skip to main content
Language:
Search Limited to: Search Limited to: Resource type Show Results with: Show Results with: Search type Index

Prediction of atrial fibrillation using a home blood pressure monitor with a high-resolution system

Open heart, 2022-09, Vol.9 (2), p.e002006 [Peer Reviewed Journal]

Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. ;2022 Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2022 ;ISSN: 2053-3624 ;ISSN: 2398-595X ;EISSN: 2053-3624 ;DOI: 10.1136/openhrt-2022-002006 ;PMID: 36170999

Full text available

Citations Cited by
  • Title:
    Prediction of atrial fibrillation using a home blood pressure monitor with a high-resolution system
  • Author: Hiyoshi, Yasunaga ; Hashimoto, Hidenobu ; Kabuki, Takayuki ; Toda, Mikihito ; Sakurada, Harumizu
  • Subjects: Accuracy ; Arrhythmias and Sudden Death ; Asymptomatic ; atrial fibrillation ; Atrial Fibrillation - diagnosis ; Blood pressure ; Blood Pressure Monitors ; Cardiac arrhythmia ; Cardiovascular disease ; Electrocardiography ; electronic health records ; Heart Rate ; Humans ; Hypertension ; Ischemia ; Lighting ; Monitoring systems ; Pacemakers ; Sensitivity and Specificity ; Sinuses ; Stroke
  • Is Part Of: Open heart, 2022-09, Vol.9 (2), p.e002006
  • Description: ObjectiveThe usefulness of screening for atrial fibrillation (AF) using several home blood pressure (BP) monitors has been reported. We evaluated the accuracy of a high-resolution system (HiRS) for AF prediction and its usefulness when installed in home BP monitors.MethodsIn patients with paroxysmal, persistent or permanent AF, ECG recording and BP measurements were performed simultaneously. The relationship between ECG rhythm diagnosis and pulse irregularity recognition, using a home BP monitor with HiRS, was investigated. The severity of a pulse disturbance during BP measurement was displayed as an irregular pulse rhythm symbol (IPRS) in three instances. The IPRS was not displayed if the pulse was regular, turned on if there was a weak variation in the pulse, and blinked if there was a strong variation in the pulse.ResultsOne hundred and seven patients (44 paroxysmal AF, 63 persistent or permanent AF) were enrolled, and a total of 333 recordings were analysed. The rhythms recorded by each ECG were 73 sinus regular rhythms, 35 extrasystoles, 222 AFs and 3 atrial flutters. Sensitivity and specificity for the prediction of any arrhythmia by the IPRS display of the BP monitor were 95.8% (95% CI 92.6% to 97.6%) and 96.8% (95% CI 92.6% to 100%), respectively. In addition, sensitivity and specificity for the prediction of AF were 100% (95% CI 97.5% to 100%) and 74.8% (95% CI 65.6% to 82.5%), respectively. Sensitivity and specificity for the prediction of AF by the IPRS blinking display were 88.3% (95% CI 83.3% to 92.2%) and 94.6% (95% CI 88.6% to 98.0%%), respectively. IPRS exhibited lighting or blinking during AF occurrence; however, during sinus rhythm, IPRS was not displayed in 72 out of 73 recordings.ConclusionThe IPRS device predicted AF with precision and may be particularly useful for predicting an arrhythmia attack in patients with paroxysmal AF.
  • Publisher: England: British Cardiovascular Society
  • Language: English
  • Identifier: ISSN: 2053-3624
    ISSN: 2398-595X
    EISSN: 2053-3624
    DOI: 10.1136/openhrt-2022-002006
    PMID: 36170999
  • Source: BMJ Open Access Journals
    MEDLINE
    PubMed Central
    Alma/SFX Local Collection
    Free E Journals
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
    DOAJ Directory of Open Access Journals
Back to results list
INSPIRE LIBRARY - TON DUC THANG UNIVERSITY (84-028) 37 755 057 Feedback
19 Nguyen Huu Tho St. Dist.7, HCM thuvien@tdtu.edu.vn

Copyright © 2017 INSPIRE LIBRARY - TON DUC THANG UNIVERSITY

Searching Remote Databases, Please Wait