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Diagnostic Value of Atrial Fibrillation by Built-in Electrocardiogram Technology in a Blood Pressure Monitor
Background: Hypertension in patients with atrial fibrillation (AF) is a known independent risk factor for stroke. The Complete blood pressure (BP) monitor (Omron Healthcare, Kyoto, Japan) was developed as the first BP monitor with electrocardiogram (ECG) capability in a single device to simultaneous...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Circulation Society
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7932817/ https://www.ncbi.nlm.nih.gov/pubmed/33693251 http://dx.doi.org/10.1253/circrep.CR-20-0032 |
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author | Senoo, Keitaro Miki, Tomonori Okura, Takashi Shiraishi, Hirokazu Shirayama, Takeshi Inoue, Keiji Sakatani, Tomohiko Kakita, Ken Hattori, Tetsuhisa Nakai, Kentaro Ikeda, Takanori Matoba, Satoaki |
author_facet | Senoo, Keitaro Miki, Tomonori Okura, Takashi Shiraishi, Hirokazu Shirayama, Takeshi Inoue, Keiji Sakatani, Tomohiko Kakita, Ken Hattori, Tetsuhisa Nakai, Kentaro Ikeda, Takanori Matoba, Satoaki |
author_sort | Senoo, Keitaro |
collection | PubMed |
description | Background: Hypertension in patients with atrial fibrillation (AF) is a known independent risk factor for stroke. The Complete blood pressure (BP) monitor (Omron Healthcare, Kyoto, Japan) was developed as the first BP monitor with electrocardiogram (ECG) capability in a single device to simultaneously monitor ECG and BP readings. This study investigated whether the Complete can accurately differentiate sinus rhythm (SR) from AF during BP measurement. Methods and Results: Fifty-six consecutive patients with persistent AF admitted for catheter ablation were enrolled in the study (mean age 65.8 years; 83.9% male). In all patients, 12-lead ECGs and simultaneous Complete recordings were acquired before and after ablation. The Complete interpretations were compared with physician-reviewed ECGs, whereas Complete recordings were reviewed by cardiologists in a blinded manner and compared with ECG interpretations. Sensitivity, specificity, and κ coefficient were also determined. In all, 164 Complete and ECG recordings were simultaneously acquired from the 56 patients. After excluding unclassified recordings, the Complete automated algorithm performed well, with 100% sensitivity, 86% specificity, and a κ coefficient of 0.87 compared with physician-interpreted ECGs. Physician-interpreted Complete recordings performed well, with 99% sensitivity, 85% specificity, and a κ coefficient of 0.85 compared with physician-interpreted ECGs. Conclusions: The Complete, which combines BP and ECG monitoring, can accurately differentiate SR from AF during BP measurement. |
format | Online Article Text |
id | pubmed-7932817 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Japanese Circulation Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-79328172021-03-09 Diagnostic Value of Atrial Fibrillation by Built-in Electrocardiogram Technology in a Blood Pressure Monitor Senoo, Keitaro Miki, Tomonori Okura, Takashi Shiraishi, Hirokazu Shirayama, Takeshi Inoue, Keiji Sakatani, Tomohiko Kakita, Ken Hattori, Tetsuhisa Nakai, Kentaro Ikeda, Takanori Matoba, Satoaki Circ Rep Original article Background: Hypertension in patients with atrial fibrillation (AF) is a known independent risk factor for stroke. The Complete blood pressure (BP) monitor (Omron Healthcare, Kyoto, Japan) was developed as the first BP monitor with electrocardiogram (ECG) capability in a single device to simultaneously monitor ECG and BP readings. This study investigated whether the Complete can accurately differentiate sinus rhythm (SR) from AF during BP measurement. Methods and Results: Fifty-six consecutive patients with persistent AF admitted for catheter ablation were enrolled in the study (mean age 65.8 years; 83.9% male). In all patients, 12-lead ECGs and simultaneous Complete recordings were acquired before and after ablation. The Complete interpretations were compared with physician-reviewed ECGs, whereas Complete recordings were reviewed by cardiologists in a blinded manner and compared with ECG interpretations. Sensitivity, specificity, and κ coefficient were also determined. In all, 164 Complete and ECG recordings were simultaneously acquired from the 56 patients. After excluding unclassified recordings, the Complete automated algorithm performed well, with 100% sensitivity, 86% specificity, and a κ coefficient of 0.87 compared with physician-interpreted ECGs. Physician-interpreted Complete recordings performed well, with 99% sensitivity, 85% specificity, and a κ coefficient of 0.85 compared with physician-interpreted ECGs. Conclusions: The Complete, which combines BP and ECG monitoring, can accurately differentiate SR from AF during BP measurement. The Japanese Circulation Society 2020-05-27 /pmc/articles/PMC7932817/ /pubmed/33693251 http://dx.doi.org/10.1253/circrep.CR-20-0032 Text en Copyright © 2020, THE JAPANESE CIRCULATION SOCIETY This article is licensed under a Creative Commons [Attribution-NonCommercial-NoDerivatives 4.0 International] license.https://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Original article Senoo, Keitaro Miki, Tomonori Okura, Takashi Shiraishi, Hirokazu Shirayama, Takeshi Inoue, Keiji Sakatani, Tomohiko Kakita, Ken Hattori, Tetsuhisa Nakai, Kentaro Ikeda, Takanori Matoba, Satoaki Diagnostic Value of Atrial Fibrillation by Built-in Electrocardiogram Technology in a Blood Pressure Monitor |
title | Diagnostic Value of Atrial Fibrillation by Built-in Electrocardiogram Technology in a Blood Pressure Monitor |
title_full | Diagnostic Value of Atrial Fibrillation by Built-in Electrocardiogram Technology in a Blood Pressure Monitor |
title_fullStr | Diagnostic Value of Atrial Fibrillation by Built-in Electrocardiogram Technology in a Blood Pressure Monitor |
title_full_unstemmed | Diagnostic Value of Atrial Fibrillation by Built-in Electrocardiogram Technology in a Blood Pressure Monitor |
title_short | Diagnostic Value of Atrial Fibrillation by Built-in Electrocardiogram Technology in a Blood Pressure Monitor |
title_sort | diagnostic value of atrial fibrillation by built-in electrocardiogram technology in a blood pressure monitor |
topic | Original article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7932817/ https://www.ncbi.nlm.nih.gov/pubmed/33693251 http://dx.doi.org/10.1253/circrep.CR-20-0032 |
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