Cited by 120Blood Pressure and Hypertension StudiesAtrial Fibrillation Management and OutcomesNon-Invasive Vital Sign Monitoring

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Automated blood pressure measurement in atrial fibrillation: a systematic review and meta-analysis

Stergiou, George S., Kollias, Anastasios, Destounis, Antonios, Tzamouranis, Dimitrios·2012·Journal of Hypertension

DOI 10.1097/hjh.0b013e32835850d7

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Abstract

OBJECTIVE: The measurement of blood pressure in atrial fibrillation is considered as difficult and uncertain, and current guidelines recommend the use of the auscultatory method. The accuracy of automated blood pressure monitors in atrial fibrillation remains controversial. METHOD: A systematic review and meta-analysis was performed of studies comparing automated (oscillometric or automated Korotkov) versus manual auscultatory blood pressure measurements (mercury or aneroid sphygmomanometer) in patients with sustained atrial fibrillation. RESULTS: Twelve validations were analyzed (566 patients; five home, three ambulatory and three office devices). Pooled correlation coefficients between automated and manual blood pressure measurements were stronger for SBP than DBP (r = 0.89 versus 0.76, P < 0.001). Automated measurements were higher than manual measurements [pooled average SBP difference 0.5 mmHg, 95% confidence interval (CI) -0.9, 1.9; DBP 2.5 mmHg, 95%CI -0.6, 5.7). The mean difference was within 5 mmHg in six and four (SBP and DBP, respectively) of six validations. The SD of mean difference was within 8 mmHg in two and three (SBP and DBP, respectively) of four validations. The proportion of absolute automated-manual differences within 5 mmHg was at least 65% in four and two (SBP and DBP, respectively) of eight validations. Three studies showed no impact of heart rate on the automated-manual blood pressure differences. CONCLUSION: There is limited evidence and significant heterogeneity in the studies that validated automated blood pressure monitors in atrial fibrillation. These monitors appear to be accurate in measuring SBP but not DBP. Given that atrial fibrillation is common in the elderly, in whom systolic hypertension is more common and important than diastolic hypertension, automated monitors appear to be appropriate for self-home but not for office measurement.

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Authors: Stergiou, G. S., Kollias, A., Destounis, A., & Tzamouranis, D.
Affiliations: Sotiria General Hospital (GR)
Corresponding author: Stergiou, George S.
ORCID: Stergiou, George S.
Destounis, Antonios
Venue: Journal of Hypertension
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2012-11
Volume: 30
Issue: 11
Pages: 2074-2082
ISSN: 0263-6352 (ISSN-L)
DOI: 10.1097/hjh.0b013e32835850d7
OpenAlex: W1967096675
Cited by: 120
References: 31
Citations by year: 2026: 6 · 2024: 4 · 2023: 4 · 2022: 9 · 2021: 9 · 2020: 10 · 2019: 14 · 2018: 9 · 2017: 15 · 2016: 13 · 2015: 8 · 2014: 6 · 2013: 11 · 2012: 2
FWCI: 5.56
Type: journal article
Language: en
Open access: closed
Locations: Journal of Hypertension (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
Keywords: atrial fibrillation, automated blood pressure measurement, oscillometric blood pressure monitor, auscultatory blood pressure measurement, systolic blood pressure, diastolic blood pressure, measurement accuracy, home blood pressure monitoring, ambulatory blood pressure monitoring, office blood pressure measurement
MeSH terms: Analysis of Variance, Atrial Fibrillation, Automation, Blood Pressure Determination, Heart Rate, Humans, Hypertension, Systole, Reproducibility of Results, Blood Pressure Monitoring, Ambulatory

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Automated blood pressure measurement in atrial fibrillation: a systematic review and meta-analysis

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