Abstract | OBJECTIVE: METHOD: A systematic review and meta-analysis was performed of studies comparing automated (oscillometric or automated Korotkov) versus manual auscultatory blood pressure measurements ( mercury or aneroid sphygmomanometer) in patients with sustained atrial fibrillation. RESULTS: Twelve validations were analyzed (566 patients; five home, three ambulatory and three office devices). Pooled correlation coefficients between automated and manual blood pressure measurements were stronger for SBP than DBP (r = 0.89 versus 0.76, P < 0.001). Automated measurements were higher than manual measurements [pooled average SBP difference 0.5 mmHg, 95% confidence interval (CI) -0.9, 1.9; DBP 2.5 mmHg, 95%CI -0.6, 5.7). The mean difference was within 5 mmHg in six and four (SBP and DBP, respectively) of six validations. The SD of mean difference was within 8 mmHg in two and three (SBP and DBP, respectively) of four validations. The proportion of absolute automated-manual differences within 5 mmHg was at least 65% in four and two (SBP and DBP, respectively) of eight validations. Three studies showed no impact of heart rate on the automated-manual blood pressure differences. CONCLUSION:
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Authors | George S Stergiou, Anastasios Kollias, Antonios Destounis, Dimitrios Tzamouranis |
Journal | Journal of hypertension
(J Hypertens)
Vol. 30
Issue 11
Pg. 2074-82
(Nov 2012)
ISSN: 1473-5598 [Electronic] England |
PMID | 22914573
(Publication Type: Journal Article, Meta-Analysis, Review, Systematic Review)
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Topics |
- Analysis of Variance
- Atrial Fibrillation
(complications, physiopathology)
- Automation
- Blood Pressure Determination
(methods, statistics & numerical data)
- Blood Pressure Monitoring, Ambulatory
(methods, statistics & numerical data)
- Heart Rate
- Humans
- Hypertension
(complications, diagnosis, physiopathology)
- Reproducibility of Results
- Systole
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