Blood pressure measurement in patients with rate controlled atrial fibrillation using mercury sphygmomanometer and Omron HEM-750CP deice in the clinic setting

Jani, Binita; Bulpitt, Christopher J.; Rajkumar, C.

doi:10.1038/sj.jhh.1002016

Cited by 29 publications

(31 citation statements)

References 12 publications

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“…The authors concluded that validated oscillometric automated blood pressure monitors may be used in patients with AF. 6,7 How can it be explained that AF increased the within-subject variability of oscillometric measurements without affecting accuracy in the Bland-Altmann analysis? First, the increase in variability was rather modest (≤2.5 mm Hg).…”

Section: Discussionmentioning

confidence: 99%

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Impact of Atrial Fibrillation on the Accuracy of Oscillometric Blood Pressure Monitoring

Pagonas

Schmidt²,

Eysel³

et al. 2013

Hypertension

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Abstract-The introduction of automated oscillometric blood pressure monitors was the basis for today's widespread use of blood pressure self-measurement. However, in atrial fibrillation, there is a controversial debate on the use of oscillometry because there is a high variability of heart rate and stroke volume. To date, the accuracy of oscillometric blood pressure monitoring in atrial fibrillation has only been investigated using auscultatory sphygmomanometry as reference method, which may be biased by arrhythmia as well. We performed a cross-sectional study in 102 patients (52 sinus rhythm, 50 atrial fibrillation) assessing the accuracy of an automated and validated oscillometric upper arm (M5 Professional, Omron) and wrist device (R5 Professional, Omron) to invasively assessed arterial pressure. Blood pressure values were calculated as the mean of 3 consecutive measurements. Systolic and diastolic blood pressure did not significantly differ in patients with sinus rhythm and atrial fibrillation, independent of the method of measurement (P>0.05 each). The within-subject variability of the oscillometric measurements was higher in patients with atrial fibrillation compared with sinus rhythm (P<0.01 each). The biases of systolic and diastolic blood pressure, however, did not significantly differ in presence or absence of atrial fibrillation in Bland-Altmann analysis (P>0.05 each). In conclusion, atrial fibrillation did not significantly affect the accuracy of oscillometric measurements, if 3 repeated measurements were performed. (Hypertension. 2013;62:579-584.)

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Section: Discussionmentioning

confidence: 99%

“…[6][7][8] A recent meta-analysis indicated that oscillometric measurements can detect systolic, but not diastolic, pressure in a sufficiently accurate manner compared with auscultatory sphygmomanometry. 9 However, in all previous reports, sphygmomanometry was used as reference technique.…”

mentioning

confidence: 99%

Impact of Atrial Fibrillation on the Accuracy of Oscillometric Blood Pressure Monitoring

Pagonas

Schmidt²,

Eysel³

et al. 2013

Hypertension

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show abstract

“…Apart from the blood pressure measurement issues, 14,15 the ESC/ESH guideline notes selective publication of several trials indicating perhaps a specific role for ARB in the control of this phenomenon. However, the nature of this interesting linkage requires further study as most evidence has failed to compare the inclusion of an equivalent blood pressure-lowering strategy, and certainly a similar impact appears to be prevalent with ACEI use.…”

Section: Continuing Gaps In Knowledgementioning

confidence: 99%

The 2007 revised ESC/ESH Guidelines in the management of hypertension: clarifying individual patient care

2007

J Hum Hypertens

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“…Generally, there is no universally accepted method of BP measurement in patients with arrhythmias, and BP devices vary greatly in their ability to measure BP accurately [147,148]. In particular, BP measurement is virtually impossible with oscillometric devices, whose software is, in most cases, unable to compute SBP and DBP values accurately, especially in case of atrial fibrillation, unless heart rate is adequately controlled by treatment.…”

Section: Patients With Arrhythmiasmentioning

confidence: 99%

European Society of Hypertension guidelines for blood pressure monitoring at home: a summary report of the Second International Consensus Conference on Home Blood Pressure Monitoring

Parati

Stergiou²,

Asmar

et al. 2008

Journal of Hypertension

747

646

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Blood pressure measurement in patients with rate controlled atrial fibrillation using mercury sphygmomanometer and Omron HEM-750CP deice in the clinic setting

Cited by 29 publications

References 12 publications

Impact of Atrial Fibrillation on the Accuracy of Oscillometric Blood Pressure Monitoring

Impact of Atrial Fibrillation on the Accuracy of Oscillometric Blood Pressure Monitoring

The 2007 revised ESC/ESH Guidelines in the management of hypertension: clarifying individual patient care

European Society of Hypertension guidelines for blood pressure monitoring at home: a summary report of the Second International Consensus Conference on Home Blood Pressure Monitoring

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