Blood pressure in atrial fibrillation and in sinus rhythm during ambulatory blood pressure monitoring : data from the TEMPLAR project
© 2023. The Author(s)..
The coexistence of hypertension and atrial fibrillation (AF) is common and accounts for a worse prognosis. Uncertainties exist regarding blood pressure (BP) measurements in AF patients by automated oscillometric devices. The Microlife WatchBP 03 AFIB ambulatory BP monitoring (ABPM) device including an AF algorithm with each measurement was used in 430 subjects aged >65 years referred for ABPM and with assumed paroxysmal AF to perform intra-individual comparisons of BP during both AF-indicated and sinus rhythm. Only subjects with >30% of measurements indicating AF and episodes >30 min for assumed AF and for sinus rhythm were included. Mean age was 78 ± 7 years, 43% were male, 77% hypertensive, and 72% were treated. Compared to sinus rhythm, 24-h mean arterial pressure was similar (87.2 ± 9.5 vs 87.5 ± 10.6 mm Hg, p = 0.47), whereas 24-h systolic BP tended to be lower (123.6 ± 13.9 vs 124.7 ± 16.1 mm Hg, p = 0.05) and night-time diastolic BP higher (64.6 ± 10.9 vs 63.3 ± 10.4 mm Hg, p = 0.01) in assumed AF. Diastolic (not systolic) BP variability was higher in AF (p < 0.001). Results were similar with heart rates <90 and ≥90 bpm. In conclusion, this is the first study to use intra-individual comparisons of averaged BP during an ABPM in assumed paroxysmal AF and sinus rhythm. Our results imply that ABPM is feasible and informative also in patients with AF. We also suggest that an AF detection algorithm offers a new approach to evaluate the reliability of averaged BP values in AF compared to SR during an ABPM.
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:47 |
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| Enthalten in: |
Hypertension research : official journal of the Japanese Society of Hypertension - 47(2024), 2 vom: 07. Feb., Seite 435-444 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lundwall, Kristina [VerfasserIn] |
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| Links: |
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| Themen: |
Ambulatory blood pressure monitoring |
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| Anmerkungen: |
Date Completed 06.02.2024 Date Revised 23.03.2024 published: Print-Electronic CommentIn: Hypertens Res. 2023 Dec 15;:. - PMID 38102216 Citation Status MEDLINE |
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| doi: |
10.1038/s41440-023-01473-x |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM363646590 |
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| 100 | 1 | |a Lundwall, Kristina |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Blood pressure in atrial fibrillation and in sinus rhythm during ambulatory blood pressure monitoring |b data from the TEMPLAR project |
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| 500 | |a Date Completed 06.02.2024 | ||
| 500 | |a Date Revised 23.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: Hypertens Res. 2023 Dec 15;:. - PMID 38102216 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023. The Author(s). | ||
| 520 | |a The coexistence of hypertension and atrial fibrillation (AF) is common and accounts for a worse prognosis. Uncertainties exist regarding blood pressure (BP) measurements in AF patients by automated oscillometric devices. The Microlife WatchBP 03 AFIB ambulatory BP monitoring (ABPM) device including an AF algorithm with each measurement was used in 430 subjects aged >65 years referred for ABPM and with assumed paroxysmal AF to perform intra-individual comparisons of BP during both AF-indicated and sinus rhythm. Only subjects with >30% of measurements indicating AF and episodes >30 min for assumed AF and for sinus rhythm were included. Mean age was 78 ± 7 years, 43% were male, 77% hypertensive, and 72% were treated. Compared to sinus rhythm, 24-h mean arterial pressure was similar (87.2 ± 9.5 vs 87.5 ± 10.6 mm Hg, p = 0.47), whereas 24-h systolic BP tended to be lower (123.6 ± 13.9 vs 124.7 ± 16.1 mm Hg, p = 0.05) and night-time diastolic BP higher (64.6 ± 10.9 vs 63.3 ± 10.4 mm Hg, p = 0.01) in assumed AF. Diastolic (not systolic) BP variability was higher in AF (p < 0.001). Results were similar with heart rates <90 and ≥90 bpm. In conclusion, this is the first study to use intra-individual comparisons of averaged BP during an ABPM in assumed paroxysmal AF and sinus rhythm. Our results imply that ABPM is feasible and informative also in patients with AF. We also suggest that an AF detection algorithm offers a new approach to evaluate the reliability of averaged BP values in AF compared to SR during an ABPM | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Ambulatory blood pressure monitoring | |
| 650 | 4 | |a Atrial fibrillation | |
| 650 | 4 | |a Hypertension | |
| 650 | 4 | |a Intra individual comparisons | |
| 650 | 4 | |a Sinus rhythm | |
| 700 | 1 | |a Kahan, Thomas |e verfasserin |4 aut | |
| 700 | 1 | |a Omboni, Stefano |e verfasserin |4 aut | |
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