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Different impact factors for accurate oscillometric blood pressure measurement between sinus rhythm and atrial fibrillation

Journal of Human Hypertension volume 35, pages 785–790 (2021)Cite this article

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A Correction to this article was published on 30 July 2021

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Abstract

This study was conducted to evaluate whether the impact factor on the accuracy of oscillometric blood pressure (BP) is different between the patients with atrial affiliation (AF) and sinus rhythm (SR). This study included 124 AF patients and 98 SR patients who underwent coronary arteriography. Upper arm oscillometric and intro-aortic BP were simultaneously measured three times, and the averages were recorded as final values, respectively. The difference between oscillometric and intro-aortic BP was recorded as delta BP. For reducing the influence of baseline BP on delta BP, a percentage difference (PD-BP) was calculated with the formula: PD-BP = delta BP/intro-aortic BP × 100%. The oscillometric SBP and DBP levels slightly underestimated intro-aortic BP (by 2.2/1.6 mmHg) in the SR group, but significantly underestimated (by 5.8/4.8 mmHg) in the AF group. Age was negatively correlated with delta SBP and positively with delta DBP in SR patients, but not correlated in AF patients. Otherwise, ventricular rate (VR) was negatively correlated with delta SBP or delta DBP in AF, which indicated that the accuracy of oscillometric BP declined as the VR increased. With intro-aortic BP as reference, the accuracy of oscillometric BP in AF patients is lower than SR patients. Meanwhile, age may impact the oscillometric BP accuracy in SR patients, but VR may impact that in AF patients.

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Fig. 1: Linear relationship between delta BP and age or VR in SR or AF patients.

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Acknowledgements

The authors appreciate all the participants and their relatives in the study and the members of the survey teams in the Second Affiliated Hospital of Nanchang University.

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  1. These authors contributed equally: Feng Xie, Jinsong Xu, Huan Liu

Authors and Affiliations

  1. Department of Cardiovascular Medicine, The Second Affiliated Hospital of Nanchang University, Nanchang, China

    Feng Xie, Jinsong Xu, Huan Liu, Xiaozhong Li, Yanqing Wu & Hai Su

  2. Department of Cardiovascular Medicine, Pingxiang People’s Hospital, Jiangxi, China

    Feng Xie

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  1. Feng Xie
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Correspondence to Hai Su.

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Xie, F., Xu, J., Liu, H. et al. Different impact factors for accurate oscillometric blood pressure measurement between sinus rhythm and atrial fibrillation. J Hum Hypertens 35, 785–790 (2021). https://doi.org/10.1038/s41371-021-00512-9

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