Atrial fibrillation influences automatic oscillometric ankle-brachial index measurement

INTRODUCTION: Repeated measurements of ankle-brachial index (ABI) using Doppler method were shown to be accurate during atrial fibrillation. Oscillometric devices are effective in ABI measurement, but their accuracy during atrial fibrillation is unknown. The purpose of the study was to investigate w...

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Autores principales: Dąbrowski, Michał, Lewandowski, Jacek, Szmigielski, Cezary, Siński, Maciej
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8130470/
https://www.ncbi.nlm.nih.gov/pubmed/34025831
http://dx.doi.org/10.5114/aoms.2018.75891
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author Dąbrowski, Michał
Lewandowski, Jacek
Szmigielski, Cezary
Siński, Maciej
author_facet Dąbrowski, Michał
Lewandowski, Jacek
Szmigielski, Cezary
Siński, Maciej
author_sort Dąbrowski, Michał
collection PubMed
description INTRODUCTION: Repeated measurements of ankle-brachial index (ABI) using Doppler method were shown to be accurate during atrial fibrillation. Oscillometric devices are effective in ABI measurement, but their accuracy during atrial fibrillation is unknown. The purpose of the study was to investigate whether atrial fibrillation influences ABI obtained with the automatic oscillometric method. MATERIAL AND METHODS: Ninety-nine patients with atrial fibrillation (mean age: 66.6 +(SD = 11) years, M/F − 63/36) who underwent electrical cardioversion were investigated (198 lower extremities). The ABI measurements using oscillometric and Doppler methods were performed on both lower extremities before and after procedure. RESULTS: The ABI measured using the oscillometric method on both lower limbs did not change after cardioversion (1.21 (IQR: 1.13−1.27) vs. 1.22 (IQR: 1.14−1.26), p = 0.664, respectively). The ABI measured before and after cardioversion using Doppler and oscillometric methods showed a significant difference (1.14 (IQR: 1.07−1.22) vs. 1.21 (IQR: 1.13−1.27), p < 0.001 and 1.18 (IQR: 1.09−1.13) vs. 1.22 (IQR: 1.14−1.26), p < 0.001 respectively). Both methods showed a weak correlation before (r = 0.35, p < 0.001) and no correlation after cardioversion (r = 0.12, p = 0.07). The Bland-Altman plot showed poor agreement between measurements performed with the Doppler and oscillometric methods in sinus rhythm and during atrial fibrillation. CONCLUSIONS: The automated oscillometric method of ABI measurements should not replace the reference Doppler method in patients with atrial fibrillation. More research related to the oscillometric measurements is needed in subjects with peripheral artery disease and atrial fibrillation.
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spelling pubmed-81304702021-05-21 Atrial fibrillation influences automatic oscillometric ankle-brachial index measurement Dąbrowski, Michał Lewandowski, Jacek Szmigielski, Cezary Siński, Maciej Arch Med Sci Clinical Research INTRODUCTION: Repeated measurements of ankle-brachial index (ABI) using Doppler method were shown to be accurate during atrial fibrillation. Oscillometric devices are effective in ABI measurement, but their accuracy during atrial fibrillation is unknown. The purpose of the study was to investigate whether atrial fibrillation influences ABI obtained with the automatic oscillometric method. MATERIAL AND METHODS: Ninety-nine patients with atrial fibrillation (mean age: 66.6 +(SD = 11) years, M/F − 63/36) who underwent electrical cardioversion were investigated (198 lower extremities). The ABI measurements using oscillometric and Doppler methods were performed on both lower extremities before and after procedure. RESULTS: The ABI measured using the oscillometric method on both lower limbs did not change after cardioversion (1.21 (IQR: 1.13−1.27) vs. 1.22 (IQR: 1.14−1.26), p = 0.664, respectively). The ABI measured before and after cardioversion using Doppler and oscillometric methods showed a significant difference (1.14 (IQR: 1.07−1.22) vs. 1.21 (IQR: 1.13−1.27), p < 0.001 and 1.18 (IQR: 1.09−1.13) vs. 1.22 (IQR: 1.14−1.26), p < 0.001 respectively). Both methods showed a weak correlation before (r = 0.35, p < 0.001) and no correlation after cardioversion (r = 0.12, p = 0.07). The Bland-Altman plot showed poor agreement between measurements performed with the Doppler and oscillometric methods in sinus rhythm and during atrial fibrillation. CONCLUSIONS: The automated oscillometric method of ABI measurements should not replace the reference Doppler method in patients with atrial fibrillation. More research related to the oscillometric measurements is needed in subjects with peripheral artery disease and atrial fibrillation. Termedia Publishing House 2019-07-12 /pmc/articles/PMC8130470/ /pubmed/34025831 http://dx.doi.org/10.5114/aoms.2018.75891 Text en Copyright: © 2019 Termedia & Banach https://creativecommons.org/licenses/by-nc-sa/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Clinical Research
Dąbrowski, Michał
Lewandowski, Jacek
Szmigielski, Cezary
Siński, Maciej
Atrial fibrillation influences automatic oscillometric ankle-brachial index measurement
title Atrial fibrillation influences automatic oscillometric ankle-brachial index measurement
title_full Atrial fibrillation influences automatic oscillometric ankle-brachial index measurement
title_fullStr Atrial fibrillation influences automatic oscillometric ankle-brachial index measurement
title_full_unstemmed Atrial fibrillation influences automatic oscillometric ankle-brachial index measurement
title_short Atrial fibrillation influences automatic oscillometric ankle-brachial index measurement
title_sort atrial fibrillation influences automatic oscillometric ankle-brachial index measurement
topic Clinical Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8130470/
https://www.ncbi.nlm.nih.gov/pubmed/34025831
http://dx.doi.org/10.5114/aoms.2018.75891
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