Accuracy of oscillometric blood pressure monitors for the detection of atrial fibrillation: a systematic review

Willem J. Verberk; Peter W. de Leeuw

doi:10.1586/ERD.12.46

Accuracy of oscillometric blood pressure monitors for the detection of atrial fibrillation: a systematic review

Willem J. Verberk^*, Peter W. de Leeuw

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Atrial fibrillation (AF) is a significant risk factor for stroke and early detection of AF may help to identify patients in need of treatment. Automated blood pressure (BP) monitors with implemented AF or arrhythmia detection systems may be a useful tool for early diagnosis of AF. A systematic review (Medline/PubMed, Embase, Cochrane) of studies was performed to assess the accuracy of modified BP monitors (for diagnosing AF). A total of five studies (four tests in the physician's office and one at home) were selected. For the most accurate AF detection, three sequential BP measurements should be performed. Direct comparison against a 12-lead ECG showed that the highest sensitivity, 97% (95% CI: 94-100%), for detecting AF was obtained when three readings were assessed with two or three AF-positive readings. The highest specificity (97%) was obtained when performing three measurements, of which all three must be AF positive. The modified BP monitor (Microlife Corporation, Taipei, Taiwan) has high potential in improving AF screening.

Original language	English
Pages (from-to)	635-640
Journal	Expert Review of Medical Devices
Volume	9
Issue number	6
DOIs	https://doi.org/10.1586/ERD.12.46
Publication status	Published - Nov 2012

Keywords

arrhythmia
atrial fibrillation
blood pressure measurement
oscillometric blood pressure monitor
primary care
screening
stroke

Access to Document

10.1586/ERD.12.46

Cite this

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title = "Accuracy of oscillometric blood pressure monitors for the detection of atrial fibrillation: a systematic review",

abstract = "Atrial fibrillation (AF) is a significant risk factor for stroke and early detection of AF may help to identify patients in need of treatment. Automated blood pressure (BP) monitors with implemented AF or arrhythmia detection systems may be a useful tool for early diagnosis of AF. A systematic review (Medline/PubMed, Embase, Cochrane) of studies was performed to assess the accuracy of modified BP monitors (for diagnosing AF). A total of five studies (four tests in the physician's office and one at home) were selected. For the most accurate AF detection, three sequential BP measurements should be performed. Direct comparison against a 12-lead ECG showed that the highest sensitivity, 97% (95% CI: 94-100%), for detecting AF was obtained when three readings were assessed with two or three AF-positive readings. The highest specificity (97%) was obtained when performing three measurements, of which all three must be AF positive. The modified BP monitor (Microlife Corporation, Taipei, Taiwan) has high potential in improving AF screening.",

keywords = "arrhythmia, atrial fibrillation, blood pressure measurement, oscillometric blood pressure monitor, primary care, screening, stroke",

author = "Verberk, {Willem J.} and {de Leeuw}, {Peter W.}",

year = "2012",

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AU - de Leeuw, Peter W.

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N2 - Atrial fibrillation (AF) is a significant risk factor for stroke and early detection of AF may help to identify patients in need of treatment. Automated blood pressure (BP) monitors with implemented AF or arrhythmia detection systems may be a useful tool for early diagnosis of AF. A systematic review (Medline/PubMed, Embase, Cochrane) of studies was performed to assess the accuracy of modified BP monitors (for diagnosing AF). A total of five studies (four tests in the physician's office and one at home) were selected. For the most accurate AF detection, three sequential BP measurements should be performed. Direct comparison against a 12-lead ECG showed that the highest sensitivity, 97% (95% CI: 94-100%), for detecting AF was obtained when three readings were assessed with two or three AF-positive readings. The highest specificity (97%) was obtained when performing three measurements, of which all three must be AF positive. The modified BP monitor (Microlife Corporation, Taipei, Taiwan) has high potential in improving AF screening.

AB - Atrial fibrillation (AF) is a significant risk factor for stroke and early detection of AF may help to identify patients in need of treatment. Automated blood pressure (BP) monitors with implemented AF or arrhythmia detection systems may be a useful tool for early diagnosis of AF. A systematic review (Medline/PubMed, Embase, Cochrane) of studies was performed to assess the accuracy of modified BP monitors (for diagnosing AF). A total of five studies (four tests in the physician's office and one at home) were selected. For the most accurate AF detection, three sequential BP measurements should be performed. Direct comparison against a 12-lead ECG showed that the highest sensitivity, 97% (95% CI: 94-100%), for detecting AF was obtained when three readings were assessed with two or three AF-positive readings. The highest specificity (97%) was obtained when performing three measurements, of which all three must be AF positive. The modified BP monitor (Microlife Corporation, Taipei, Taiwan) has high potential in improving AF screening.

KW - arrhythmia

KW - atrial fibrillation

KW - blood pressure measurement

KW - oscillometric blood pressure monitor

KW - primary care

KW - screening

KW - stroke

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