Reliability of Oscillometric Blood Pressure Monitoring in Atrial Fibrillation Patients Admitted for Electric Cardioversion |
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| Authors: | Monica Maselli MD Valter Giantin MD PhD Domenico Corrado MD PhD Alessandro Franchin MD PhD Francesca Attanasio MD Valentina Pengo MD Alessandra Tramontano MD Pietro De Toni MD Egle Perissinotto ScD Enzo Manzato MD PhD |
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| Institution: | 1. Geriatric Unit, Department of Medicine, University of Padua, Padua, Italy;2. Cardiology Division, Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua, Italy;3. Biostatistics Unit, Epidemiology and Public Health Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua, Italy;4. Geriatric Unit, Department of Medicine, University of Padua, National Research Council, Neuroscience Institute, Padua, Italy |
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| Abstract: | The reliability of automated oscillometric blood pressure (BP) monitors in atrial fibrillation (AF) has been poorly investigated, only comparing different patients with AF and sinus rhythm (SR), and is a method influenced by individual characteristics. This study compared the reliability of the oscillometric device A&D TM‐2430 (A&D Company, Tokyo, Japan) with that of a mercury sphygmomanometer in AF patients whose SR was restored after electric cardioversion (ECV). Three consecutive BP measurements were obtained on the day before and about 30 days after ECV in stable treatment conditions. Of the 100 patients studied, 63 reported an SR at follow‐up, with a significant increase in systolic BP and a significant decrease in diastolic BP according to both devices. There were no significant differences between the systolic and diastolic biases before and after ECV using Bland Altman analysis (P > .05 each). The oscillometric device analyzed, using three repeated measurements, is reliable in measuring BP in AF patients. |
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