Does the mean 24-h pulse rate from ambulatory blood pressure monitoring reflect the mean 24-h ventricular rate from Holter electrocardiogram in atrial fibrillation patients?
| Autor: | Kui Hong, Jing Chen, Jian-Hua Yu, Hai Su, Hui-Yu Tong, Hong-Yu Liu |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Ventricular rate Ambulatory blood pressure Heart Ventricles 030204 cardiovascular system & hematology Assessment and Diagnosis Electrocardiography 03 medical and health sciences 0302 clinical medicine Heart Rate Internal medicine Atrial Fibrillation Heart rate Internal Medicine medicine Humans 030212 general & internal medicine Advanced and Specialized Nursing medicine.diagnostic_test business.industry Atrial fibrillation General Medicine Blood Pressure Monitoring Ambulatory medicine.disease Blood pressure Pulse rate Ambulatory Electrocardiography Ambulatory cardiovascular system Cardiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Blood Pressure Monitoring. 25:332-337 |
| ISSN: | 1359-5237 |
| Popis: | Background Ambulatory blood pressure monitoring (ABPM) on the oscillometric method is applicable in patients with atrial fibrillation, but the mean pulse rate is or not similar to the ventricular rate from the Holter in atrial fibrillation patients remains unknown. Methods This study included 228 persistent atrial fibrillation patients who received simultaneous 24-h ABPM and 24-h Holter. The mean 24-h pulse rate and the mean 24-h ventricular rate were calculated, and mVR-mPR was used to reflect the difference between them. The SD of 24-h pulse rate values was calculated as SD-pulse rate. Furthermore, according to the SD-pulse rate, the patients were divided into ≤5, 6-10, 11-15 and >15 bpm subgroups. Results For the total population, the mean 24-h pulse rate is positively correlated with the mean 24-h ventricular rate, and the Bland-Altman plot showed quite wide 95% limits. As the SD-pulse rate increased, the 24-h mVR-mPR also increased. The mean 24-h mVR-mPR was 0.5 bpm when SD-pulse rate ≤5, 3.5 bpm when SD-pulse rate of 6-10, 7.6 bpm when SD-pulse rate of 11-15, and 12.5 bpm when SD-pulse rate >15 bpm, respectively. Meanwhile, in the SD-pulse rate 0-10 subgroup, the 95% limits were only from -13.8 to 19.7 bpm, while in the >10 subgroup, these values were from -19.5 to 36.5 bpm. Conclusion The mean 24-h pulse rate should not be used to represent the true ventricular rate for all atrial fibrillation patients. However, when lower the SD-pulse rate, the mVR-mPR becomes smaller. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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