Agreement between resting heart rate measured by unattended automated office and office blood pressure measurement, ambulatory blood pressure monitoring, or electrocardiography.

Autor: Sobieraj P; Department of Internal Medicine and Vascular Diseases, Medical University of Warsaw, Warsaw, Poland., Leśniewski M; Department of Internal Medicine and Vascular Diseases, Medical University of Warsaw, Warsaw, Poland., Sawicka A; Department of Internal Medicine and Vascular Diseases, Medical University of Warsaw, Warsaw, Poland., Siński M; Department of Internal Medicine and Vascular Diseases, Medical University of Warsaw, Warsaw, Poland., Lewandowski J; Department of Internal Medicine and Vascular Diseases, Medical University of Warsaw, Warsaw, Poland.
Jazyk: angličtina
Zdroj: Journal of clinical hypertension (Greenwich, Conn.) [J Clin Hypertens (Greenwich)] 2024 Oct 16. Date of Electronic Publication: 2024 Oct 16.
DOI: 10.1111/jch.14892
Abstrakt: The application of unattended blood pressure measurement (uAOBPM) for resting heart rate (RHR) assessment is unknown. To assess the agreement between RHR measured during uAOBPM and other methods, the authors conducted a comparability study with office blood pressure measurement (OBPM), ambulatory blood pressure monitoring (ABPM), and electrocardiogram (ECG) in a group of 110 participants referred for ABPM. RHR measured with uAOBPM (70.8 ± 12.5 bpm) was significantly lower than OBPM (72.8 ± 12.6 bpm) but higher than measured by 24 h ABPM (67.5 ± 10.2 bpm). There was no significant difference was found between RHR measured by uAOBPM and daytime ABPM (70.3 ± 11.2 bpm) or ECG (69.1 ± 11.6 bpm). Using Bland-Altman statistics, the authors discovered a small difference in agreement between RHR measured by uAOBPM and daytime ABPM (bias: 0.4 with 95% confidence interval: -0.8 to 1.6 bpm), with a poorer agreement with OBPM (bias -2 with 95% confidence interval: -2.8 to -1.3 bpm) and ECG (bias 1.6 with 95% confidence interval: 0.5 to 2.7 bpm). The authors found significant agreement between uAOBPM and ECG in identifying subjects with RHR > 80 bpm OBPM, with Cohen's kappa coefficients of 0.783 and 0.671, respectively. Their findings indicate that RHR measured with uAOBPM remains in acceptable agreement with OBPM, ABPM, and ECG, the best agreement obtained with RHR from daytime ABPM.
(© 2024 The Author(s). The Journal of Clinical Hypertension published by Wiley Periodicals LLC.)
Databáze: MEDLINE
Externí odkaz: