Use of oscillometric devices in atrial fibrillation: a comparison of three devices and invasive blood pressure measurement.

Détails

ID Serval
serval:BIB_C54D11BC31BC
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Use of oscillometric devices in atrial fibrillation: a comparison of three devices and invasive blood pressure measurement.
Périodique
Blood pressure
Auteur(s)
Halfon M., Wuerzner G., Marques-Vidal P., Taffe P., Vaucher J., Waeber B., Liaudet L., Ltaief Z., Popov M., Waeber G.
ISSN
1651-1999 (Electronic)
ISSN-L
0803-7051
Statut éditorial
Publié
Date de publication
02/2018
Peer-reviewed
Oui
Volume
27
Numéro
1
Pages
48-55
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
The use of automated (oscillometric) blood pressure (BP) devices is not validated in atrial fibrillation (AF) patients.
To assess the reliability of three oscillometric BP devices, and the agreement with invasive arterial blood pressure(IBP) in AF patients.
48 AF patients with randomized sequences of 10 consecutive BP measurements with two pairs of devices: (1) OmronR7™(wrist) and OmronHEM907™(arm); (2) OmronR7™ and Microlife WatchBPhome(arm). Reliability and agreement of each device were assessed by the intra-class correlation coefficient (ICC) for the continuous BP measurements and Bland & Altman methodology, respectively. In 10 additional AF patients, 10 consecutive measurements with IBP and OmronHEM907™, and IBP and Microlife WatchBPhome were performed.
The OmronR7™ was not able to obtain any BP Readings. Arm devices presented better ICC for systolicBP(SBP) than for diastolicBP(DBP) (Omron HEM907™:0.94 [0.90; 0.97] vs. 0.77 [0.67; 0.89]; Microlife WatchBPhome:0.92 [0.88; 0.96] vs.0.79 [0.69; 0.89]).The correlation coefficient between Microlife WatchBPhome and IBP computed using the average of repeated measurements from two to ten measurements improved up to the third and remained stable afterwards. The agreement between IBP and SBP, and IBP and DBP, was moderate as illustrated by a wide limit of agreement [-24; 26](SBP) and [-15;17](DBP) for Microlife WatchBPHome, respectively and [-30; 13](SBP) and [-7; 15](DBP) for OmronHEM907.
BP measurement using the two arm oscillometric devices achieved a high reliability for SBP. The agreement between IBP and arm devices was low but using the average of three consecutive measurements improved the results substantially.
Mots-clé
Aged, Aged, 80 and over, Atrial Fibrillation/diagnosis, Atrial Fibrillation/pathology, Blood Pressure/physiology, Blood Pressure Determination/methods, Female, Humans, Male, Blood pressure, atrial fibrillation, hypertension, invasive blood pressure, limits of agreement, oscillometric device
Pubmed
Web of science
Création de la notice
01/10/2017 16:35
Dernière modification de la notice
15/01/2019 7:26
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