title: Reliability of Oscillometric Blood Pressure Monitoring in Atrial Fibrillation Patients Admitted for Electric Cardioversion.
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.
authors: Geriatric Unit, Department of Medicine, University of Padua, Padua, Italy.
authors: Monica
authors: M
authors: Maselli
authors: Geriatric Unit, Department of Medicine, University of Padua, Padua, Italy.
authors: Valter
authors: V
authors: Giantin
authors: Cardiology Division, Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua, Italy.
authors: Domenico
authors: D
authors: Corrado
authors: Geriatric Unit, Department of Medicine, University of Padua, Padua, Italy.
authors: Alessandro
authors: A
authors: Franchin
authors: Geriatric Unit, Department of Medicine, University of Padua, Padua, Italy.
authors: Francesca
authors: F
authors: Attanasio
authors: Geriatric Unit, Department of Medicine, University of Padua, Padua, Italy.
authors: Valentina
authors: V
authors: Pengo
authors: Geriatric Unit, Department of Medicine, University of Padua, Padua, Italy.
authors: Alessandra
authors: A
authors: Tramontano
authors: Geriatric Unit, Department of Medicine, University of Padua, Padua, Italy.
authors: Pietro
authors: P
authors: De Toni
authors: Biostatistics Unit, Epidemiology and Public Health Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua, Italy.
authors: Egle
authors: E
authors: Perissinotto
authors: Geriatric Unit, Department of Medicine, University of Padua, National Research Council, Neuroscience Institute, Padua, Italy.
authors: Enzo
authors: E
authors: Manzato
mesh_terms: D000368:Aged; D001281:Atrial Fibrillation / Q000503:physiopathology* / Q000628:therapy*; D001794:Blood Pressure / Q000502:physiology; D018660:Blood Pressure Monitoring, Ambulatory / Q000295:instrumentation* / Q000379:methods / Q000592:standards; D015924:Blood Pressure Monitors; D004554:Electric Countershock / Q000379:methods*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009991:Oscillometry / Q000295:instrumentation*; D011446:Prospective Studies; D015203:Reproducibility of Results; D019722:Sphygmomanometers / Q000592:standards*