palatini

Lazzaretto

Fontana

et al. 2021

Journal of Hypertension

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Objective: Whether oscillometric devices provide accurate measurements of heart rate (HR) is not known. Our aim was to determine the accuracy of an oscillometric device for the measurement of HR during rest and exercise. Methods:The Microlife WatchBP O3, a monitor previously validated for blood pressure measurement, was tested in 36 individuals from the general population (mean age, 72.9 years; 18 men). HR was measured at rest and during stress testing on a cycle ergometer in order to increase HR by 15% or more. HR was computed from the oscillometric waves recorded during the deflation phase of the blood pressure measurement and was compared with HR measured by pulse palpation by two observers.Results: At rest, the mean device-observer HR difference was 0.9 AE 2.1 bpm. During exercise, the average HR increase was 20.3% and the mean device-observer difference was 0.6 AE 2.6 bpm. The device-observer HR differences were all included within AE6 bpm both at rest and during exercise. Kappa statistics showed a very good agreement between device and observers both at rest (kappa scores, 0.82-0.88) and during exercise (kappa scores, 0.81 and 0.86). The device-observer HR differences were unrelated to the level of HR or to pulse pressure. Conclusion:The present study shows that the oscillometric technique is able to provide reliable HR measurements during rest and mild exercise. Whether evaluation of HR performance should be included during validation testing of automatic monitors should be established by regulatory bodies.

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“…The blood pressure and resting heart rate were measured using an Omron HEM 742 (Omron Healthcare Co, Kyoto, Japan) electronic and digital arm device 16 . These parameters were obtained at rest in each individual in a seated position.…”

Section: Methodsmentioning

confidence: 99%

Association Between Physical Activity Levels in Different Domains and Cardiac Autonomic Modulation in Breast Cancer Survivors

et al. 2022

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Background: Breast cancer survivors frequently present cardiac autonomic dysfunction. Physical activity (PA) has been associated with better cardiac autonomic modulation (CAM) in breast cancer survivors. Objective: This study aimed to analyze the association between CAM and PA levels performed in different domains (work and occupation, sport and exercise, and leisure time and commuting) in breast cancer survivors. Methods: This is a cross-sectional study with 99 breast cancer survivors (age, 55.3 ± 10.4 years). Cardiac autonomic modulation was assessed by heart rate variability, and PA levels at work and occupation, sport and exercise, and leisure time and commuting were assessed using the Baecke PA questionnaire. The sum of these 3 domains provided the total PA. The Mann-Whitney test was used to compare CAM between active and inactive women in different domains of PA. Results: Cardiac autonomic modulation was similar between active and inactive women in the different domains (P > .05). However, when considering the total PA, active breast cancer

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Agreement analysis of oscillometric devices in the measure of resting heart rate in breast cancer survivors

Abstract: The present study showed that the oscillometric device used presented good values of reproducibility in the detection of RHR values in breast cancer survivors compared with a cardiac monitor.

Cited by 3 publications

References 17 publications

Association between Resting Heart Rate and Oncological Outcomes in Patients with Early-Stage Cervical Cancer Who Have Undergone Radical Hysterectomy with Pelvic Lymphadenectomy

Association between Resting Heart Rate and Oncological Outcomes in Patients with Early-Stage Cervical Cancer Who Have Undergone Radical Hysterectomy with Pelvic Lymphadenectomy

Accuracy of the oscillometric method for the measurement of heart rate at rest and during mild exercise

Association Between Physical Activity Levels in Different Domains and Cardiac Autonomic Modulation in Breast Cancer Survivors

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