Diagnostic accuracy of a new algorithm to detect atrial fibrillation in a home blood pressure monitor
Diagnostic accuracy of a new algorithm to detect atrial fibrillation in a home blood pressure monitor
复制标题
DOI：
10.1111/jch.13076
复制
发表时间：
2017-11-01
影响因子：
2.8
通讯作者：
Kario, Kazuomi
中科院分区：
文献类型：
--
作者：
Kabutoya, Tomoyuki;Imai, Yasushi;Kario, Kazuomi
作者评价了一种使用家用血压计检测房颤(AF)的新算法。用该监护仪对16例房颤患者和20例窦性心律患者进行了3次连续血压值测定。作者将不规则脉搏峰值(IPP)25中的监测房颤定义为：(1)IPP：|脉搏峰值间隔|脉搏峰值间隔的平均值|脉搏峰值间隔的平均值x25%；(2)不规则心率：IPP总脉搏的节拍x20%；(3)监测房颤：三种血压测量中两次或两次以上的不规则心率。截止IPP值设置为20%(IPP20)和15%(IPP15)。IPP25、IPP20、IPP15的房颤特异性为1.0，敏感性分别为0.88、0.94、1.0。新算法具有较高的诊断准确率和较低的假阳性率。
The authors evaluated a new algorithm for detecting atrial fibrillation (AF) using a home blood pressure monitor. Three serial blood pressure values were measured by the monitor in 16 patients with AF and 20 patients with sinus rhythm. The authors defined monitor AF in irregular pulse peak (IPP) 25 as follows: (1) IPP: |interval of pulse peak-the average of the interval of the pulse peak| the average of the interval of the pulse peak x25%; (2) irregular heart beat: beats of IPP total pulse x20%; and (3) monitor AF: two or more irregular heart beats of the three blood pressure measurements. Cutoff IPP values were set at 20% (IPP20) and 15% (IPP15). The monitor's AF specificity was 1.0 in IPP25, IPP20, and IPP15, and its sensitivity was 0.88 in IPP25, 0.94 in IPP20, and 1.0 in IPP15. The new algorithm had high diagnostic accuracy for detecting AF and a low false-positive rate.