PMID- 36170999
OWN - NLM
STAT- MEDLINE
DCOM- 20220930
LR  - 20230628
IS  - 2053-3624 (Print)
IS  - 2053-3624 (Electronic)
IS  - 2053-3624 (Linking)
VI  - 9
IP  - 2
DP  - 2022 Sep
TI  - Prediction of atrial fibrillation using a home blood pressure monitor with a 
      high-resolution system.
LID - 10.1136/openhrt-2022-002006 [doi]
LID - e002006
AB  - OBJECTIVE: The 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. METHODS: In 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. RESULTS: One 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. CONCLUSION: The IPRS device predicted AF with precision and may be 
      particularly useful for predicting an arrhythmia attack in patients with 
      paroxysmal AF.
CI  - (c) 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.
FAU - Hiyoshi, Yasunaga
AU  - Hiyoshi Y
AUID- ORCID: 0000-0002-1503-4612
AD  - Department of Cardiology, Tokyo Metropolitan Ebara Hospital, Ota-ku, Tokyo, Japan 
      yasunaga_hiyoshi@tmhp.jp.
FAU - Hashimoto, Hidenobu
AU  - Hashimoto H
AD  - Department of Cardiology, Tokyo Metropolitan Ebara Hospital, Ota-ku, Tokyo, 
      Japan.
FAU - Kabuki, Takayuki
AU  - Kabuki T
AD  - Department of Cardiology, Tokyo Metropolitan Ebara Hospital, Ota-ku, Tokyo, 
      Japan.
FAU - Toda, Mikihito
AU  - Toda M
AD  - Department of Cardiology, Tokyo Metropolitan Ebara Hospital, Ota-ku, Tokyo, 
      Japan.
FAU - Sakurada, Harumizu
AU  - Sakurada H
AD  - Department of Cardiology, Tokyo Metropolitan Ohkubo Hospital, Shinjuku-ku, Tokyo, 
      Japan.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Open Heart
JT  - Open heart
JID - 101631219
SB  - IM
EIN - Open Heart. 2023 Jun;10(1):. PMID: 37380370
MH  - *Atrial Fibrillation/diagnosis
MH  - Blood Pressure Monitors
MH  - Electrocardiography
MH  - Heart Rate
MH  - Humans
MH  - Sensitivity and Specificity
PMC - PMC9528617
OTO - NOTNLM
OT  - atrial fibrillation
OT  - electrocardiography
OT  - electronic health records
COIS- Competing interests: None declared.
EDAT- 2022/09/29 06:00
MHDA- 2022/10/01 06:00
PMCR- 2022/09/28
CRDT- 2022/09/28 20:43
PHST- 2022/03/04 00:00 [received]
PHST- 2022/09/08 00:00 [accepted]
PHST- 2022/09/28 20:43 [entrez]
PHST- 2022/09/29 06:00 [pubmed]
PHST- 2022/10/01 06:00 [medline]
PHST- 2022/09/28 00:00 [pmc-release]
AID - openhrt-2022-002006 [pii]
AID - 10.1136/openhrt-2022-002006 [doi]
PST - ppublish
SO  - Open Heart. 2022 Sep;9(2):e002006. doi: 10.1136/openhrt-2022-002006.