Automated blood pressure measurement in atrial fibrillation

Stergiou, George S.; Destounis, Antonios; Tzamouranis, D

doi:10.1097/hjh.0b013e32835850d7

Cited by 111 publications

(66 citation statements)

References 26 publications

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“…The results of our study are controversial comparing with recent meta-analysis [18], which analysed 566 patients with AF and showed that automated BP findings were higher than manual. Our study, as the meta-analysis, showed that BP measured with oscillometric device was higher in both AF and SR groups.…”

Section: Discussioncontrasting

confidence: 87%

“…Despite that, recent systematic review and meta–analysis [18] demonstrated that there is limited evidence in studies that validated the automated BP devices in AF. Meta–analysis concluded that oscillometric devices may be suitable for measuring systolic, but not for diastolic BP and may be appropriate for measuring BP at home, but not for office measurement.…”

Section: Introductionmentioning

confidence: 99%

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Auscultatory versus oscillometric blood pressure measurement in patients with atrial fibrillation and arterial hypertension

Šelmytė–Besusparė

Barysienė

Petrikonytė

et al. 2017

BMC Cardiovasc Disord

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BackgroundThe aim of our study was to investigate the reliability of automated oscillometric blood pressure (BP) monitoring in the presence and absence of atrial fibrillation (AF) in hypertensive patients.MethodsBP was measured and compared in 71 randomly selected patients with AF and arterial hypertension diagnosis, 4 times each by auscultatory and oscillometric (Microlife BP A6 PC with AF detection system) methods.ResultsStudy included 71 patients: 36 males (mean age 67.4 years) and 35 females (70.2 years). At the time of BP measuring procedure, 36 patients were in sinus rhythm (SR) and 35 in AF. In SR patients mean systolic blood pressure (SBP) was 132 ± 17.9 mmHg with auscultatory method (AM), 137.4 ± 19.4 mmHg with oscillometric method (OM); mean diastolic BP was 77.1 ± 10.9 mmHg (AM), 78.5 ± 12.2 mmHg (OM), in AF patients mean SBP was 127.5 ± 15.1 mmHg (AM), 133.6 ± 17.4 mmHg (OM); mean diastolic BP was 81.4 ± 9.9 mmHg (AM), 83.5 ± 11.8 mmHg (OM), p = 0.037. The averages of differences for SBP and DBP in sinus rhythm group were (−5.3 mmHg (95% limits of agreement −27.2 – 16.6)) and (−1.4 mmHg (95% limits of agreement −12.8 – 10.0)), respectively. In patients with AF the averages of differences for SBP and DBP were (−6.1 mmHg (95% limits of agreement −23.9 – 11.7)) and (−2.1 mmHg (95% limits of agreement −12.9 – 8.7)), respectively.ConclusionsThe oscillometric device validated for patients with AF on average gives 5.3 mmHg higher systolic BP values for patients with SR and 6.3 mmHg higher BP values for patients with AF. However, the limits of agreement between two methods reveal wide range of random error rates which is a questionable topic in clinical practice, as it could possibly affect the treatment of arterial hypertension in patients with AF.Electronic supplementary materialThe online version of this article (doi:10.1186/s12872-017-0521-6) contains supplementary material, which is available to authorized users.

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Section: Discussioncontrasting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Auscultatory versus oscillometric blood pressure measurement in patients with atrial fibrillation and arterial hypertension

Šelmytė–Besusparė

Barysienė

Petrikonytė

et al. 2017

BMC Cardiovasc Disord

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“…Patients were instructed to continue their regular activities during the recording and go to bed no later than 11 pm . The waking period ranged from 8 am to 10 pm and the sleep period from midnight to 6 am [16]. All individuals were trained to record in a diary the hours during which they were asleep and awake, meals, intake of medications, and symptoms and events that could influence BP during this period.…”

Section: Methodsmentioning

confidence: 99%

Pulmonary vein isolation alone and combined with renal sympathetic denervation in chronic kidney disease patients with refractory atrial fibrillation

Kiuchi

Chen

Silva

et al. 2016

Kidney Research and Clinical Practice

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BackgroundAtrial fibrillation (AF) commonly occurs in association with chronic kidney disease (CKD), resulting in adverse outcomes. Combining pulmonary vein isolation (PVI) and renal sympathetic denervation (RSD) may reduce the recurrence of AF in patients with CKD and hypertension. We considered that RSD could reduce the recurrence of AF in patients with CKD by modulating sympathetic hyperactivity. Our goal was to compare the impact of PVI + RSD with that of PVI alone in patients with concurrent AF and CKD.MethodsThis was a single-center, prospective, longitudinal, randomized, double-blind study. Forty-five patients with controlled hypertension, symptomatic paroxysmal AF and/or persistent AF, stage 2 or 3 CKD, and a dual-chamber pacemaker were enrolled from January 2014 to January 2015. We assessed the 30-second recurrence of AF recorded by the pacemaker, 24-hour ambulatory blood pressure measurements, estimated glomerular filtration rate, albuminuria, echocardiographic parameters, and safety of RSD.ResultsNo patient developed procedural or other complications. The ambulatory blood pressure measurements did not differ within the PVI + RSD group or between the PVI + RSD and PVI groups throughout the study. Significantly more patients in the PVI + RSD group than in the PVI group were free of AF at the 12-month follow-up evaluation. The PVI group had an unacceptable response to ablation with respect to changes in echocardiographic parameters, whereas these parameters improved in the PVI + RSD group.ConclusionPVI + RSD were associated with a lower AF recurrence rate than PVI alone; it also improved renal function and some echocardiographic parameters. These encouraging data will serve as baseline information for further long-term studies on larger patient populations.

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“…Однако, если получено достаточное количество адекватных измерений, то их редактиро-вание необязательно, и удалению подлежат только явно неверные показатели. Следует отметить, что неточные данные могут быть получены при выра-женных нарушениях сердечного ритма [70].…”

Section: таблицаunclassified

2013 Esh/Esc Guidelines for the Management of Arterial Hypertension

Mancia

Fagard²,

Redón³

et al. 2014

Russ J Cardiol

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Авторы/члены рабочей группы: Giuseppe Mancia (сопредседатель; италия)*, Robert Fagard (сопредседатель; бельгия)*, Krzysztof Narkiewicz (координатор секции, Польша), Josep Redón (координатор секции; испания), Alberto Zanchetti (координатор секции, италия), Michael Böhm

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Automated blood pressure measurement in atrial fibrillation

Cited by 111 publications

References 26 publications

Auscultatory versus oscillometric blood pressure measurement in patients with atrial fibrillation and arterial hypertension

Auscultatory versus oscillometric blood pressure measurement in patients with atrial fibrillation and arterial hypertension

Pulmonary vein isolation alone and combined with renal sympathetic denervation in chronic kidney disease patients with refractory atrial fibrillation

2013 Esh/Esc Guidelines for the Management of Arterial Hypertension

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