Maselli Monica, Giantin Valter, Corrado Domenico, Franchin Alessandro, Attanasio Francesca, Pengo Valentina, Tramontano Alessandra, De Toni Pietro, Perissinotto Egle, Manzato Enzo
Geriatric Unit, Department of Medicine, University of Padua, Padua, Italy.
Cardiology Division, Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua, Italy.
J Clin Hypertens (Greenwich). 2015 Jul;17(7):558-64. doi: 10.1111/jch.12547. Epub 2015 Apr 9.
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.
自动振荡式血压监测仪在心房颤动（AF）患者中的可靠性研究较少，以往仅比较了不同的房颤患者和窦性心律（SR）患者，且该方法受个体特征影响。本研究比较了振荡式设备A&D TM - 2430（日本东京A&D公司）与汞柱式血压计在电复律（ECV）后恢复窦性心律的房颤患者中的可靠性。在稳定治疗条件下，于电复律前一天及电复律后约30天进行连续三次血压测量。在研究的100例患者中，63例在随访时恢复窦性心律，两种设备测量的收缩压均显著升高，舒张压均显著降低。使用Bland Altman分析，电复律前后收缩压和舒张压偏差均无显著差异（每项P > 0.05）。所分析的振荡式设备采用三次重复测量，在测量房颤患者血压方面是可靠的。
